Which history is characteristic of anal fissure?

Updated: Nov 09, 2018
  • Author: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Anal fissures may present with rectal pain described as burning, cutting, or tearing that occurs with bowel movements. Spasm of the anus is very suggestive for an anal fissure. A history of constipation or passage of hard stools may be present. Typically, bright-red blood appears on the surface of stools, but blood usually is not mixed into stool and is present only in a small amount. Occasionally, blood is found on toilet paper after wiping. The patient may report no bleeding.


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