So, you noticed a small and soft growth on your skin and you’re alarmed that it might be a serious health concern. If it’s a skin tag, then it’s typically harmless which means you can take care of it with proper hygiene practices and a little bit of guidance from a dermatologist.
On the other hand, if you’re concerned about swollen blood vessels near the rectal area, particularly, in the anal canal, then it could be hemorrhoids. These are slightly more concerning and often require medical attention to alleviate the pain symptoms.
Knowing the difference between common skin health issues like these is vital for proper preventive care and good hygiene practices. More importantly, it can help you find the right treatment option to get rid of them. We always recommend seeking guidance from an experienced professional to get the right care whether it’s benign skin tags or discomforting hemorrhoids.
Know the Difference between Hemorrhoid and Skin Tag
It is typically advised that you know the definition of both these skin problems to distinguish them better. That’s because both show similar symptoms but don’t have a common cause. Although a little detail will make it easier for you to determine whether you’ve got hemorrhoids or skin tags, you should still consult a medical professional if painful symptoms persist or worsen.

Hemorrhoid refers to swollen blood vessels (veins) in the anal canal. They might appear inside the rectal or around the anus. Moreover, they occur due to a number of reasons. These include pregnancy, obesity, prolonged sitting, and strained bowel movements. Additionally, chronic constipation and diarrhea can also lead to hemorrhoids. You should know that hemorrhoids can become painful over time without the right treatment.

Skin tags refer to soft and tiny skin growths which are non-cancerous. They usually appear as excess skin that literally hangs out. But that’s nothing to worry about because they’re usually a few millimeters in size. When they’re a couple of centimeters, you can get aesthetic treatment from a dermatologist to get rid of them. They occur when skin surfaces rub against each other or clothing frequently.
You should note that these flesh-colored skin flaps are also associated with anal fissures and hemorrhoids. So, while skin tags can be harmless and benign, they can signal a potentially painful condition like hemorrhoids.
Knowing the difference between the two can help you seek medical counsel from the right healthcare professionals. It can also make the difference between prolonged exposure to painful skin conditions and timely medical interventions. While hemorrhoids can require medical procedures, skin tags subside with simple cosmetic procedures.
Understand the Causes of Hemorrhoids and Anal Skin Tags
It is important to know the causes of medical conditions to determine the right treatment options. It is also crucial for creating an effective symptom management and preventive care routine. For hemorrhoids and skin tags, there is no exception.
Despite the differences between the two, it is essential to know the causes behind one or both of them to seek the best medical care. You can recover much more effectively by seeking timely medicinal or surgical intervention by knowing what causes hemorrhoids.
And the same goes for skin tags. Although skin tags aren’t that big of a health concern, they can sometimes signal other medical issues like severe obesity or diabetes. Several studies confirm an association of skin tags with different health conditions like obesity, diabetes, and hypertension.
It is worth mentioning that most people don’t get medical interventions for skin tags unless it’s to alleviate any unusual pain symptoms or for aesthetic purposes.

Causes of Hemorrhoids
Hemorrhoids are the result of excessive pressure in the veins in and surrounding the anal canal. This pressure can be due to several reasons like prolonged sitting or strained bowel movements. Let’s discuss this in a bit more detail to help you understand better.
1. Strained Bowel Movements
While passing stool, it is quite common to exert excessive pressure on the veins in the rectal area. However, frequently doing that can increase the risk or persistence of hemorrhoids because it can swell the veins and cause them to deteriorate.
2. Prolonged Sitting
Sitting for too long without active movement during the rest of the day can also contribute to significant pressure on the rectal veins. Hard surfaces in particular can be a serious risk for hemorrhoids. It creates pressure around the anal area which strains the veins and leads to hemorrhoids. A study confirms that constipation and prolonged sitting are believed to be common causes of hemorrhoids.
3. Pregnancy
Did you know that nearly 25% to 35% of pregnant women are affected by hemorrhoids? A study confirms that hormonal changes and extra-abdominal pressure during pregnancy make women prone to hemorrhoids. The growing uterus also puts pressure on the pelvic and abdominal veins which leads to enlarged hemorrhoidal veins.
4. Obesity
Being overweight (or obese) also increases the pressure on the rectal and pelvic veins. The increase in pressure can swell the veins surrounding the rectal area and lead to hemorrhoids.
