Hi..
Welcome to HEALTHCARE MAGIC..
I have gone through your query and can understand your concerns..
As per your complain the symptoms of pain and itching in the anal region along with skin tag and bleeding can be due to formation of
anal fissure..
Skin tag although is harmless but can entrap moisture, become infected and cause pain..
You should
consult a Proctologist and get evaluated and a thorough clinical evaluation and he can also advise investigations like Anoscopy,
Sigmoidoscopy to rule out the exact cause of problems and treatment accordingly..
He can advise you to continue doing Sitz bath and apply anovate that is a Steroid..
You can also be advised to apply creams containing Calcium channel blockers like Diltizem that will dilate blood vessels in the area, improve blood flow and accelerate healing..
You can be advised to limit intake of spicy food and drink plenty of water..
You can be advised to take
stool softener like Docusate and
fibre supplements like Psyllium..
In Case of no resolution surgery can be advised..
Hope this information helps..
Thanks and regards.
Dr.Honey Nandwani Arora.