Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.
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Subject: Re: Fissures I recently submitted a question to you about a 27 year old diagnosed with fissures. I have since done more reading and need to tell you that he has had several test none of which I can specifically tell you what they were because I live away from him. I can tell you that I have read several articles related to Crohn's and anal fissures but they do not sound like his problem. The lacerations on his body are visible on the outside. They contain mucous and not blood. The fluid is not coming from the rectal opening it is coming from the skin lacerations on his bottom. This is why there is a discrepancy in the diagnosis I guess. Thank you for any help Melissa Dear Melissa, Although fissures are associated with Crohns disease, other perirectal problems can also occur in this condition. Anal fistulae (abnormal connections between the rectum and skin that can drain purulent fluid) and perirectal abscesses (collections of pus) can also occur. A pilonidal cyst is a condition that can occur in this area that is unrelated to Crohns disease. It is important to confirm the diagnosis of Crohns disease with a biopsy of the colon or terminal ileum (taken during colonoscopy) or with small intestinal x-rays (if possible). Some of these perirectal and anal complications require surgical management. It is important to seek the opinion of an expert colorectal surgeon to help in the management of these conditions. This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health. If you would like to be seen at our institution please call 1-800-653-6568, our Referring Physicians Office and make an appointment to see Dr. Szilagy, one of our expert Colorectal Surgeons. HFHSM.D.-ym
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