Anal warts (also known as condyloma acuminate) often affect the area just inside and around the anus. Anal warts do not typically cause pain or discomfort, and as a result go unnoticed for long periods of time. They first appear as tiny growths or skin tags, and eventually develop into the size of a small pea. Some patients will experience noticeable symptoms including bleeding, itching, mucus discharge, discomfort and the development of a lump on the anal area. Anal warts can be treated with topical medication or liquid nitrogen; in extreme cases, surgery may be required. If left untreated, anal warts can continue to grow and multiply, contributing to an increased risk of cancer and disease.