Anal fissures cause pain, itching, and bleeding around the anus. Pain is usually worse during bowel movements and can last for hours. Patients may also experience constipation and discharge. Some fissures are visible on the outside of the anus.
People who develop anal fissures, which are tears in the skin lining the anus known as anoderms, typically experience several common symptoms. Although fissures can be painless, most people experience some amount of pain from the condition and it is usually worse during a bowel movement. Another of the common symptoms of the fissure is itching and irritation around the anus. Often the patient will notice blood or discharge from the anus. In some cases, the fissure itself may be visible on the outside of the anus, and a lump or skin tag may develop along the fissure.
Pain is the most common of the anal fissure symptoms, which most patients experience to some extent. Usually the pain of a fissure increases significantly when the patient has a bowel movement. He or she may feel that there is a tear or tear inside the anal canal, or it may sting or burn. The pain can be intense and can take minutes to hours to subside.
For some patients, the pain may still be present but significantly less between bowel movements, while for others, it may subside completely. They may also find that the pain increases when they urinate. Some patients may develop constipation if the pain is so severe that they avoid moving their bowels.
Itching and irritation are also often symptoms of an anal fissure. The skin around the anus often becomes tender and sore and can cause discomfort if touched. He may also develop ongoing itching, a condition known as itchy anal.
In many cases, one of the anal fissure symptoms that a patient will have is bleeding. Although the amount of blood is usually minimal, it is often bright red and very noticeable on toilet paper or in stool. Patients who have anal bleeding should inform their doctor immediately. In addition to blood, pus may ooze from the tear, so some patients may also notice a foul-smelling discharge from the anus.
While some anal fissures are completely internal and may not be easily visible, it is often possible to see the break in the skin around the outside of the anus. Patients may be able to see or feel lumps around the fissure. Sometimes a small tag of skin, known as a sentinal pile, may also form near the end of the fissure.
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