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Q. I have a small strand of skin near the anus. What is that?

Answered by
Dr. Muhammad Majid Hanif
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 13, 2016 and last reviewed on: Dec 28, 2020

Hi doctor,

There is about a quarter inch long strand of skin going away from the anus and I think it is a hemorrhoid. Also, that is dark purple in color. I am in need of your help.

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Hi,

Welcome to icliniq.com.

I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns.


The Probable causes:

I have seen the attached picture and it looks as hemorrhoid (attachment removed to protect patient identity). I am unsure about the position of the lesion that is, whether 6, 9 or 11 o'clock. It usually is due to portal hypertension.

Investigations to be done:

Proctoscopy or colonoscopy by a general surgeon.

Probable diagnosis:

Hemorrhoids.

Treatment plan:

Avoid constipation. I suggest Lactulose syrup if you have constipation. Consult your doctor, discuss with him or her and take the medicine with consent.

Preventive measures:

Take plenty of water and high fiber diet. Ask your primary care physician to refer you to a general surgeon for proper evaluation and treatment plan. Do not let it go untreated as it may complicate and will have serious consequences.

Regarding follow up:

For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


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