Anal papillae are triangular yellow-white papillae below the anal flap called anal papillae, conical or triangular, are the remnants of the embryo, 3 to 8, usually very small, such as anal sinusitis, anal fistula, anal fissure, hemorrhoids, constipation and anal pruritus, can cause the papillae to proliferate and become larger, prolapse outside the anus, forming papillitis or papillary hypertrophy, some can be papilloma-like. Causes: 1) Infection, trauma or irritation in the anal canal, such as stimulation by chronic intestinal inflammation, prolonged accumulation of stool in the rectum or dry and hard stool in cases of habitual constipation; 2) Injury during defecation and secondary bacterial infection; 3) Hyperplasia of the ectodermal and subcutaneous tissues in the rectum of the anal canal, which can lead to anal papillomas, with individual differences in number, shape and size. Symptoms ①Anal discomfort: at first, there is a feeling of anal swelling, sometimes anal itching and discomfort, if there is inflammation, not only the feeling of swelling is obvious, but also frequent desire to defecate due to stimulation. ②Prolapsed anal papilla: The anal papilla grows to a certain extent and can prolapse out of the anus when defecating. At first, it can retract in the anus by itself after defecation, but gradually it needs to be pushed by hand to retract in the anus, or even prolapse out of the anus for a long time. ③Bleeding and pain: When dry and hard stool rubs the anus, it can be bloody, dripping blood and painful. ④Embedding: If the enlarged anal papilla is not pushed back into the anus in time after prolapsing out of the anus, embedding will occur. After embedding, edema and pain will be intense, and it will be difficult to move, sit and lie down, and even to urinate and defecate. Treatment The most appropriate treatment at present is surgical excision. Conclusion: Many patients have only slight anal discomfort in the early stage of anal papillomegaly, which does not bleed and prolapse like hemorrhoids, and is not easily detected. Many people do not feel much at the beginning of an enlarged papilla. The first thing you should do is to think that you just have a hemorrhoid, so you should use some medicine and forget about it, and not pay much attention to it. However, if the papilla is not treated thoroughly, it may further aggravate and harm the body. When the above-mentioned symptoms appear, you must go to a regular hospital in time, so that early detection, early diagnosis, early treatment.