Thanks writer glad that info was of interest to you as well....
Here is a link that shows actual pics, the first set of pics is hemheroides the set of pics below that is perianal crohn's skin tags AKA: elephant ears
http://www.emedmag.com/html/pre/fea/features/011504.asp
Mine definitely started in that class writer and shortly after having my baby I began to have major issues with my tags, which were misDX as hemmies, the pain got so bad (even my pubic bone ached constantly) that I had to have my bowel movements (still normal at first) in the bathtub with water, at that time I was using hemheroid cream and stuff on them as my GP instructed but that didn't help and they just got worse, so she sent me in for an emergency hemheroidectomy and they banded them (while in this awful flare) and just before that surgey I started having bowel movement frequency (but still normal formed stools, no D or blood) and I told the surgeon and she said it was probably nothing more than just the aggrivation of my "hemmies". So of course after that surgery I got so sick (internally with CD) within days, D, blood, mucus major weight loss, almost pooping myself (still had a little more muscle control at that time) and I was "going" non stop so my GP then sent me to my first GI and as soon as he saw my tags (first visit with him was a sigmoidoscopy as well) he said those are not hemheroides, those are perianal crohn's skin tags and I was like what the he!! is that and the rest is history a horrible 18 yr long history to date.
He then sent me to another colon and rectom surgeon who apologized to me when I gave him the name of the surgeon that banded my tags (said she was one of his students and that he stressed the difference between the 2 were of great importance) told me that had she not done the surgery and instead DX me proplerly would have sent me home with cortifoam which would have shrunk them up then I could have gotten then snipped off. He also said that I would likely still have gotten new ones but they could just be treated the same way and I wouldn't be the mess that I was/am, will be for the rest of my life. His other explanation was that because of that surgery being done while the tags were flaring that it would be harder for me to ever get my internal CD under control (full remission).
Alot of stuff to take in especially in such a short period of time and being a young new mom too I was 23 just about to turn 24 when I went through all this and my body was still recovering from having a baby for the first time. This disease really sucks.
:)