What Is a Hemorrhoid Skin Tag?

December 2, 2025

What Causes a Hemorrhoid Skin Tag?

When an external hemorrhoid swells, it stretches the surrounding skin. Once the swelling goes down, the skin may not fully tighten back to its original shape. This is especially common after large or thrombosed hemorrhoids that caused significant distention.

Other contributing factors can include:

  • Repeated hemorrhoid flare-ups, which weaken and stretch the skin over time

  • Pregnancy or childbirth, due to increased pelvic pressure

  • Chronic constipation or diarrhea, leading to straining and irritation

  • Weight changes or friction, which can further loosen the tissue

Essentially, a hemorrhoid skin tag is your body’s way of showing it healed from inflammation - just not perfectly.

Common Symptoms

Hemorrhoid skin tags are usually not painful, but they can be inconvenient. Common symptoms include:

  • A small, soft bump near the anus, often mistaken for a new hemorrhoid

  • Irritation or itching, especially during wiping or after sweating

  • Hygiene difficulties, since the tag can trap moisture or residue

  • Occasional swelling, if the tag becomes irritated

While these tags don’t bleed or cause pain like active hemorrhoids, their presence can be annoying or embarrassing.

Diagnosis & Treatment Options

A proctologist can confirm whether a bump is a skin tag or another condition, such as an active hemorrhoid, wart, or fissure. Once identified, treatment depends on how bothersome it is.

  • Observation - If the tag isn’t causing issues, it’s completely safe to leave it alone.

  • Removal - For comfort or cleanliness, a quick in-office removal under local anesthesia can be done. The procedure is low-risk and typically heals within a few days.

  • Aftercare - Keeping the area clean and avoiding friction helps prevent irritation and recurrence.

It’s important to avoid trying to remove a tag yourself - this can cause infection, bleeding, and unnecessary pain.

When to See a Proctologist

If you notice a persistent bump after a hemorrhoid has healed, or if it’s affecting your hygiene or comfort, it’s time to see a proctologist. They can confirm it’s only a skin tag and, if you prefer, remove it safely and painlessly. Many patients find that a simple removal provides lasting relief and peace of mind.