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Some doctors apply acetic acid (vinegar) to the bumps during the examination. Anal warts first appear inside and around the anus in the form of tiny spots or growths, report doctors at the american society of colon and rectal surgeons 1. Anal warts, also referred to as condyloma acuminata, can start as small as a pinhead and grow to about the size of a pea. A doctor can usually tell from a visual inspection if the bumps are anal warts due to hpv. Sometimes, they may perform a biopsy, which involves taking a sample of the wart tissue and sending it. Anal warts are a form of genital warts affecting the anus, rectum, taint and butt. It can be cured with natural and doctor administered remedies. Anal warts (hpv) if you believe you have anal warts, contact our clinic. Some doctors may use a vinegar solution to help find flat wartsbut this test can sometimes wrongly identify normal skin as a wart. Anal warts are caused by the human papilloma virus, which is usually transmitted through sexual contact but not necessarily through anal intercourse. There are many types of human papilloma virus some cause warts on the hands and feet and others cause genital and anal warts.

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