Doctor insights on:
Anal Fissure Or Piles
I'm not sure if its anal fissure or piles but my bowel movement is quite painful and there is blood on the anus . I'm 18 year old female . Help?
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
I have piles i'm using ointment magnesium sulphate, lidocaine hydrochloride gel ip xynova, nitroglycerin ointment nitrogesic, anal fissure.
Anal fissures: Anal fissures are a tear, that scars and reopens with the passage of stool. They are often associated with hemorrhoids and difficult to heal. Local medications and control of constipation help. Okay to check in with your doc. If your constipation is under control, you may benefit from a surgical consult and procedure. Be well. ...Read more
Have it evaluated: I suppose if you were a contortionist and had a mirror you might figure this out by looking. However, spotting a fissure would not rule out having a hemorrhoid internally that could be your main problem.Having you doc or a GI doc do a formal anoscopy (look at and up your anus) would sort this out. If you just have minor itching down there, local application of emollients like coco butter can help. ...Read more
See your doctor: These are different problems and treatment may also differ. Pain is common with fissure: increase water and fiber intake, use stool softener and sitz baths. Topical nitroglycerine or Diltiazem ointment helps heal fissure. Hemorrhoids don't cause pain unless thrombosed- a firm swelling on the outside of the anus. Fiber, fluids, sitz baths help. Most resolve on their own. ...Read moreSee 1 more doctor answer
Pain: Anal fissures tend to be very painful. Hemorrhoids are usually only painful if they are thrombosed. A thrombosed hemorrhoid usually presents with a large, tender bump on the anal area. Fissure usually presents with pain with bowel movements and bright red blood. People often describe a sensation like razor blades or knives when they pass stool. ...Read more
Gentle: Cleaning off after a bowel movement should be gentle. Pre-moistened towlettes can be used to dab the anus. Don’t wipe/rub. Pat the anus dry after cleaning. Avoid using harsh soaps that contain dyes or aromas. Want to keep stool soft. Stay well hydrated (at least 8 - 8 ounces glasses of water per day). Try to get in 5 servings of vegetables and 4 servings of fruit per day – get that fiber in. ...Read more
Analyze this: Anal fissure or hemorrhoids are common causes of rectal bleeding. Home treatment includes warm sitz baths, stool softeners, high fiber diet, hydration. Be advised that colon cancer or vascular lesions can also cause bleeding. So a gastroenterologist can help you and perform endoscopy to visualize serious problems. ...Read more
See below: Hemorrhoids are enlarged veins that occur at the anal opening and can cause bleeding or discomfort. An anal fissure is a tear or crack in the lining of the skin at the anal opening. A fissure is generally quite painful & can bleed a little. See a doctor for an exam to tell the difference. ...Read more
By exam by doctor: Your doctor can differentiate by examination, anal fissure is very painful, usually located at tail bone side of anus single, little or no bleeding, most of the time will heal but may take time, hemorrhoids first painless bleeding reduces it self , later will get thrombosed with severe pain, please see you doctor to make sure it is not something else. ...Read moreSee 1 more doctor answer
Different problems: An anal fissure is a tear in the lining of the anal canal causing pain and bleeding. An anal fistula is a tunnel from inside the anal canal out to the perianal skin. It may cause drainage, pain and swelling. There are internal hemorrhoids which may prolapse and cause bleeding, discomfort and itching, and external hemorrhoids which may cause pain or difficulty with cleaning. ...Read moreSee 1 more doctor answer
Very different: Hemorrhoids are veins that dilate in the rectum, can be internal or external. Fissure is a crack on the skin of the anal canal, cause severe pain when having a bowel movement. Fistula is a connection between the inside of the rectum and the skin surrounding the anus. Usually start as an abscess around the anal canal, very painful too ...Read more
Do you really need to treat internal hemorrhoid with canasa if you don't have bleeding or symptoms. Just small anal fissure.?
Anal fissure: Your anal fissure will need to be treated. The internal hemorrhoids are not bleeding so you can observe them. Life style is your choice. Most patients feel better after treatment. Talk to your surgeon you may continue to watch and see if you get better on your own. Hope it helps. ...Read more
How to know if I have an anal fissure and I need to change my diet or does this sound like a hemorrhoid that would need surgery?
Pain and bleeding: The fissure is a slice in the mucous membrane of your rectum and is very painful. It beging from straining on hard stools and results in a fissure or tear in the membrane. There may be a stripe of blood on your stools or even droplets in water. Sometines they heal but open on the next strained movement. Surgery involved cutting out the fissure and letting it heal. Recovery isn't bad ...Read more