
Comprehensive diagnostic methods to accurately identify and assess anal fissures.
Detailed discussion of symptoms, bowel habits, diet, and any underlying conditions.
Visual inspection of the anal area and gentle digital examination to assess the fissure.
Use of an anoscope to examine the anal canal and identify the fissure's location and depth.
To rule out infections or inflammatory conditions that might contribute to fissures.
Measurement of anal sphincter pressure to assess muscle function and tone.
Fissures must be distinguished from other conditions like hemorrhoids, fistulas, abscesses, or inflammatory bowel disease.