Doctor insights on:
Fissure Live Exam
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
Colorec doc found fissure. Gave nitro ointment. Viola. Problem diagnosed. Recommended colonoscopy. Why? I'm 42. No fam history. Seems premature?
Why colonoscopy?: Fissure may have been only cause of bleeding, but doc needs to make certain that was the only cause. Diverticula, Crohn's ds, polyps, cancer call all cause rectal bleeding. Colon cancer is not something to wait and see; once it's there, it's very hard to treat. Prevention is much better than needing treatment. SO, for completeness' sake he's recommending colonoscopy. ...Read more
M58, an intern performed digital rectal examination in ER, this flared up hemorrhoids(hope he not made fistula).how to treat this, ?
Passed a round, 1/2" diameter "ball" from rectum after extreme diarrhea. Did search photos of polyps & hemmoroids. Looked exactly like colon polyp. ?
Not so deep: This can often be detected by simply spreading the anal opening by lateral traction on adjacent skin. Any primary care doc can find the common ones. Anoscopy can see further up but is usually unnecessary unless you are looking for a source of bleeding. ...Read moreSee 1 more doctor answer
All areas: Skin cancer can develop on any part of the skin, so a complete skin exam should visualize all at-risk areas. I typically have patients change into a robe for such an exam to make sure a complete exam is performed. Often times follow-up exams are more focused and are more directed to a particular region or area. ...Read moreSee 3 more doctor answers
May not: A digital rectal examination can only test as far a finger will go into the rectum. A finger inserted through the anus cannot reach colon, therefore a digital rectal examination cannot detect colon cancer. However, rectum is part of the colon and a common site for cancer and a digital rectal exam is useful. Colonoscopy remains the gold standard for detecting colon cancer. ...Read moreSee 1 more doctor answer
Diagnosed with anal fissure as source of bleeding for 5 years, failing to heal, no pain though. Fair diagnosis ?
At 23 not likely : but Squamous cell carcinomas of anal canal mimics anal fissure , could be missed if biopsy is not done in long standing cases and in older age group ( not at 23 ) . Anal fissure of 5 years is too long speak to your doctor for alternative therapy svn surgery and biopsy of the area . ...Read more
May be...: To a great degree, finding something significant is quite examiner subjective, reflecting individual acuity and keenness as well as the existing features such as the size & consistency of a tumor; so is digital rectal exam (DRE) to feel the presence of internal hemorrhoids. Besides, all life events always display on their pattern of full spectrum; at their very early stage, it is hard to perceive, ...Read more
Can ultrasound detect hemmroids, fissures, prolapse? I'm scheduled to have one for suspected hernia. How will prolapse look different vs hernia?
Likely yes: As before the colonoscopy is done, a digital rectal examination is performed to visualize & palpate the area. Sometimes a biopsy of a concerning area is also needed though. See & ask your own gastroenterologist to get a better answer to this question as to what they saw during the exam. ...Read moreSee 1 more doctor answer
Rectal sweating for 1yr. Be ts confirms
diverticula in sigmoid colon, colonoscopy shows no masses, blockages etc.Could it be
a helminthic condition?
Do you mean mucous?: Anal discharge is most likely proctitis, seborrhea or anal fissure. Have you been cleared of std? Helminthic infections usually do not have rectal discharge. A stool test for ova and parasites and blood work could rule out a parasitic infestation. Colonoscopy may well have identified them as well. ...Read more
Diagnosed with a "tortuous colon" via oral barium CT scan & colonoscopy; have very distended abbdomen, pain, etc. What to do?
High fiber diet: The elongated colon may need help from a high fiber diet. Avoiding foods and medications that cause constipation is also important. Ask your doctor if there are other issues that may need to be addressed, as the tortuous colon may not be the explanation for your current complaints. ...Read moreSee 1 more doctor answer
Would a colonrectal surgeon be able to tell if my prostate was enlarged when she completed a digital rectal exam and/or andoscopy while searching for internal hemorrhoids?
Yes.: While they may not routinely focus on the prostate portion of the exam, it would be something they could feel with the digital exam. Prostate size is not sufficiently visualized with anoscopy. There are folds of colon tissue that move out of the way with the finger test but sometimes obscure the anoscopy visualization. Since they don't focus on the prostate, though, they may not wish to comment ...Read more
Can lichen sclerosus cause anal fissures?I have LS confirmed by biopsy on vulva & perineum with fissures but wondered if anal fissures are LS related?
What will be the cause for 29 years old girl diagnose for colon cancer? Colon abscess? Perforation? Diverticulitis? Stage 2a (t3nomo)
Hereditary: Abscesses, perforations, and diverticulitis are not known to cause colon cancer. Colon cancer in a young person may be due to an inherited cancer susceptibility problem like lynch (hnpcc) or gardner's (fap), especially if there is a family history. Genetic counseling and tests can be done to determine if there is a hereditary genetic predisposition. ...Read moreSee 2 more doctor answers