Chronic anal fissure dull pain

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When a patient comes to the doctor with acute anal pain …. In the first part of this article we have already discussed diagnosis and emphasized the importance of patient history in proctology. Once the patient history has been carefully taken, it makes it possible to establish the diagnosis in many cases, or to narrow the possible causes down to a small number.

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Find an ACG member gastroenterologist with a specialized interest in liver disease. The rectum refers to the last four or five inches of the digestive tract. The rectal outlet or opening is called the anal canal or anus.

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Anal pain can occur before, during, or after a bowel movement. It can range from a mild ache that can get worse over time to pain that is bad enough to restrict daily activities. Anal pain has many causes, most of which are common and treatable.

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Fissures are a small split or tear in the skin. Anal fissures are small splits or tears in the mucosal lining of the lower rectum and can range from involving only the epithelium to encompassing the entire thickness of the anal mucosa. Anal fissures can be acute or chronic. The goal of treatment is to relieve pain, constipationand spasms, as well as reduce the resting internal anal sphincter pressure so that the fissure can fully heal.

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Anal fissures are not exactly a topic for cocktail party conversation, and the reluctance to discuss them often leaves sufferers thinking they are the only ones affected. In fact, this potentially painful, debilitating, anxiety-provoking condition is quite common. So like many others, she suffered in silence.

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Anal pain is not something that is talked about a lot, though it can be quite significant. There are a lot of nerve endings in the area of the rectum and anus, so any issues with them can result in anything from mild discomfort to excruciating pain. Most of the time the causes of anal pain are benign, even if there is bleeding.

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Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis. Mayo Clinic does not endorse companies or products.

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A patient presents with severe anal pain, lasting hours after each bowel movement. She notices some intermittent bleeding with defecation. She comes to the office with the presumed diagnosis of hemorrhoids.


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