hemorrhoids? HPV? Warts? Skin Tags?

[CharmeDg4]

Hi Doctor,

I was wondering if you could help me interpret some of my symptoms.  For a month or so, I can an occasional itch
ing around my anus. I thought it was external hemorrhoids because I've had them before.  I've been using Preparation H, which doesn't seem to work. Sometimes, if I use toilet paper rather than preparation H wipes, I notice small amounts of blood on the toiler paper. There seems to be a large piece of skin coming from the anus. There are also several smaller, not exactly bumps/small pieces of skin hanging around the hole. I have had casual unprotected sex, but I never received anal. I was hoping you could offer some sort of preliminary diagnosis or something I may try at home.  

Thank you.

[Edward W Hook, MD]

Welcome to the Forum.  I'll comment briefly.  You have never received anal sex. that being the case, there is no reason whatsoever to worry about anal STDs.  The symptoms you describe are consistent with hemorrhoids or anal fissures.  If you wish to be evaluated however, rather than trying to figure out what is going on by yourself, I suggest that you see a trained health care provider who can take a look.

I hope this comment helps.  EWH

[CharmeDg4]

I posted a photo under comments.  Thank you.