perianal crohn's questions

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Octobergirl
Regular Member


Date Joined Aug 2009
Total Posts : 377
   Posted 11/4/2009 8:56 AM (GMT -7)   
Just some questions about perianal Crohn's

1. If you have anal skin tags, does that automatically mean you have perianal Crohn's?
2. If you're not sure if you have a hemorrhoid or if it is the skin tag bleeding, does that mean you are flaring? Is it possible that the bleeding is the only sign of a flare?
3. How do anal skin tags form besides from hemorrhoids? Can Crohn's itself cause them to form?

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 11/4/2009 1:00 PM (GMT -7)   
Perianal crohn's skin tags is a form of perianal disease (the other forms being fistula/abcess)

My perianal crohn's skin tags never bleed (the exception was when I had fissures right near the skin tags)

Yes, crohn's itself can cause them to form, you don't necessarily have to have a hemmie in order to get anal tags, although anal tags can happen as a result of a shrunk down hemmie, but the 2 are completely different from one another...flaring perianal crohn's skin tags are large and hard, they can shrink down to almost nothing when they are not in a flare (large and hard).

Here's a link that shows hemmies (first set of pics) and perianal crohn's skin tags (aka; elephant ears) set of pics below the hemmie pics...as you can see there is a difference in the appearance of the 2.
 
WARNING, NOT FOR THOSE THAT ARE SQUEAMISH WHEN IT COMES TO LOOKING AT ACTUAL PICS OF ANAL TAGS!!!!
 
 
 
 
:)


bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

Post Edited (pb4) : 11/4/2009 5:08:36 PM (GMT-7)


Octobergirl
Regular Member


Date Joined Aug 2009
Total Posts : 377
   Posted 11/4/2009 1:15 PM (GMT -7)   
Thanks, PB4. Now what if the tags never shrink, what does that mean? Does that mean they are probably from hemmies? Also, when you say they are hard, how hard? Not like regular skin? Sorry, I probably just need to ask my GI during my next visit.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 11/4/2009 1:53 PM (GMT -7)   
That's what ended up happening to mine, see when I was a teenager I would get these tags but every doc that saw them said they were hemmies, and they would appear and then shrink back down to nothing so cuz the docs said they were hemmies (which BTW they wre dead WRONG), and they did this randomly, all on their own, then after I had my first baby they stayed large and hard (flared) and again I was told they were hemmies so I went in to get them banded while they were large and hard and found out after the fact that it was not hemmies but instead the crohn's tags...so mine have remained large and hard ever since (cuz of getting them banded while in a flare is why they've stayed flared).

Hard meaning (really hard to explain) not fleshy like you cant sqeeze them and feel your fingers touching but instead hard like a lump. You definitely should have your GI or colon and rectom specialist look at them.

did you see the pic in the link? If so which do yours resemble?

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 11/4/2009 1:55 PM (GMT -7)   
Look at this link...WARNING, NOT FOR THOSE THAT ARE SQUEAMISH WHEN IT COMES TO LOOKING AT ACTUAL PICS OF ANAL TAGS!!!!
 
 
 
about half way down the link (where it says "anal tags and hemmies") you'll see a pic of anal tags that are softer (fleshier) not hard (mine are hard, more dense).
 
:)


bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

Post Edited (pb4) : 11/4/2009 5:08:06 PM (GMT-7)


NostraHistoria
Regular Member


Date Joined Nov 2008
Total Posts : 351
   Posted 11/4/2009 3:55 PM (GMT -7)   
Put some warning signs on those links.
27m - Dx January 2005: UC/Crohn's
Humira, Entocort 9 mg, Asacol 4 x 3, Flagyl 250 mg x 3


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 11/4/2009 5:06 PM (GMT -7)   
LOL, sorry Nostra, there's usually no holds barred when it comes to the ugliness of having CD, so I didn't even think about it bothering/offending anyone.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


Octobergirl
Regular Member


Date Joined Aug 2009
Total Posts : 377
   Posted 11/5/2009 9:18 AM (GMT -7)   
OK, PB4, I think I finally have come to the conclusion that I definitely don't have hemmies, because it looks like the other tags- elephant ears. I'm on Remicade, but I haven't noticed a difference as far as them shrinking. I'm assuming that once you have them, they never go away unless you have surgery- which from what I understand is probably not a good idea.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 11/5/2009 11:30 AM (GMT -7)   
Octobergirl, mine used to come and go (they would shrink down to nothing noticable) and I have heard that remicade can actually shrink them back down (it may be another one of those "what works for some doesn't work for all" theories though)...my colon and rectom surgeon explained to me that when they shrink down small enough that you can actually get them snipped off in the docs office with local freezing...he did also warn me (as well as othe GI's) that when they are large and hard (inflamed/flaring) that doing surgery on them is not recommended because they are diseased tissue (edematous---meaning swollen with an excessive accumalation of fluid) and given the area they have too hard of a time healing and usually end up staying an open wound...however froglita (another member here) said she just had hers removed while in a flare and had no issues...of course I can only go by the strict warnings I've gotten from surgeons and GI's advising against that, plus in the link I provided above it had the same warning.

You really should see your GI about them, when my GI saw mine first thing he did (right after scoping me of course) was sent me to see a colon and rectom surgeon (the one I mentioned above that explained it all to me), cuz my GI knew they were something you had to tread caution with.


:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


*Phoebe*
Veteran Member


Date Joined Sep 2005
Total Posts : 769
   Posted 11/5/2009 3:51 PM (GMT -7)   

I have a large amount of oedematous skin tags, but my colo-rectal surgeon has never mentioned having them removed, and honestly, as far as I am concerned, I don’t often have people peering at my bum-hole so I don’t see why it should matter. My surgeon also said they should shrink down a lot once I am in remission. They have been HUGE at times but have shrunk quite a but since starting remicade. I have only had two treatments of remi and they started shrinking the very next day after the 1st treatment!

 

Of course this won’t happen to everyone on remicade, but it worked for me and has worked for many others, and I didn’t really have much choice in my opinion – with a fistula and abscess wound to heal, Remi was the best thing ever. It is closing it all up after a year of abscess hell.

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