5. Chronic Diarrhea or Constipation
Constipation is a frequent cause of strained bowel movements. On the other hand, diarrhea can lead to irregular and increased stool frequency. Both these conditions increase the risk for hemorrhoid development. Straining to pass hard stool puts excessive pressure on the rectal veins and so does frequent passage of loose stool. This can lead to hemorrhoids which can become painful over time.
Causes of Skin Tags

Unlike hemorrhoids, skin tags are harmless growths that can occur anywhere on the body. They especially affect areas that are subject to frequent friction either through skin rubbing against each other or clothing material. That means you can develop anal skin tags because of the area’s sensitive nature. If skin tags appear in the rectal area or around the perianal skin, it should raise some concern as it potentially hints towards hemorrhoids.
1. Skin Rubbing Together (Friction)
When the skin rubs against itself or with other parts of the body frequently, it can result in skin tags over time. The repeated friction between adjacent surfaces on the skin in the anal area can lead to rectal skin tags. It can be a result of physical activities or clothing which can develop small and benign skin tags.
2. Crohn’s Disease (Chronic Inflammation)
Chronic inflammation through health conditions like gastrointestinal tract issues and Crohn’s disease can make an individual more vulnerable to skin tags around the anus. Experiencing chronic inflammation around the anal region can contribute to the development of skin tags which are often fairly easy to get rid of with the right treatment, a study confirms.
3. Healing from Anal Fissures or Hemorrhoids
If you had anal fissures, which refer to tears in the anal canal, or hemorrhoids, you could experience skin tags near the anus. This is because the healing process post-surgery or other treatments for hemorrhoids and anal fissures can increase the likelihood of skin tags due to swelling and inflammation. The skin near the anus might develop excess tissue in response to the trauma from these conditions.
4. Previous Surgeries or Injuries
After surgeries or injuries, skin tags can form in the rectal area and near the anus. This is mainly due to the healing process when the skin produces extra skin tissue to repair the damage in the affected region. The skin tags usually match the skin tone of the surrounding area or have slightly darker lumps.
Like hemorrhoids, knowing what causes skin tags in the rectal area can help you choose the right medical treatment with the help of a medical professional. Usually, it is a consequence of inflammatory conditions and excessive friction between adjacent skin surfaces or clothing.
Symptoms of Hemorrhoids and Skin Tags
If you can feel a growth around the anus, it’s important to know whether it’s an anal skin tag, hemorrhoids, or even anal warts. You should know the symptoms of both health issues to determine which one you’re facing. The most distinguishable symptoms are pain and discomfort. While hemorrhoids can cause painful bowel movements and bleeding, anal skin tags are generally painless unless you irritate them by rubbing excessively against the skin or clothing.
The symptoms vary significantly between the two distinct conditions. Although both conditions affecting the anal region share similarities in appearance, they both occur due to different causes with varying potential complications.
Hemorrhoid Symptoms
- Pain – The most common symptom of hemorrhoids is painful bowel movements which worsen the swollen veins in the anal canal.
- Bleeding – After bowel movements, hemorrhoid patients also notice red blood on the toilet paper or in the toilet bowl.
- Itching – Irritation around the rectal area and inside the anus can cause itching which is highly discomforting, leading to the desire to scratch.
- Lumps or Swelling – Hemorrhoids can cause bulges and swollen areas near the anal canal which might feel tender to the touch if you’re struggling with this condition.
- Prolapse – A symptom of serious cases involves hemorrhoids protruding outside the anal cavity which is extremely painful and difficult to push back inside.
Skin Tag Symptoms
- Generally Painless – Although not a symptom in itself, it helps to distinguish when you know that skin tags are painless until they get irritated from clothing or jewellery.
- Itching – When irritated, skin tags can become extremely discomforting and may lead to painful physical movement in the affected region for some time.
- Flesh-Colored or Darker Lumps – A common indicator of skin tags is that they are small and soft, appearing as flaps of excess skin which is similar to a thin lump that is flesh-colored.
- Hygiene Issues – A potential complication that indicates a skin tag condition in the rectal area is difficulty cleaning which can lead to trapped moisture and hygiene challenges.
