Is this an anal fissure?

[JMbartoli]

I took a picture of my perianal skin. Defecating has hurt for the last 3 days, now blood in feces.  This looks more like a canker sore.... ? one large on the bottom, 1, 2 or maybe 3 on the top?

http://www.flickr.com/photos/78370302@N02/7181512816/in/photostream

[patient915]

I'm glad your problem is not resolved.  Enemas are okay to do every once in a while when needed, but there definitely can be side effects if they are done more frequently.  Also with regards to the anoscopy, was it done by a gastroenterologist or a proctologist?  Either way, that is the standard procedure for an anoscopy.  It is not a dildo they are using.  Also, the doctor is not spending most of their day doing this procedure.

[JMbartoli]

I had bacterial enteritis small and large intestines --- the diarrhea caused blisters and internal hemorrhoids.  Medicines taken for enteritis were gentamycin sulfate, bismuth subnitrate, and Berberine; taken for 5 days, complications gone in in 1 day.

Hemorrhoids --- these got to stage 2, almost 3: medicine was prep H and following the instructions on the Wikipedia article.
http://en.wikipedia.org/wiki/Hemorrhoid

Notes:
Defecation is easier if I put lubrication in my anal canal and take a hose and shoot some water inside for an enema.  Coffee enemas were in the Merck Manual until 1972 and male gays do this all the time, so I regard all the precautions and "dangers" listed on various websites as a product of the sissy culture now spreading in the English speaking world.

BTW,  for the hemorrhoid check, anoscopy, the doctor lubed up a 12CM transparent dildo, crammed it up my ***, wiggled it around, then had a visual inspection through the device.  I have yet to figure out how doing this 8-10 hours every day became the doctor's calling in life.

Good health to everyone.

[patient915]

I would recommend you see your doctor about this.

[JMbartoli]

Bleeding was only once.  Now this looks as if it is a gigantic canker sore.  I am still not sure.  Looks the same as 2 weeks ago, perhaps a little more stretched out in this picture, or bigger.

Picture update:
http://www.flickr.com/photos/78370302@N02/7285736246/in/photostream

[patient915]

Welcome to the gastroenterology community!  I would recommend you see your doctor about any rectal bleeding you are experiencing.

[JMbartoli]

how to embed photo?

[JMbartoli]

The measuring tape is metric.