How to examine for anal fissure
Disease description:
I have recently experienced anal pain during bowel movements, and sometimes even bleeding. I suspect that I may have developed an anal fissure. To confirm the diagnosis, I would like to know how an anal fissure should be examined so that timely treatment can be provided.
Doctor's answer (1)
Dr. Li Jingxiang
Anal fissure is a common anorectal condition, primarily characterized by anal pain and bleeding during bowel movements. Because the anal canal is a hidden area, professional examination methods are required for diagnosis.
1. During the anal examination, the doctor may gently palpate around the anal area with a finger to check for the presence of cracks or ulcers, as well as anal sphincter tightness.
2. The doctor will perform a digital rectal examination. The doctor will place a gloved, lubricated index finger gently into the patient's anus to assess the degree of anal sphincter spasm, the size of the anal opening, and to locate any ulcerated areas caused by the fissure.
3. If clinical examination and digital rectal exam cannot confirm the diagnosis, the doctor may use an anoscope for a more detailed evaluation. An anoscope is an instrument equipped with a light source that allows the doctor to directly observe the interior of the anus and rectum, making it easier to identify the location and severity of the fissure.
For patients suspected of having an anal fissure, timely medical attention is very important.
