8 doctors weighed in:
Too much blood for an anal fissure? Does it just bleed a tiny amount?
8 doctors weighed in

4 doctors agree
In brief: Usually small amount
Typically anal fissures will produce a small amount of bright red blood on the toilet paper after a bowel movement.
Hallmark symptom is a burning, stinging pain after a bowel movement. If it doesn't hurt, it's not a fissure.

In brief: Usually small amount
Typically anal fissures will produce a small amount of bright red blood on the toilet paper after a bowel movement.
Hallmark symptom is a burning, stinging pain after a bowel movement. If it doesn't hurt, it's not a fissure.
Dr. Daniel Reichenbach
Dr. Daniel Reichenbach
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Dr. Arthur Heller
Internal Medicine - Gastroenterology
3 doctors agree
In brief: Painful? Painless?
Anal fissures typically have a tearing, or burning pain during defecation, with or without bleeding.
Internal hemorrhoids typically can have a little to a lot of bright red blood on toilet paper, on (not in) stool, may even drip into toilet bowl-often painless. External hemorrhoids can bleed, often with pain (different nerve supply). Other more serious problem can bleed as well. Call your doc.

In brief: Painful? Painless?
Anal fissures typically have a tearing, or burning pain during defecation, with or without bleeding.
Internal hemorrhoids typically can have a little to a lot of bright red blood on toilet paper, on (not in) stool, may even drip into toilet bowl-often painless. External hemorrhoids can bleed, often with pain (different nerve supply). Other more serious problem can bleed as well. Call your doc.
Dr. Arthur Heller
Dr. Arthur Heller
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