Thanks for your query.
Your long-standing symptoms may be due to Inflammatory bowel disease
. You need to undergo colonoscopy
, which will reveal the exact cause of your symptoms. It is advisable that you get the test done at the earliest, so that a diagnosis is made and appropriate treatment is started by your gastroenterologist.
Further, recurrent fissures and hemorrhoids may be part of the spectrum of the underlying disease of the colon.
Dr. Rakesh Karanwal