I was gently scolded (by the Dr. and about 3 others) for not going in and taking care of this a few years ago when it was a teeny little baby, but to be honest, I would not even know it was there unless my wife said something until a week or so ago when it decided to grow and get inflamed.
I kind of think my cleansing along with a colonic stirred up the hornets nest so to speak.