Please help me put this behind me !!!

[Please Help Me - Really Depressed]

Hi Doc,

I have a question regarding genital warts. I am a 24 year old heterosexual male that had developed anal warts.  I was recommended to a very highly experienced colorectal surgeon, Dr. Michael Pezim (www.pezimclinic.com). When I went in for the very first visist he said that we don’t treat them here, just watch out for them and see if they resolve on their own. He also told me I had some inside me, about 2cm in.

Since that visit they had all disappeared on their own. I was happy and moved on. A while back I was curious and happened to look down there and noticed 2 small pink bumps with a white tip on them and got scared  thinking that those might be the internal warts he told my during my first visit. I made a follow up appointment with him, and saw him today.

He looked inside again, the same way he did as last time, including some sort of instrument (I think an anoscope, not sure though) and said that anal warts were not my problem, he didn’t see any, but he told me I do have a fissure with a skin tag (sentinel pile he called it) and to cut some foods out of my diet.

I asked him twice, about the warts and he said no, and I could see frustration in his face. After he was about to walk out of the door, I asked him, well how come I noticed 2 pink bumps with a white tip, he says everyone’s bum is different, stop looking and move on with life and then he walked out.

My question to you is, (since I didn’t ask him at the time cause I think he got annoyed with me)

1.Is it likely that he missed those 2 bumps that I can see my self very easily by just spreading my cheeks?

2.If not which I don’t doubt him, since he’s an expert, (what could they be they don’t bother me and I didn’t even know the existed. They look like a zit/pimple.

3.Is it just a part of my anatomy down there, or should I bother getting them looked at, and if so by what type of doctor?

Thank you so much doctor.

[Alan Rockoff, MD]

It sounds as though they aren't warts, and that his advice to stop looking and move on is sound, and I suggest you follow it.  

Take care.

Dr. Rockoff

[Please Help Me - Really Depressed]

Thanks for your response, i will do so. But any ideas as to why he didn't tell me what it was, or is it so common for him to see stuff like that, he didn't care to tell me?

Thanks doc, this will be my last post on this question.

[Alan Rockoff, MD]

Probably because it was just a minor variant of normal that it was impossible to put a name to....

Dr. Rockoff