Knowing these differences will also give you mental clarity to seek the right medical care for your condition. Furthermore, if the symptoms persist over time, or after receiving medical care, you can discuss them with your healthcare provider. You will receive effective pain and symptom management tips to improve overall comfort.
Know the Appearance
The easiest way to diagnose and distinguish anal tags is through visual inspection. They are soft to the touch and appear as tiny and benign growth which is a few millimeters in size. However, hemorrhoids are slightly structured and often discolored in appearance, and can be as big as a few centimeters at their largest. According to our experience, visual identification is the primary diagnosis method utilized by healthcare professionals.
Visual Characteristics of Hemorrhoids
Even if you do research, you will learn that hemorrhoids appear as swollen veins in the rectal area, near the anus. They are often purple or dark blue lumps that pose a health risk without proper treatment. However, they can sometimes be discolored due to increased blood clotting or pooling in the bulged veins. The hemorrhoids can be internal, which means inside the anal canal and rectal cavity, or protruding outwards which makes them more visible.
Visual Characteristics of Skin Tags
Skin tags in the rectal area, near the anus, are similar to skin tags in other parts of the body. They either appear flesh-colored, which means that they match the surrounding skin tone, or slightly darker. Rectal skin tags look like small folds or flaps of skin and are most commonly external. However, they can vary in size from a few millimeters to several centimeters. While they may occur due to anal fissures or hemorrhoids, their flesh-colored appearance makes them less noticeable.
Diagnoses
It usually begins with a physical examination which involves a close visual inspection. If the condition is severe and difficult to diagnose using conservative strategies, your healthcare professional might use advanced medical equipment for a more comprehensive diagnosis.
Hemorrhoid Diagnosis
The diagnosis of hemorrhoids begins with the usual protocol that involves a close physical examination and visual inspection of the anal area. The professional will check for lumps, swelling, or other abnormalities that indicate hemorrhoids.
Since internal hemorrhoids aren’t visible from the outside, your healthcare professional might use anoscopy or sigmoidoscopy for a closer view. The former is a small, lighted tube (anoscope) and the latter is a more comprehensive procedure that involves a camera attached to a flexible tube.
Skin Tag Diagnosis
For diagnosing skin tags, a physical examination and visual inspection are usually it. However, the healthcare provider might perform a biopsy if the skin growths look unusual or indicate malignancy. Due to the simplicity of the diagnosis, of both the skin tag and hemorrhoid condition, we advise that you seek medical evaluation for any unusual symptoms on time.
Treatment Options

There is no one-treatment-works-for-all, especially in the case of hemorrhoids. Although skin tags aren’t so complicated in terms of treatment, they do require careful diagnosis and optimal care to prevent further complications. The same goes for the medical procedures involved in treating hemorrhoids. They aim to alleviate pain and improve the swelling in the anal area to combat hemorrhoid symptoms.
Hemorrhoid Treatment
Both internal and external hemorrhoids can be uncomfortable, leading to painful bowel movements. The treatment options for this condition vary depending on the severity and underlying causes. Moreover, your healthcare professional will consider individual factors such as your overall health and medical history to develop a course of action that addresses your painful condition.
1. Over-the-Counter Remedies
You may get prescription to treat hemorrhoids, like topical ointments that contain witch hazel or hydrocortisone to reduce itching and inflammation.
2. Sitz Baths (Warm Baths)
Healthcare professionals often advise soaking in warm water, particularly after difficult bowel movements to reduce swelling and improve blood flow to the affected anal area. We also advise if you are a senior, you can try hiring home care givers to assist you in such conditions.
3. Fiber-Rich Diet and Proper Hydration
A fiber-rich diet can help form soft stool which is easier to pass and prevents strained bowel movements. Similarly, drinking enough water throughout the day can soften stool for easier passage to prevent complicating the hemorrhoid condition. This is a natural way to let hemorrhoids heal.
4. Medical Procedures
Apart from the abovementioned conservation treatments, medical procedures can also work in severe cases.
Rubber Band Ligation
This involves the professional tying a rubber band around the hemorrhoid’s base to cut off its blood supply. Within a few days, the hemorrhoid shrinks and falls off easily.
Sclerotherapy
It involves the professional injecting a chemical solution into the hemorrhoid to cause shrinkage. However, it is effective for small hemorrhoids.
