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Hemorrhoids or anal fissure

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Perianal disease is a common complication of inflammatory bowel disease IBD. It includes different conditions from more severe and potentially disabling ones, such as abscesses and fistulas, to more benign conditions such as hemorrhoids, skin tags and fissures. Most literature has been focused on anal sepsis and fistulae, as they carry the majority of disease burden and often alter the natural course of the disease. Hemorrhoids and anal fissures in patients with IBD have been overlooked, although they can represent a challenging problem. The management of hemorrhoids and fissures in IBD patients may be difficult and may significantly differ compared to the non-affected population.
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Anal Fissure

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How You Can Deal With Anal Fissures – Health Essentials from Cleveland Clinic

An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, [1] but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Fissure depth may be superficial or sometimes down to the underlying sphincter muscle. Untreated fissures develop a hood-like skin tag sentinel piles which cover the fissure and cause discomfort and pain.
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Anal Fissures

Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut.
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Posted on 10 May by Maryanne Johnson. In this Hemorrhoid Fissure guide, we will discuss the differences between hemorrhoids and fissures so that you know exactly which one you have. Plus, we talk about the best treatment options for both fissures and hemorrhoids. You'll leave this post with a solid understand of the two and be armed with tools to get lasting relief. Hemorrhoids are veins inside and around your anus and rectal area.
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