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Anal warts are a form of genital warts caused by human papillomavirus (hpv). Theyre a type of genital wart that occurs inside or around the anus. When a doctor gives someone a visual examination for anal warts, they will usually use a tool called an anoscope. They will usually do an internal exam to search for warts in the anal canal. A few months ago i noticed a bump inside my rectum and didnt think anything of it. Last week, it seemed to have worsened so i made a trip to a recital surgeon and i wasnt diagnosed with anal warts. The doctor said theyre fairly mild size-wise and recommended i wait and see if they go away on their own. He did not recommend surgery and claims that it is common for them to resolve with time. Internal anal warts may not respond to topical medications, so surgery may be required. Treatment options include topical medication these creams usually work best if the warts are very small and located only on the skin around the anus. Overview an ostomy is a surgically created opening between an internal organ and the body surface. Ostomies are often created as a part of intestinal surgery when there must be a new way for intestinal waste to leave the body. 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.