Dr. Ghulam Fareed
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
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Patient's Query
Hello doctor,
I think I have an anal fissure but wanted to confirm so that I could stop worrying about cancer or something more serious. I tend to have harder bowel movements although I take magnesium to help with that. Every few weeks I have a hard bowel movement that hurts and feels like I am tearing my skin. Then I will have some blood on the toilet paper. This also results in some itching for a few days or weeks and some blood drops on my toilet paper. It feels fine for a few weeks and starts over again. I have seen blood on the toilet paper even without a hard bowel movement as well. Maybe the anal fissure just never fully heals? I have a history of harder-than-ideal poops. I have not really done any treatment for this besides trying to get softer stools with diet and vitamins.
Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
I am reviewing your case history and will get back to you in a while.
Thank you.
Patient's Query
Hello doctor,
Is there something more serious than the fissure?
Thank you.
Hello,
Welcome back to icliniq.com.
Your history is suggestive of an anal fissure. A good physical examination can confirm the diagnosis of an anal fissure. You should try the above simple treatment for anal fissures. If your issues get better it is great, otherwise you can visit a gastroenterologist or general surgeon nearby so that a good physical examination can be performed. The chances of anything serious are less, considering your age and episodic symptoms. Non-resolving symptoms, severe pain at the anal verge, persistent bleeding, any lump at the anal verge, and fecal incontinence are a few alarming symptoms that should be evaluated early. Other features which we feel are alarming include unintentional weight loss or a family history of serious diseases like inflammatory bowel disease, tuberculosis or cancer, etc.
Hope this helps.
Thank you.
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Medical Gastroenterology
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