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Doctor insights on:
Anal Fissure Coming Back
1
Bruise on bottom from anal fissures?

Not sure: Not sure what you mean by 'bruise'. Anal fissures can definitely hurt, and you may feel pain like the area is bruised. But usually there is no actual bruise (hematoma) in the area. ...Read more
Fissure (Definition)
Grooves or clefts in various anatomical structures such as the brain (transverse fissure between cerebrum & cerebellum), the skull (sphenoidal fissure), the liver (for the ligamentum teres), the lung (oblique fissure), the spinal cord (ventral median fissure), or other structures such as the palpebral fissure between upper & lower eyelids. Can also be a tear in a structure ...Read more
2
Anal fissure--does bleeding come and go?

Maybe, but...: Bleeding per rectum may originate in the anal canal, the rectum, or further up the line. Frequent anal sources of bleeding include hemorrhoids & fissures, that may respond to modifying stool texture (fiber, softeners) and topical agents, or require further intervention. Similar bleeds can be seen with anal & rectal cancer, infections, ischemic colitis, diverticular bleeds, inflammatory bowel, etc. ...Read more
3
Pain after passing stool, aching rectum when sitting, mucus covered stool, Small bumps inside anus. Stabbing pain in anus? Hemorroid? What to do?

Sure: Drink lots of water. Prevent and treat any constipation. avoid spicy foods. Use Witch Hazel Tucks (witch hazel). Try over the counter Preparation H and Hydrocortisone cream If it doe snot help, see a doctor. ...Read more
4
Hx of fissures constipation and now anal pain and anal stricture?

Obviously you: Need fluid and fiber in your diet, but also need to talk w/your doctor and possible a GI or rectal surgeon. This can't be answered on the internet, only in person. ...Read more
5
Can anal fissure cause a sudden stich rectal pain while sitting?

Yes it can: Anal fissure can cause pain and irritation due to tear in rectal mucosa ...Read more
6
Small fresh blood, rectal pain and itching after bm..Had anal fissure 2 years ago...Is this hemmorroids?
Could be: Fissures are usually associated with pain during and after a bm. Your symptoms could very well be secondary to hemorrhoids. You would need an anorectal exam to identify the source and differentiate the 2. I would rcommend getting an exam by your primary md or a gi/colorectal surgeon if you have seen any in the past. ...Read more
7
Fresh blood after bm rectal pain and itching after bm..Anal fissure two yesrs ago...Is it hemmorroids?
Rectal Symptoms: It is most likely another anal fissure or hemorrhoids. ...Read more
8
Fissures just below anus that bleeds after passing a bowel?
Anal fissures: Anal fissures are due to abrupt stretching of anus either from foreign objects, or more commonly, constipation, in which case, stool softeners are key. That along w/plenty of fiber, fluids & physical activity are key to minimizing constipation. Once that's solved, no more anal fissures. Check out http://www.Mayoclinic.Com/health/anal-fissure/ds00762 for more info & options if necessary. ...Read more
9
Redness and burning from perineum (female) to anus. Constipated, always have to strain poop. Anus looks like it's bruised. Hemorrhoid?

Probably : Can try some hemorrhoid cream for now, but ou should go to your primary care provider to get it looked at to be sure. Ok to get in within the next week or two unless symptoms are more severe. Hope this helps! ...Read more
10
Bleeding and liquid coming from anal area long after wiping. Why?

See GI: Your symptoms need work up. You stated you have bleeding. In that case you should see a GI doc soon. You will need a full exam and a colonoscopy to be done. Best of luck. See your MD or GI doc soon. ...Read more
11
Sentinel tag clotted painful on anal fissure

Question?: Not sure about the question, but if you have a painful anal fissure you should to see your primary care doctor, GI doctor or even urgent card md. ...Read more
12
Pain while passing stool from a cut in anal opening? (anal fissure maybe?) how do I treat and reduce pain?

You need: To soak in a warm tub of water for 15-20 minutes, drink plenty of alcohol free/caffeine free fluids, 80-100 ounces and make an appointment with a colon and rectal surgeon. ...Read more
13
Internal thrombosed hhealing hemorrhoid found on scope-did that cause my pain? Have roid hanging off anus now. Can't tell internal/external. Somewhat elongated. I get anal spasms/false urge to fart/poop.
Probably not: Internal hemorrhoids, even when thrombosed, don't usually cause a lot of pain. They can, however, cause the spasm. If it is healing, there is probably nothing to do. As to the hemorrhoid hanging out, this could be either internal or external. You should see a doctor for more information.. ...Read more
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14
Could rectal prolapse happen from having anal sex?

