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Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut. A chronic anal fissure likely has a deeper tear, and may have internal or external fleshy growths.
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Anal Fissure (Anal Tearing)
Anal Fissure – Colon Surgeons of Charleston
An anal fissure is a small tear or cut in the skin that lines the anus. Fissures typically cause pain and often bleed. Fissures are quite common, but are often confused with other causes of pain and bleeding, such as hemorrhoids. Patients may try to avoid defecation because of the pain.
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Probably the most common thing that is confused with hemorrhoids is an anal fissure. The main way that I, as a colon and rectal surgeon, am able to determine that the problem is an anal fissure and not something else is by listening to my patients! I know you may not believe that. The history told by the patient is almost always enough. So, what is the most common symptom?
What is an anal fissure? An anal fissure is a split or tear in the lining of the anal canal rectal opening. When does a fissure occur? A fissure most commonly occurs after an episode of constipation, but it can happen after an attack of diarrhea.