Thank you for your question regarding the anal lesions you have noticed. It is important that you visit your primary care physician
who can visually inspect these lesions and determine what they may be. It is impossible to diagnose your condition without seeing them in person. There are several possibilities for what is causing these lesions. Genital herpes usually starts off as vesicles--small fluid filled, round blisters. These vesicles can eventually rupture and leave painful ulcers behind. Anal warts are caused by the human papilloma virus and can look like small bumps the color of your skin or are cauliflower-like in appearance. They can present as a single wart but are usually in clusters and painless, although some occasionally cause discomfort or itchiness. Hemorrhoids are normal veins that exist in the rectum but can become a problem when they are swollen, itchy, and painful. They can also cause rectal bleeding
that can range from bleeding just on the toilet paper when wiping or bleeding that coats the stool. The best thing to prevent hemorrhoids is to make sure you are not constipated, by eating lots of fiber in the form of fruits and vegetables. Again, please visit your doctor
who can identify the source of these anal lesions.