Understanding Fissures | Symptoms Development and Examination at Vithai Piles Hospital
Understanding Fissures: Symptoms, Development, and Examination
Introduction
Fissures are a common painful condition that affects the anal region. They occur as small tears or ulcers in the lining of the anal canal, often caused by factors such as constipation, trauma during bowel movements, or prolonged diarrhea. Recognizing the signs and symptoms of fissures is crucial for timely diagnosis and appropriate treatment. In this article, we will explore how fissures develop, the typical signs and symptoms, and provide detailed information on the examination process at Vithai Piles Hospital.
Understanding Fissure Development
Fissures can develop due to various reasons, including:
Constipation: Straining during bowel movements, especially when stools are hard and difficult to pass, can lead to the formation of fissures.
Trauma: Passage of large or hard stools can cause injury to the delicate lining of the anal canal, resulting in fissures.
Prolonged Diarrhea: Chronic diarrhea can irritate the anal area and weaken the tissues, making them susceptible to fissure development.
Signs and Symptoms of Fissures
The most common signs and symptoms of fissures include:
Pain during Bowel Movements: Fissures often cause severe pain or a burning sensation during and after passing stools. This pain may last for several hours.
Bright Red Blood in Stools: Fissures may result in the presence of fresh blood on the toilet paper or in the toilet bowl after a bowel movement.
Itching and Irritation: Fissures can cause persistent itching and discomfort in the anal area.
Anal Spasm: Some individuals may experience involuntary contractions of the anal sphincter muscles (anal spasm) due to the pain associated with fissures.
Permanent Mass Outside and Sentinel Tag
In some cases, a small permanent mass or lump may be felt just outside the anal opening. This mass is often a hypertrophied (enlarged) papilla or skin tag and is not directly related to the fissure itself. It usually does not cause any symptoms and does not require specific treatment.
A sentinel tag, on the other hand, is a skin tag that develops at the lower edge of a chronic or recurrent fissure. It is considered a sentinel sign, indicating the presence of an underlying fissure. The tag is typically painless and can be identified during a physical examination.
Examination at Vithai Piles Hospital
When you visit Vithai Piles Hospital for an examination, the healthcare professional will conduct a comprehensive assessment of your condition. The examination may include the following steps:
Detailed Medical History: The doctor will ask you questions about your symptoms, medical history, bowel habits, and any previous treatments.
Visual Examination: The anal area will be visually inspected for any visible fissures, skin tags, or other abnormalities.
Digital Rectal Examination (DRE): The doctor may perform a DRE by gently inserting a lubricated gloved finger into the rectum to assess the condition of the anal canal and rectal tissues.
Anoscopy or Proctoscopy: In some cases, an anoscope or proctoscope may be used to provide a more detailed view of the anal canal and rectum.
Conclusion
Recognizing the signs and symptoms of fissures is crucial for timely diagnosis and appropriate treatment. If you experience symptoms such as persistent anal pain, blood in stools, or discomfort during bowel movements, it is important to consult a healthcare professional. At Vithai Piles Hospital, a detailed examination will be conducted to assess your condition, provide an accurate diagnosis, and recommend suitable treatment options to alleviate your symptoms and promote healing.
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