HomeAnswersGeneral SurgerypilesI think I have a fissure in my anal area. Please check and tell me.

I think I have a fissure in my anal area. Please check and tell me.

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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

Dr. Noushif. M

Medically reviewed by

iCliniq medical review team

Published At February 25, 2018
Reviewed AtNovember 1, 2022

Patient's Query

Hello doctor,

I think I have a fissure in my anal area. I do not have any constipation, rectal, or anal pain. I do not have bloating or any abdominal pain. I also do not have any piles. I do not have any straining during bowel movement. I do not have any blood in the stools. I am sending you anal pics. Is there any abnormality around it?

Please tell me.

Answered by Dr. Noushif. M

Hello,

Welcome to icliniq.com.

I have gone through the clinical images (attachment removed to protect patient identity).

It looks like small external piles with a suspicious fissure. No active intervention is needed.

  1. Keep yourself well hydrated.
  2. Avoid constipating foods.
  3. Make sure your motion is semisolid always and not hard.
  4. Avoid straining at stools.
  5. Keep the area dry.

I hope your queries have been cleared.

Patient's Query

Thank you doctor,

Is there any evidence of rectal prolapse? What is the difference between rectal prolapse and external hemorrhoids? Sorry to question you but I have OCD. I attend my CBT daily. Are you sure that it is not rectal prolapse?

Please answer me the questions so that I will enjoy my life with happiness.

Answered by Dr. Noushif. M

Hello,

Welcome back to icliniq.com.

External piles will remain just as a loose skin or mucosal fold. It is nothing worrisome. It is not always pathologic and small tags will be there in most individuals.

In prolapse, you will find a thickness (will have a rectal wall) bulging down when you strain at stools. You do not have prolapse per se.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Noushif. M
Dr. Noushif. M

Surgical Gastroenterology

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