Anal Pain: Is It a Fissure or Something Else?
Published: Oct 09, 2023
Anal pain can have many causes, but understanding the symptoms can help identify if it's an anal fissure or another condition.
Contents
Recognizing the Pain
Anal fissures typically cause sharp pain during bowel movements that can last for hours. This pain is a key symptom that differentiates fissures from other conditions like hemorrhoids, which usually cause milder discomfort.
Beyond the Pain
Anal fissures are often accompanied by bleeding, usually noticeable as bright red blood on toilet paper. If you see this along with pain, it could indicate a fissure rather than a hemorrhoid or other issue.

When to See a Doctor
If anal pain is severe or persistent, it's important to consult a healthcare professional. They can distinguish between fissures and other conditions like anal ulcers or fistulas.
Frequently Asked Questions
It feels like a sharp, intense pain during bowel movements.
Hemorrhoids usually cause milder discomfort compared to fissures.
Yes, anal fissures often cause bleeding.
See a doctor if pain is severe or persistent.
Wrapping Up
Identifying the cause of anal pain is crucial for effective treatment.
References
- Dykes SL, Madoff RD. Benign anorectal: Anal fissure. In: The ASCRS Textbook of Colon and Rectal Surgery, Wolff BG, Fleshman JW, Beck DE, et al. (Eds), Springer Science + Business Media, New York 2007. p.178.
- Perry WB, Dykes SL, Buie WD, et al. Practice parameters for the management of anal fissures (3rd revision). Dis Colon Rectum 2010; 53:1110.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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