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Doubt between hemorrhoids and fissure - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:Hi Doctor,

I have a small problem with my rectal area. Some days (may be 2 or 3 times in one or two months) after a bowel movement, I will be having a slight tenderness at the rectal area. I thought that it happened after a thick/hard bowel movement. Last week, the pain was a little severe after the bowel movement and it went off in the evening. I want to know what is happening this. Is it because of hard bowel movements sometimes or is it hemorrhoids ?

There is no bleeding or pus discharge.

Waiting for your kind reply.

User:Hi Doctor, pls read my query
Doctor:Give me a minute.
Doctor:Thanks for your patience.
Doctor:In the absence of blood staining stool, hemorrhoids is less likely.
Doctor:In such cases, the pain could be related to fissure (which refers to some trauma to the XXXXXXX mucous membrane) or some infection.
User:but it is not regular...once in a while
Doctor:Both these condition have symptoms overlaping, however based on the fact that this symptom occur once in a while after bowel movement, fissure seems most likely.
Doctor:A per rectal examination can confirm presence of fissure.
User:so, I have to consult a doctor soon ?
Doctor:I would encourage you to see the doctor to confirm the possibility.
User:which doctor should i see? Gastro ?
Doctor:We can a plan a treatment according to the cause.
Doctor:A surgeon would be the right doctor.
Doctor:Do you have any other query?
User:no..Thanks Doctor
Doctor:Thanks for the query.
Doctor:Bye for now.
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