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A male asked:

I think i have internal hemorrhoid but could be anal fissure. my stools clearly show "gouging" caused when passing through the rectum. suggestions?

2 doctor answers5 doctors weighed in
Dr. Mujjahid Abbas
Bariatrics 22 years experience
Fissure is painful: Anal fissure is very painful mostly and internal hemorrhoids are painless on the contrary, a thorough evaluation by a physician preferably a colorectal surgeon is recommended to make sure no serious pathology is going in.
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Dr. M. Hytham Beck
Surgery 45 years experience
See your doctor: you could not make this kind of diagnosis based on the shape of the stool there is big difference between a fissure and internal hemorrhoid you might have both go and see your doctor or a colon rectal surgeon they can examined you and tell you exactly what is wrong good luck
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I was told the cause of bright red in my stool could be due to hemorrhoids or anal fissures? I do plan to see a doctor first thing tomorrow. Also i experience gassy stomach at times. Pls advice
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A 24-year-old male asked:
I have hemorrhoids anal fissures gastroenterologist gave me ointment symptoms keep returning do i get surgery? i have soft stool have appt wednesday
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Specializes in Family Medicine
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A 22-year-old male asked:
Red blood.in stool. Dr said he saw small hemorrhoid and anal fissures. But the blood seem to be mixed in the stool. Any thought to this?
Dr. Patrick Kohlitz
Internal Medicine 13 years experience
Hematochezia: Bright red blood mixed in the stool of such a young person is likely secondary to hemorrhoids as your doctor stated. Supportive management will help ... Read More
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A 24-year-old male asked:
When i make a bowel movement it takes 2 hours stool is soft not constipated have hemorrhoids anal fissures how will doc fix bowel movement?
Dr. Melanie Mintzer
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Bowel movements: 2 hours is too long to complete defecation. I would see a gastroenterologist who can perform a number of tests to evaluate the motility abnormality. ... Read More
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Last updated Oct 12, 2014

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