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Proctology

Anal Polyps

What Are Anal Polyps?

Anal polyps are small growths that form on the lining of the anus or lower rectum. They are usually benign adenomas (non-cancerous) but should always be evaluated by a doctor, as some types of polyps can develop into cancer over time. They are by definition a low grade dysplastic (atypical behaviour) lesion with the potential for progression of the dysplasia to an invasive malignancy. These lesions can be pedunculated (mushroom-shape), or “sessile” with board base. They can occur singly or as multiple lesions. They can vary greatly in size and extent. Anal polyps are often discovered during a colonoscopy or rectal examination, since many people don’t notice symptoms.

Common Symptoms of Anal Polyps

Some anal polyps cause no symptoms, but when they do, they may include:

  • Rectal bleeding or blood on toilet paper
  • Mucus discharge from the anus
  • A sensation of something “coming out” of the anus
  • Change in bowel habits, such as diarrhea or constipation
  • Anal discomfort or itching

If you experience bleeding or other symptoms, it’s important to have them checked — not all rectal bleeding is due to hemorrhoids.

What Causes Anal Polyps?

Polyps can form due to abnormal growth of cells in the anal or rectal lining.

Common risk factors include:

  • Chronic inflammation of the anal canal
  • Genetic predisposition (family history of colon or rectal polyps)
  • Aging and dietary factors
  • Human papillomavirus (HPV) infection (in some cases)

Treatment for Anal Polyps

The treatment depends on the type, size, and location of the polyp. Options include:

  • Polypectomy (removal during colonoscopy): quick and minimally invasive
  • Surgical excision: for larger or suspicious polyps or if they are located in the anal canal / lower rectum
  • Histopathology (biopsy): to determine whether the polyp is benign or precancerous or malignant

Regular screening and colorectal evaluation are essential to prevent recurrence or detect any early malignancy.

When to See a Doctor

Visit your doctor if you have:

  • Unexplained rectal bleeding
  • Anal lump or protrusion
  • Changes in bowel habits
  • Persistent mucus or discharge
  • A family history of colon or rectal cancer

Anal polyps are usually harmless but must be diagnosed and removed safely to rule out any precancerous changes.

Early screening and expert care make all the difference.

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