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polyps need to be identified and removed as quickly as possible. The four types of anal polyps are inflammatory, hyperplastic, tubular adenoma or adenomatous, and villous adenoma or tubulovillous adenoma. An anal polyp is an abnormal growth that lines the anus or colon. Inflammatory anal polyps are common in people with chrohns disease. Bowel polyps are small growths on the inner lining of the large intestine (colon) or rectum. Bowel polyps are very common, affecting around 1 in 4 people at some point in their lives. Theyre slightly more common in men than women and are most common in people over the age of 60. There is some evidence that juvenile polyps can regress, but they are certainly seen in adults. Sporadic juvenile polyps typically occur singly, although patients may have up to five, usually in the rectum. Juvenile polyps typically range in size from millimeters to 2 cm in size (figure 66-19). A rectal polyp is an abnormal growth that protrudes through the lining of the rectum at the base of the colon, or large intestine. Colorectal polyps are on of the most common conditions of the colorectal region. They are estimated to affecting as much as 20 percent of all adults. Common causes include anal fissures, hemorrhoids, diverticulitis, colitis, crohns disease, colon and rectum polyps, and cancer. A small tear in your anus (anal fissure) bleeding with or without lumps, itching or pain sexually transmitted infections (stis) like genital warts, damage from anal sex bright red blood without pain side effect of blood-thinning medicine like warfarin or aspirin, broken blood vessels in the gut (angiodysplasia).