In most cases, the warts are not symptomatic. In fact, many patients are not aware that they are present unless they physically feel the growth. They are usually either flesh-colored or light brown. When they do cause symptoms, they may include:
- Mucus discharge
- Feeling of a lump
Visualizing the warts is generally enough to make a diagnosis. The doctor will examine the skin surrounding the anus and inspect the pelvic area. He might use an anoscope, which is a small lighted scope, to visualize the inside of the anal canal. This is done to see if there are any internal anal warts present. The warts can multiply and grow if they are not removed. For the warts on the outside of the anus, topical medications are often used, such as those that burn or freeze the warts.
Surgery might be needed to remove internal anal warts. Even after successful removal, it is possible for the warts to recur. Because of this, patients should adhere to all follow up care and immediately see their doctor if the warts recur to have them removed.