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External anal fissures

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

External anal fissures
External anal fissures
External anal fissures
External anal fissures
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Anal fissure | Health Information | Bupa UK

This article was published on October 11, , and was last updated on May 1st, in Hemorrhoid Banding. Maybe you felt just a twinge of pain or a tickle of an itch after going to the bathroom. Maybe you started to notice after a long weekend of playing hard that the water in the toilet was occasionally rosy. Maybe you just felt something back there when you were washing that was different. Telling the difference between anal fissure and hemorrhoids can be difficult, as most people have a hard time seeing, or are reluctant to look at the affected area. But knowing the difference between the two is important in choosing the right anal fissure or hemorrhoid treatment. They hurt—usually fairly significantly.
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Anal Fissure Expanded Information

Anal fissure is one of the most common anorectal problems. Anal fissure is largely associated with high anal sphincter pressures and most treatment options are based on reducing anal pressures. Conservative management, using increased fiber and warm baths, results in healing of approximately half of all anal fissures. In fissures that fail conservative care, various pharmacologic and surgical options offer satisfactory cure rates.
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An anal fissure is a common, mostly benign, condition that can be acute or chronic. The diagnosis is usually made on history and physical examination, but further investigations are sometimes necessary. Primary fissures are usually benign and located in the posterior or anterior position.
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