It would be rare!: It might be a very uncommon factor, but for the most part no, particularly if a condom with proper lubrication is used! but it can aggravate a pre-existing prolapse! ...Read more
15
Passing stool I've had rectum bleeding on toilet paper after wipe no blood and I've noticed on my stool theres blood anal fissure? or hemorrhoids ?

Blood in stool: Blood in the stool is called hematochezia, and there are several causes for this. Small amounts of bright red blood in the stool is commonly caused by damage to the blood vessels lining the rectum from constipation or other trauma. Rectal bleeding associated with large amounts of blood, weight loss, fever, vomiting, weakness, etc. is cause for concern and should be evaluated by a physician. ...Read more
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16
I think I have internal hemorrhoid but could be anal fissure. My stools clearly show "gouging" caused when passing through the rectum. suggestions?
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 ...Read more
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17
Will anal sex herniate my disc?

There is no evidence: There is no evidence that it does cause herniated disc. ...Read more
18
I keep getting anal fissures and haemorrhoids?

See doc: You need to see a doctor for an examination. You may be instructed to adjust your diet a little to prevent straining and hard stool. ...Read more
19
I am 17 and have diarrhea, anal pain, strange anal growths, bloody stools, pus and stool leakage from anus, and big painful bumps (painful and messy)?

Hmm not a great: picture...I would recommend a visit to a gastroenterologist or at least touch base with your general internist.. if not available go to urgent care for an assessment ...Read more
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20
Anal fisure cause tail bone pain?

No: An anal fissure should not cause tail bone pain unless there is communicating tunneling or an active infectious process going on arising from the fissure. This is a more serious situation and if you feel the two are related, then you need to have it checked by your primary care doc. ...Read more
21
What to do if I have anal fissures that keeps coming back?

Ok to use Anusol: But just as important is to be sure to be eating a high fiber diet and most importantly drinking 80-100oz of caffeine free, alcohol free fluid daily, more if you workout strenuously. There are other meds that work better but if no repsonse to above after2 months you may need surgery to avoid complications such as an abscess. See a colorectal surgeon. ...Read more
22
I have just healed from an internal anal fissure with the help of antibiotics. After how long can I do anal sex? Would sex provoke it to come back?
Anal fissue: Anal fissures are caused by injury (trauma) to the anal canal. You should move forward very slowly, don't rush back into full anal sex. With time you will figure out whether or not you can have anal sex without developing another fissure. Best of luck. ...Read more
23
I have had internal hemorrhoids anal fissures for 6 months on off gastro doc gave me cream it keeps going coming back did sizz bath how to fix this?

Colorectal surgeon: You may want to go back to the gastroenterologist, or check with a colorectal surgeon to be reassessed and have a determination made as to whether you may be a surgical candidate. Good luck, ...Read more
24
Recently I have been having pain in my tailbone / lower back, is it because of my anal fissure?
Possibly: Without an exam, it is hard to say for sure. But yes anal fissures can cause pain near the tailbone. ...Read more
25
I have a pain in the back of my anal region , it started after i had some severe anal fissure but now the pain while defecating is gone. Help me pls?
Visit GI: Doctor to discuss your options.
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26
Sharp pain when going to toilet plus blood in bowl and toilet paper thinking I got anal fissure back what can I do?

Get an exam: Blood in your bowel could be from an anal fissure or hemorrhoids or even cancer. To be on the safe side you need an exam in a Family Doctor's office where further studies can be arranged. Remember cancer is often curable in it's early stages. In the meantime eat a high fiber diet and try a sitz bath. And coconut oil is an excellent moisturizer which may help relieve your discomfort. ...Read more
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27
I have an anal fissure and I am using .2% nitrogylcerin for past 4 months. Fissure goes off and comes on back again when I get hard stools.Plz advise?

Curable: If you have an anal fissure that has not healed after several months of appropriate medical treatment as you describe, it is extremely unlikely that it will heal (permanently) without surgery, no matter what other medications you try. See a colorectal surgeon (www fascrs.Org to find one); there are simple outpatient procedures with a better than 90% cure rate. ...Read more
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28
I have diagnosed by anal fissure one month back, there is no bleeding, my dr give doxiproct iwant to take sudocrem antiseptic healing cream.
Listen to your docto: Your doctor examined you and knows your situation best. If you don't want to use the medication recommended, i would talk to him or her and ask if that is alright. ...Read more
29
Natural delivery 3 months ago = anal fissure. Heals, comes back. Sitzbths+fiber+water. Just started nifedipine - safe for nursing? Any hope of normalcy?

