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Sentinel skin tags grow when the anus has been hurt or a disease is or has been involved. The key to identifying a hemorrhoid is to look and see if it looks like there is blood inside it causing swelling, like a fluid-filled balloon ( Dr. Koch, editor, Colonic Diseases, Human Press, N. The other noteworthy point is that these are appearing on the outside of the anal rim, not poking through, so there was no way it could be an internal hemorrhoid. Not treatment is recommended other than seeing a doctor, as I believe they are sentinel skin tags with pain.