Lums issue

Based on your description, the stable, painless, and skin-coloured nature of these growths strongly suggests they are anal skin tags, though a physical evaluation is necessary to rule out piles (hemorrhoids) or other perianal conditions. Because you prefer a private consultation, you should schedule a physical examination with a General Surgeon or a Gastero-surgeon, as an accurate visual diagnosis is required before any removal procedure can safely take place. Since these growths have remained identical in size for 15 months and cause no pain, bleeding, or burning, they are highly unlikely to be active piles or acute anal fissures. They are most likely residual skin tags left behind after an old, unnoticed episode of mild hemorrhoidal swelling or local skin irritation resolved long ago. Even though the growths appear completely harmless, a professional clinical examination is essential before removal because:--- 1. Diagnostic Certainty. 2. Identifying Underlying Causes. If you choose to have them removed for cosmetic or hygiene reasons, it must be performed by a specialist in a clinical setting. Never attempt to remove or tie off these growths at home, as the perianal area is highly vascular and prone to severe infection and bleeding. Please consult a book an appointment with a General Surgeon or Gastrointestinal surgeon.