### What are Perianal Skin Tags? Perianal skin tags are soft, small growths that appear around the anus. They are quite common and usually harmless. These tags often develop after hemorrhoids heal or from excessive cleaning of the area. They can also occur naturally as you age, especially in areas with skin folds like the groin and armpits. ### Causes and Risk Factors Experts are not entirely sure why skin tags form, but they have been linked to several conditions such as diabetes, obesity, and skin irritation from friction. Conditions like Crohn's disease, obesity, pregnancy, and other bowel issues may increase the risk of developing perianal skin tags. Family history can also play a role, as these tags can be hereditary. ### Symptoms and Identification Perianal skin tags are usually painless and do not cause bleeding. However, they can be mistaken for hemorrhoids, which are painful and can bleed. Unlike warts, which are caused by the human papilloma virus and have a different appearance, perianal skin tags are soft and flesh-colored. ### Diagnosis To diagnose perianal skin tags, a doctor will examine the area around the anus. They may look for signs of irritated skin, hemorrhoids, or other conditions. Sometimes, a proctoscope may be used to inspect inside the anus. ### Treatment and Management The primary way to treat perianal skin tags is by managing the underlying condition that caused them. Conditions like hemorrhoids and anal fissures need to be treated first. Skin tags can be removed surgically, but to prevent recurrence, lifestyle changes such as increasing fiber intake may be necessary. After treatment, it's important to maintain good toilet and bowel habits and avoid excessive cleaning of the anus. ### Conclusion While perianal skin tags can be uncomfortable, they are not harmful. If you notice any unusual growths around your anus, consult your doctor for a proper examination and advice.