WHAT IS A MARISKE?A marisca is a small skin tag around the anus. It's a protruding flap of skin. There's no proper Dutch word for it. In English, it's called a skin tag or anal tag . Sometimes a marisca is mistaken for an external hemorrhoid, but it isn't. A marisca is benign and doesn't cause any symptoms. Many people have one or more marisca around the anus; it's nothing unusual. They increase in number with age.HOW IS A MARISKE COME INTO BEING?This isn't exactly known. The skin around the anus is naturally very wrinkled. However, it's thought that a marisca is the remnant of a hemorrhoid that once existed there. An external hemorrhoid is also a protrusion of the skin around the anus, but this protrusion is caused by congested blood vessels. Such a hemorrhoid causes symptoms, is painful, and can bleed. Sometimes a clot forms in such a hemorrhoid. Initially, this is a hard blood clot, but over time, the body completely removes the clot and replaces it with connective tissue. The protrusion, however, remains and becomes a marisca.WHAT DOES A MARISKE LOOK LIKE, WHAT ARE THE PSYCHOLOGY?Soft, folds of skin-colored skin develop around the anus. Sometimes they are only attached by stalks. These folds do not cause any symptoms such as pain or itching. Sometimes fecal residue can remain in the folds of the folds, causing irritation, resulting in itching, redness, or flaking. Rarely, folds bleed when wiped with toilet paper. If you frequently see bright red blood on toilet paper or in your stool, you likely have hemorrhoids or a tear (anal fissure).
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Photo: Tmalonetn - Wikimedia (Creative Commons License 3.0 ).
IS RESEARCH NECESSARY?Diagnosis is made visually. A marigold is easily recognized and distinguished from a hemorrhoid or a wart. No further examination is necessary. If you experience symptoms such as bright red bleeding or pain, an internal examination may be necessary to determine if there are internal hemorrhoids or fissures. This internal examination involves inserting a tube (a proctoscope) into the anus and examining the mucous membrane lining the anus through it. This examination is called a proctoscopy. Marigolds alone do not require this examination.SHOULD SOMETHING BE DONE ABOUT A MARISKE?Unlike hemorrhoids, marigolds are painless and don't cause any symptoms. However, if there are many or large marigolds, it can be difficult to keep the skin clean. Fecal residue can remain in the folds, causing irritation and itching. This can be a reason to have them removed. In addition, some people request removal for cosmetic reasons or simply because they believe these skin tags shouldn't be there.HOW ARE MARISKS TREATED?As mentioned earlier, a marisca doesn't need to be removed, but it can be. A marisca can be removed under local anesthesia. This involves an injection of anesthetic at the site of the marisca. Then, using an electric loop that immediately cauterizes the blood vessels, the skin flap is removed. This leaves a wound that closes from the edges. It can also be cut away and sutured with dissolvable stitches.
There is a growing demand for marisca removal for cosmetic reasons. As a result, there are now plastic surgeons specializing in cosmetic surgery around the anus. If you want to have your marisca removed for cosmetic reasons, the best approach is to find a plastic surgeon through your general practitioner who performs this procedure. The plastic surgeon can inform you about the treatment options and the fees.
In rare cases, there are many marisca, which cause problems and obstruct bowel movements. In that case, there is a medical reason for removing the marisca. This is done under general anesthesia by a general surgeon.WHAT CAN I DO ABOUT IT MYSELF?You can prevent itching and eczema by keeping your skin clean and removing fecal matter after using the toilet. This is best done with water (shower, bidet, wet washcloths, etc.). Wet wipes (cleansing cloths) are also a solution, but they may contain preservatives or perfumes that some people find intolerant.
Hemorrhoids can be prevented by adjusting your lifestyle: eat more plant fiber, drink plenty of water, and avoid straining during bowel movements. Get plenty of exercise and avoid being overweight.
If you regularly see blood on toilet paper or in your stool, you should consult your doctor.WHAT ARE THE OUTLOOK?Marisken don't disappear on their own. More marsken can even appear over the years. |
