Diagnosing Anal Fissures: What Tests Should You Expect?
Diagnosing Anal Fissures: What Tests Should You Expect?
Why It Matters
Diagnosing anal fissures accurately can prevent misdiagnosis and ensure proper treatment.
Contents
- The Initial Examination
- Beyond the Basics
- When You Need More
The Initial Examination
The first step in diagnosing an anal fissure is a physical examination. Doctors often use non-invasive methods to minimize discomfort, such as visually inspecting the area while the patient is in a comfortable position. This helps confirm a diagnosis based on symptoms.
Beyond the Basics
For patients with atypical symptoms or persistent issues, further tests like digital anorectal examination or anoscopy might be performed. These tests are usually done after initial symptoms improve, to rule out other conditions.
When You Need More
If there's rectal bleeding or other concerning symptoms, more extensive tests like a colonoscopy or sigmoidoscopy may be necessary. These help exclude underlying conditions like Crohn's disease.
FAQs
Is a physical exam always required?
Yes, it's the first step in diagnosing fissures.
Are further tests common?
Further tests are done if symptoms persist or are atypical.
Can fissures be seen easily?
Yes, especially in thinner patients during a physical exam.
When is a colonoscopy needed?
When there's rectal bleeding or suspicion of other conditions.
Key Takeaways
Accurate diagnosis is crucial for effective treatment of anal fissures.
Additional References
- Oh C, Divino CM, Steinhagen RM. Anal fissure. 20-year experience. Dis Colon Rectum 1995; 38:378.
- Gupta PJ. Ano-perianal tuberculosis--solving a clinical dilemma. Afr Health Sci 2005; 5:345.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.