Safe: Nifedipine is safe in lactation. Even safer is topical Diltiazem which is a first cousin of nifedipine. Most anal fissures heal in a couple of weeks. If you still have issues after 6 weeks, Botox or surgery is indicated. Meanwhile keep your stool really soft by eating at least 1 cup of fiber one or all bran cereal daily. Good luck. I know it hurts! ...Read more
30
I had anal fissure diagnosed after colonoscopy about 4 years back. Reason 4 procedure: 1-time blood in stool. Ok since, but anything i need to do now?

NO: Not sure i fully understand your question. If you are having no symptoms from your fissure that was found a year ago, then there is nothing else to do. It sounds like it has already healed. ...Read more
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31
4 month back I had blood in stool. I did colonoscopy which showed anal fissure and bile. Now again blood comeback should I have to do colonoscopy also?

Evaluation: you should see your gasteroentrology doctor for followup and re evaluation to find the cause so be treated. ...Read more
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32
Is it normal to have an occasional set back when healing an anal fissure? Have been taking ntg, miralax, (polyethylene glycol) lots of water and fiber as normal.
Anal fissure: Constipation needs to be corrected.Only 50-50 % of fissures heal with conservative. If fissure hasn't healed on conservative measures within 4 weeks, then see your doctor. ...Read more
33
Severe pain possible anal fissure w/some bleeding for 5 months. Miralax (polyethylene glycol) softened too much. Citrucel = fissure pain back. OK to alternate both meds?

Several possibls: First you can reduce the dose of MiraLAX (polyethylene glycol) to whatever level it needs to be to prevent you from being loose. You can also used scheduled emptying to be sure the lower bowel stays as empty as possible for as long as needed to heal. Twice a day works for most.Avoid the foods that plug like apples, pasta, bananas, and enjoy fruits that loosen if it helps.(Peaches,plums,prunes) ...Read more
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34
Diagnose anal fissure last year.ct w rectal contrst last year ok.feel presur in anal &low back.need pass stool but rectum empty.fisure?ibs?consption?

A CT isn't the: best tool to diagnose an anal fissure. Are you having any bleeding? Does pain get worse with BMs? Straining? Constipation? Your symptoms could be from hemorrhoids, persistent anal fissure, constipation, colonic inertia, IBS or IBD. You need to see a primary care doctor and possibly GI. Good luck! ...Read more
35
I have thin stool occasionally and pain in the right lumbar region. Blood in stool sometimes. Went to doctor for bleeding and was told is anal fissure?

Confusing question: An anal fissure is either evident on physical exam or suspected by the bright red blood that coats the stool as it exits. Blood from higher in the intestines has time to break down and begin to darken or gel.Bleeding from the esophagus or stomach would be partially digested by acid and enzymes and be black or coffee ground in appearan I can't put together the issue of lumbar pain and bloody stool. ...Read more
36
Four and a half months ago I found a lot of blood in stool and was diagnosed by doctor with anal fissure and both internal and external hemorrhoids. Later on I was suffering from a severe pain in the back of my right leg that the doctor diagnosed as a sci
And the question is?: so you have a fissure and hemorrhoid, and sciatica, they are not related in any way , I am sorry there is no question there, try again. ...Read more
37
Parasite infection? Have had heart palps, itchy scalp, inflammation of throat and colon. Sinus congestion on and off. Leaky stool with mucus that subsided. Possibly anal fissure felt pain in rectum towards back/tailbone when pushing out to pass gas.

See a doctor: you need to see a doctor you are having many symptoms,it is hard to see if some of them are connected,or you are having two or three different problems from heart to itchy scalp,throat infection,and colon,sinus congestion,and leaky stool with anal fissure. please see a doctor they can help better with this complicated picture. ...Read more
38
I am prone to getting anal fissures. Can lifting weights cause an anal fissure? Max amount lifting is 50 pounds (25 each side).

Not really: constipation with hard and big sized stool and trauma to the anal area are the main reasons ...Read more
39
Can anal fissures cause extra skin growths around anal area i've had anal fissure problems before this is the first time i noticed skin growths ?

Yes: A chronic fissure will often develop a "sentinel tag" at the base of the fissure. If you have growths elsewhere it may be unrelated to the fissure. ...Read more
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40
I was checked out by my doctor and she said I have an anal fissure. My question is, do anal fissures bleed a lot? And do they cause blood clots?

Depends: There are a lot of qualitative terms in your question. Anal fissures normall cause bleeding that you see on the toilet paper or toilet bowl. A small drop of blood in a large bowl of water can seem like a lot of blood. Depends on how you are rating what a lot of blood is, when and where you are seeing it and other symptoms. Blood clots are not typical for a fissure, but possible. ...Read more
Anus (Definition)
The anus is the opening of the rectum, through which stool and flatus are passed. The anal canal is about an inch in length, and is ...Read more
Anal Fissure (Definition)
A condition in which a tear in the tissue lining the anus or lower rectum ...Read more