Hi dr im a 26 year old openly gay male and my anal area has some small bumps around like pimples and something like visible piles at first i thought it was piles but this doesnt seem to go away i thought maybe its warts not sure but i need help ?

May be warts: There are several HPV strains that trigger genital warts that can pass during sex. They generally start as small bumps & may progress /enlarge over time.The body may clear them within 2 years but they may require removal through application of chemicals/being frozen or removed with a laser. They can be distinguished from other causes by direct exam & sometimes office testing.

Agree with Dr. F: Get HPV vaccine to prevent infection with other strains of the virus that can cause cancer. Have a healthy diet, exercise 30 minutes/day, drink plenty of water, have safe sex, no tobacco alcohol weed or street drugs. For nutrition: http://www.choosemyplate.gov/. Wish you good health!