Doctor insights on:
What Is The Difference Between Anal Fissure And A Fistula
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
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 more
Hemorroid--engorged blood hemorrhoidal blood vessel
fistula--connection between anal skin and inside your anus or rectum
fissure--skin tear. ...Read more
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
Tear vs. Tunnel: An anal fissure is a tear in the lining of the anal canal, just inside the opening, and typically causes pain and bleeding. An anal fistula is an abnormal communication (tunnel) from inside the anal canal out to the perianal skin, usually the result of a prior perirectal abscess. It may cause drainage, swelling, discomfort and recurrent abscesses. Both are treatable conditions. ...Read more
Different diseases: Different common ano-rectal diseases. Fissure is crack in anal canal, hemorrhoids are varicose veins like vascular structures protruding from anorectal area under the mucous membrane, anal fistula communicate with a internal opening at anorectal junction to external opening (s) in perennial area. See you doctor will tell your problem. ...Read more
How do you know if you have a fissure fistula or a anal fissure? Would my proctologist know what I have?
Yes: Fistulae usually case infections and painful lumps (abscesses) fissures more commonly cause pain with defecation and some small amount of bleeding. An exam will help your md decide. ...Read more
What are the chances that my anal fissure will get infected and turn into an abscess/fistula? That would be my worst nightmare.
Anal fissure: Although of course it is possible, the vast majority of anal fissures never turned into an abscess or fistula, especially when treated early. I would follow the advice of your doctor or gastroenterologist, and know that the chances that that could happen will be very slim. Good luck. ...Read more
How effective is the fistula plug? My surgeon said that according to his experience, it's about 70%. Is it worth trying? Or go with anal fissure?
Different: Anal fissures and fistulas are different problems. Fissures are tears, fistulas are tunnels or tracts. A fissure is not treated with a plug. Anal fistulas can somtimes be treated with a plug. It is worth trying, If it doesn't work, other surgical options are available. ...Read more
Got an anal fissure. Seemed to heal within a few days- no more bleeding & zero pain. Bt every time I fart my labia move. Can fistulas be painless?
Clarify: Fistulas can be painless but fissures are typically painful. ...Read more
Biopsy: Evaluation by GI and possible biopsy for diagnosis. ...Read more
What is the difference between anterior/posterior anal fissure and lateral anal fissure? What is considered abnormal in terms of anal fissure location
Posterior / anterior:
Most "normally located" fissures are due to passage of hard, dry stools or explosive diarrrhea. These are almost exclusively posterior in men but can be anterior in up to 10% of women. These respond well to lateral internal sphincterotomy.
Secondary anal fissures are associated with crohn disease, leukemia and certain other neutropenic blood conditions. Surgery should be avoided. ...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
Anal Fissure: An anal fissure is like a cut. Hemorrhoids are distended veins at the anus. Both of these hurt very much. A physical exam by a physician would be best if you have never been examined for this. ...Read more
How to tell the difference between an anal fissure and an anal fissure caused by the herpes virus? Are other symptoms involved when its caused by hsv?
Herpes unlikely: Herpes can cause lesions similar to anal fissure, but the large majority of anal fissures are not herpes. However, if the fissure is new (within a few days), it is difficult or impossible to tell for sure only by symptoms. Initial herpes usually causes multiple lesions and often fever, etc; but maybe no other symptoms with recurrent herpes. See your doctor for diagnosis and treatment. ...Read more
What is peri-colace (docusate sodium) used for. Any differences between it & regular capsules colace (docusate sodium). Which one is better for anal fissure and internal hemorrhoid.?
Slight difference: Colace (docusate sodium) is a stool softener. Pericolace is a stool softener plus a laxative. Treatment for anal fissure and internal hemorrhoid is to keep the stools formed and soft. Drink plenty of water and get plenty of fiber in your diet. Colace (docusate sodium) is probably better especially when combined with a high fiber diet. ...Read more
Could a Colon Perforation be confused with a Anal Fissure? How can I tell the difference? Worried I might get Peritonitis if I have a perforation.
No it shouldn't: Anal fissure will usually give you pain in the anal area and mostly after bowel movement. Colon perforation is a life threatening emergency presenting with severe abdominal pain, nausea, fever and usually progressing to more severe symptoms of not addressed promptly. Recommend to see your general surgeon or gastroenterologist if you having rectal pain. ...Read more
Dr said I have small anal fissure. What are the differences between fiber supplement (metamucil) and stool softener. Which one is best to use. Thanks.
Fiber supplement, extra water, and stool softeners all used together are the first line treatment for anal fissure. Fiber is simply indigestible fiber that adds bulk to the stool and makes it easier for the intestines to pass it along. The stool softener causes the stool to retain enough fluid to keep it from getting hard and dry and perhaps reopening the anal fissure.
Some people also use fasting. ...Read more
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
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?
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
I have had hemmroids and an anal fissure over a year now. They gave me some nifedipine lotion... is there hope? Do fissures worsen during pregnancy?
Diagnosed with anal fissure. Burning pain during and after bowel movement. Can fissures cause some inflammation?
Yes, commonly: There is an underlying low grade infection. Usually hygiene is all that is needed, because infection is controlled as soon as the fissure heals. Consult with colo-rectal surgeon if pain persists. ...Read more
Keep 'em soft!: Anal fissure treatment is aimed at controlling constipation and reducing anal sphincter spasm. High fiber diet, stool softeners, and lots of fluids help relieve constipation and keep bms soft. Warm water sitz baths for 15 minutes 3-4 times a day are soothing and promote relaxation of the anal muscles, which can also help healing. Occasionally, a variety of special medications or creams may be used. ...Read more
Quite a few options: There are creams to relax and numb the anal sphincter and alleviate the pain while the fissure heals. Stool softeners are also a mainstay for treatment. If conservative treatment fails, Botox has some limited success. However, sphincterotomy should provide definitive treatment to allow your fissure to heal. ...Read more
Is anal fissure a life lasting situation. If not so how can be life free from anal fissure if a previosly had a fissure. How wesafe from recurence?
Should heal: An anal fissure is a tearing in the skin Symptoms include small amour of bleeding and pain often extreme burning after after a bowel movement. If treated most heal. Stool softeners a high fiber diet and getting into a sits bat or warm bath after a bowel movement. Some become chronic and are associated with anal sphincter overactivity, there are surgical and medical ways to deal with this ...Read more
A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more
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