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They start as small bumps that may be no larger than the head of a pin. Anal warts pictures what does an anal wart look like? Anal warts initially appear to look like really small, pin-like lesions. Over time they may grow larger in size, develop in groups or clusters, or form into unique shapes that often resemble cauliflowers. Treatment may involve topical medications, liquid nitrogen, or surgical removal. Among home remedies for anal warts treatment, using apple cinder vinegar is one of the most effective. Apple cider vinegar includes proteins, acids, enzymes, amino acids, vitamin k, ca, mg, cu, etc. It also contains malic acid that is a potent antiviral and antifungal agent. Sadly though, in some cases, hov stays in the body and anal warts develop. In the event of anal warts, seeing your doctor should be a solid first step to make sure you know exactly what you have, even if youre choosing to go with home remedies to cure it. Anal dysplasia can be found in anal warts or sometimes these changes are found incidentally at the time of unrelated anal surgery (i. Screening procedures available to detect anal dysplasia include anal cytology and high-resolution anoscopy (hra).