The most obvious sign that you’re actually suffering from anal fissures is that there’s pain during bowel movement, specifically at or around the anus. This pain might linger for hours. So, bowel movement becomes a difficult and traumatic experience because of this.
The presence of blood on the stool or on toilet paper (after wiping, usually in public restrooms) after excreting waste is another indication. Because anal fissures are described as visible tears found around the opening, they can be ripped open when the anus is being stretched beyond what it can handle.
And because the feces hold a variety of bacteria, irritation around the anus is normal. However, for those who have anal fissures, these bacteria can go inside the wound, which can lead to an itchy feeling especially after bowel movement.
As for visible signs, anal fissures are present if there is an obvious crack or tear in the skin and/or a small lump or skin tag around the anal area. This can be seen as soon as the doctor checks out this part of the patient’s body. These visible marks can finally confirm that these tears are indeed present and must be treated.
Anal fissures and rectal ulcer are related in a sense that both have the same signs and symptoms. While the rectal ulcer can also cause pain and discomfort, it may also manifest without causing any noticeable symptoms. Still, many of those suffering from rectal ulcers end up seeing blood in their stool, highlighting the need to check for the presence of tears or small lumps.
In fact, bleeding is the most common sign of rectal ulcers as it is seen in 80% of cases. Feces may appear reddish or very dark in color after they pass through the anus. Prolonged bleeding, which means it goes beyond the bowel movements, can lead to anemia – a condition typically associated with dizziness, fast heartbeat, and fatigue.
Those with rectal ulcers tend to feel that they haven’t completely evacuated their stool. The rectal mass obstructs the stool from passing smoothly, thus, the feeling. Of course, injury (in the rectal area) and stress may also lead to problems in stool consistency and bowel movement.
This obstruction is the reason why constipation and pain is present during bowel movement. The anal sphincter, the muscles responsible for the contraction of the anus, may become pressured and tight. This can lead to decreased blood circulation around the anal area and may eventually lead to the development of anal fissures.
Other symptoms of rectal ulcer that are not related on the anal area include pelvic pain as well as a feeling of fullness. In some cases, those affected also pass mucus through their rectum.
To ensure that the signs and symptoms present point to fissures rather than rectal ulcer, one must consult his or her doctor for a thorough examination. Remember, it isn’t wise to simply carry out self-diagnosis, and it’s definitely not recommended to try and resolve the medical dilemma on your own.
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