Exam for Perianal skin tags

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rootsmith
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Date Joined Jan 2004
Total Posts : 598
   Posted 1/31/2008 11:26 AM (GMT -7)   
Ok, this is the place where you can ask any question without embarassment.  Can someone tell me what is going to be involved when I mention what I think might be perianal skin tags the next time I go to the gi office in March?  My gynecologist advised me to run it past them as she had no idea what it/they was.
 
Is this a job for the gi office? Or do I need to go to a colo-rectal doctor? (I've been to one before, he did do a rectal exam, but in the tradition lying on the side position. He was not looking for something on the outside)
 
Can they check for them while lying on my side?  Or is this going to be a butt in the air position? confused   they were easily visable in the gyn exam position but I know that won't be how its done.
 
Last question- isn't this something that would have been seen when the gi doctor did the colonoscopy in April? 
 
Thanks for understanding that I am dreading this sad
10 years, many tests, 3 gi doctors, Pentasa 1000mg 3x day
diovan, simvastatin, sertraline, lyrica  


MikeB
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Date Joined Mar 2006
Total Posts : 1169
   Posted 1/31/2008 11:29 AM (GMT -7)   
I think it's a pretty simple exam, just bend over and spread 'em. They are usually external and easily visible. And yes this is a valid issue for the gastroenterologist who treats your Crohn's, since tags are one of the many delightful complications of that disease.

rootsmith
Veteran Member


Date Joined Jan 2004
Total Posts : 598
   Posted 1/31/2008 11:49 AM (GMT -7)   
I don't think they expect females to bend over and spread them, DO THEY?
10 years, many tests, 3 gi doctors, Pentasa 1000mg 3x day
diovan, simvastatin, sertraline, lyrica  


MikeB
Veteran Member


Date Joined Mar 2006
Total Posts : 1169
   Posted 1/31/2008 12:13 PM (GMT -7)   
Well the best way to look at that aperture is usually to just bend over the exam table. That's how they do the prostate exam . . . which ladies do not appreciate I am sure. Though it may be a "lie on your side" format. Either way it should be quick and simple.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/31/2008 12:27 PM (GMT -7)   
Ya I'm a female and when I was sent to a colo-rectal surgeon to have my skin tags looked at, the particular office I went to had this beastly looking table thingy that I had to lay on face down with my pants down, and he pushed buttons and this table thingy moved my butt up into the air, it was the weirdest contraption I'd ever been in, talk about feeling vulnerable, I felt like my butt was gonna touch the ceiling or something...I actually laughed out loud and the colo-rectal surgeon said he usually heard alot of comments about this table but I was the first who laughed out loud about it.

They moved offices and didn't bring those tables with them, just regular exam tables and on that he had me laying on my side, knees bent up to my chest for the exam.

Sorry about your skin tags, they are no fun, especially when they get mistaken for hemmies and they perform and emergency hemmie surgery on them (they banded mine) which is a big no no...they say that a script of cortifoam usually shrinks them back down and out of a flare...mine however, have remained in a flare ever since that dreaded surgery...perianal crohns skin tags were my very first symptoms of crohns which is one reason why they were likely misDX.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


HabsHockeyFan
Veteran Member


Date Joined Jan 2006
Total Posts : 3130
   Posted 1/31/2008 12:40 PM (GMT -7)   
oh pb...I am a woman too and I also had those wonderful butt in the air tables at my colorectal surgeon. Of course, he also had "trophies" of stuffed horses on his wall---not the head, but the back end! At the time, it was not so funny (fistula nightmare---no mare pun intended). Looking back (no back pun intended), it was kind of humorous

Your GI should be able to look at them. Mine jump right out at you so there is no "looking" for them. If yours are small enough to not be seen easliy...try to keep it that way!!!! seriously though...listen to pb4 about no banding. Perhaps your GI never mentioned them because they are not unusual in CDers. He may have taken them for granted.

As for care...I don't use any prescription drugs (although I am considering them now!!!). Keep the area clean, lots of warm water soaks and wipe gently is my best advice.
Dx'd '90 (emergency rupture), symptoms ignored long before that, '03 fistulas and bad flagyl reactions, B12 weekly, Pentasa [until I surrender to the bigger meds]
I'm riding on the escalator of life....


sr5599
Veteran Member


Date Joined Aug 2007
Total Posts : 1202
   Posted 1/31/2008 12:48 PM (GMT -7)   
They have never asked me to bend over! Yikes! I lay on my left side and they check. I've got a couple of them. I hate them... we all do, huh?!
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