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Diagnosis of Fissure in Ano

The diagnosis of fissure-in-ano is easy to make clinically and usually, no complicated procedures are required to diagnose this condition. The physician will usually try to avoid putting any instrument in the anus, as the area is extremely sensitive and such examination can be very painful. In the majority of cases, with careful evaluation of the symptoms and a close look at the anus, a diagnosis of fissure can be confirmed by your doctor.

On examination, the doctor may observe following:

  • Spasm of the anus
  • A split or cut in the posterior midline of the anal mucosa.
  • Lateral fissures: If fissure is observed laterally, instead of posterior midline location of the fissure, it may give hint to underlying diseases such as Crohn’s disease, ulcerative colitis, or sexually transmitted diseases. In such cases, fissures are usually multiple and may have an atypical appearance.
  • Acute fissures (usually present for 6 weeks or less) are superficial with sharply demarcated edges.
    • Chronic fissures (present for more than 6 weeks) are usually deeper and may have secondary features, including hardening of the edge of the fissure, a sentinel pile which looks like a small skin tag, and hypertrophied anal papillae, etc.
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Fissure-In-Ano Case Studies

A 20-year-old male patient, Mr. J.S. visited Life Force’s Borivali clinic on 9th October 2019. He was suffering from the burning sensation before and after passing the stool and was experiencing bleeding from the last week. He would suffer from constipation when he would have spi.....Read more

A 39-year-old male from Andhra Pradesh, Mr. B. M. (PIN: 45213) started treatment from Life Force Homeopathy online for his complaints of fissure in ano on 17th April 2021. 

The patient was suffering from stage 3 piles for a few months. He was experiencing sharp sh.....Read more

A 27-year-old male patient, Mr. K.A.K.S (PIN: 16357) came to the center for the treatment of a Perianal abscess. He had developed a small Perianal abscess a couple of months ago. It all started with an episode of blood in stools around eight weeks ago. He took antibiotics and the bleeding stopped.....Read more

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