Multiple anal fissure

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Because i have took it upon myself to do some online reading about the issue i have found that it is very unusual to have multiple anal fissures but is normal to have them located on the back wall of the anus- which is where mine are located, because of the fact i have multiple fissures i am very worried- i cant sleep or think straight and its really getting me down.   an anal fissure is a small tear or crack in the lining of the anus. If you experience severe pain or bright red bleeding during or after bowel movements, you may have an anal fissure.   an anal fissure may extend into the ring of muscle that holds your anus closed (internal anal sphincter), making it more difficult for your anal fissure to heal. An unhealed fissure can trigger a cycle of discomfort that may require medications or surgery to reduce the pain and to repair or remove the fissure.   an acute anal fissure appears as a fresh laceration, while a chronic anal fissure has raised edges exposing the internal anal sphincter muscle fibres underneath. Chronic anal fissures are also often accompanied by an external skin tag (sentinel pile) at the distal end of the fissure and a hypertrophied anal papilla at the proximal end (difficult to see on physical examination) ( fig.).   a case of chronic fissure with multiple lacerations dr vikas gupta. Hemorrhoids vs anal fissures dr rosenfeld cbs the doctors - duration. An acute anal fissure appears as a fresh laceration, while a chronic anal fissure has raised edges exposing the internal anal sphincter muscle fibres underneath. Chronic anal fissures are also often accompanied by an external skin tag (sentinel pile) at the distal end of the fissure and a hypertrophied anal papilla at the proximal end (difficult to see on physical examination) ( fig.). The most common symptoms of anal fissures are a sharp pain when you poo, often followed by a deep burning pain that may last several hours bleeding when you poo most people notice a small amount of bright red blood either in their poo or on the toilet paper when to see a gp. I m,29 have been suffering from anal fissure for the last 6 years. An anal fissure is a cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter.   it typically causes episodic pain that occurs during defecation and for one to two hours afterwards. 1 this feature uniquely distinguishes anal fissure from other causes of anal pain such as thrombosed haemorrhoids, abscess, viral ulcers, and others. Atypical fissures may be multiple or off the midline, or be large and irregular.

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