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.

Question Title: Anal Fissure Proper Diagnosis?

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Digestive


Hi, I'm a 20 year old male that about six weeks ago started getting a burning/tearing pain when I would use the restroom. Their would also be pink/bright red blood on the toilet paper. This happened 2 nights in a row then cleared up for about 2 weeks, once again same thing happened. Cleared up for 2 weeks again and came back. At this point I went to the doctor and had him check me out. I told him my symptoms and he did a digital rectal exam, he diagnosed me as having an anal fissure and perscribed me some suppositories. Well these took away the pain and stopped the bleeding again for about 2 and a half weeks then just last night there was some pain and a barely noticeable trace of pink blood. So this morning I went back to the doctor and he still thinks its an anal fissure. He gave me another 3 weeks supply of supositories and told me to increse my fiber by taking metamucil or just by eating more fruits and veggies. If it doesnt heal any to call back after 3 weeks and schedule surgery to repair the fissure. My question is does this sound like an anal fissure or could it be something else? I'm worried that it might be something more serious, i read on the net that many different things can cause bleeding, such as hemmroids, fissures, chrones and colon cancer. I have no other symptoms and feel fine other than the occasional bleeding and pain. Does this sound like a proper diagnosis? Thanks in advance


Dear Thomas,
Anal fissures can present with burning rectal pain and a small amount of bleeding. Given your age, this diagnosis is very likely. However, to allay your concerns and to exclude other cponditions that can present this way, you should have a flexible sigmoidoscopy [examination with a short telescope].
This information is presented for educational purposes. Ask specific questions to your personal physician.

HFHSM.D.-rf
*keywords: anal fissure
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