Anal Fissure Symptoms & Diagnosis

Symptoms

Symptoms of an anal fissure are similar to those of other more serious conditions. Therefore, you should see a doctor if you have these symptoms.

• Pain during and after a bowel movement
• Burning sensation during a bowel movement
• Bleeding with bowel movements
• Bright red blood either on the toilet tissue or in the bowl
• Itching of the anus
• Small amount of mucus on the stool

Diagnosis

The doctor will ask about your symptoms and medical history. There will be a physical exam as well. The anal area will also be examined, which involves the following:

• The doctor will hold the buttocks apart. This will usually turns the anus outward enough for tears to become visible.
• If fissures have persisted for three months or more, additional changes may be seen. These changes may include a sentinel tag or "pile," granulation tissue, or white discoloration from scar tissue around the fissure.
• If pain permits, the doctor may perform:
  • Digital rectal exam—doctor inserts a lubricated finger into the anus and feels for lumps or abnormalities
  • Anoscopy—a tool is inserted in the anus to allow the doctor to examine the anal canal

Fissures usually occur in predictable locations around the anus. If there are multiple cuts, or a cut in an unusual location, the doctor may order additional tests to look for other conditions.