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Are my symptoms due to an anal fissure?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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.

Take care.

Patient's Query

Hello doctor,

Thank you for the reply.

Is there any evidence of rectal prolapse? What is the difference between rectal prolapse and external hemorrhoids?

Sorry to question you; I have OCD. I attend my CBT daily. Are you sure that it is not rectal prolapse?

Please answer the questions for me so that I can 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) that bulges down when you strain at stools. You do not have prolapse per se.

Take care.

Answered byDr. Noushif. M

Medically reviewed byiCliniq medical review team

Published At February 25, 2018
Reviewed AtDecember 4, 2025

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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