Hemorrhoidectomy
Most suitable in extremely severe cases, it may involve the surgical removal of hemorrhoids under a local anesthesia.
Anal Skin Tag Treatment
If skin tags appear in the anal area, they are usually bothersome due to frequent irritation and hygiene concerns. While they’re benign, they can cause occasional discomfort making it extremely difficult to maintain good overall hygiene. Depending on the type of skin tag and your individual factors, your healthcare provider might suggest conservative treatments or surgical anal skin tag removal, including a quick in office procedure
1. Conservative Management
For asymptomatic skin tags, many professionals prescribe the use of topical ointments or steroid creams to reduce inflammation.
2. Surgical Removal
Most professionals recommend surgically removing painful skin tags, which are quite rare. These often cause hygiene issues further complicating existing medical conditions and affecting the anal area.
3. Cryotherapy or Cauterization
These are alternative treatment methods where a professional might decide to remove skin tags by freezing them with liquid nitrogen (cryotherapy) or burning them off with a safe electric current (cauterization).
4. Laser Treatment
During this treatment, the professional uses laser therapy to burn and remove the skin tag layer by layer.
Prevention
Whether you’re preventing hemorrhoids or skin tags, you will have to practice good hygiene. It is the primary measure to prevent issues like skin tags and hemorrhoids in the rectal area. However, individual factors might require additional proactive measures to minimize the risk of hemorrhoids and skin tags.
Hemorrhoid Prevention
- You should avoid straining during bowel movements because straining increases the pressure on the rectal veins which can contribute to hemorrhoid formation.
- You can minimize the risk of hemorrhoid development by maintaining a healthy diet that is rich in fiber because it leads to soft stool and easier bowel movement.
- You should drink plenty of water daily to keep your stool soft and make it easier to pass which will reduce the likelihood of straining and constipation.
- You should practice an active lifestyle and avoid sitting for prolonged periods, especially on hard surfaces, as it builds up pressure on rectal veins which leads to hemorrhoids.
- Keeping your anus clean and dry to prevent bacterial buildup.
Skin Tag Prevention
- You should focus on managing underlying conditions that cause skin tags, like hemorrhoids, an anal fissure, diabetes, and obesity.
- You should wear loose-fitting clothing to reduce friction in the anal area and practice good hygiene to prevent skin tag development.
- You should adopt a healthier hygiene routine that focuses on keeping the anal area clean and dry to prevent skin irritation which often leads to or complicates skin tag formation.
Conclusion
If you require medical attention, you need to communicate your condition and issues with the healthcare professional. By knowing the main differences between hemorrhoids and skin tags, you will be better able to explain your medical needs to a professional.
Hemorrhoids are painful and swollen veins in the canal that cause bleeding and discomfort during bowel movements. Conversely, skin tags are benign and painless growths that appear due to frequent friction between skin surfaces or clothing.
A healthcare professional can perform an accurate diagnosis whether you have one, both, or none of these two conditions. Consequently, they will suggest medications or other treatment options to improve them. While hemorrhoids could require prolonged medical attention to get treated, skin tags are easy to take care of with simple home remedies or removal surgeries.
Want to discuss your aesthetic and wellness goals? Contact certified health professionals at and book a consultation today!
Citations
- Singh, B., Tripathy, T., & Kar, B. (2019). Association of skin tag with metabolic syndrome and its components: A case–control study from Eastern India. Indian Dermatology Online Journal, 10(3), 284. https://doi.org/10.4103/idoj.idoj_238_18
- Lohsiriwat, V. (2012). Hemorrhoids: From basic pathophysiology to clinical management. World Journal of Gastroenterology, 18(17), 2009. https://doi.org/10.3748/wjg.v18.i17.2009
- Staroselsky, A., Nava-Ocampo, A. A., Vohra, S., & Koren, G. (2008, February 1). Hemorrhoids in pregnancy. PubMed Central (PMC). https://ncbi.nlm.nih.gov/pmc/articles/PMC2278306
- Bolshinsky, V., & Church, J. (2019). Management of complex anorectal and perianal Crohn’s Disease. Clinics in Colon and Rectal Surgery, 32(04), 255–260. https://doi.org/10.1055/s-0039-1683907