Diagnosis is primarily based on clinical symptoms and visual inspection. We avoid painful internal exams in the acute phase to prioritize patient comfort.
We ask about pain timing (during vs after motion) and bleeding patterns. This history often points 90% towards a fissure.
Gentle separation of the buttocks allows the doctor to see the tear. Usually, no internal instrument is needed if the pain is severe.
Performed *only* if pain allows. Helps assess anal tone (tightness) and rule out masses or tumors.
Used for chronic fissures to look deeper inside. Helps identify 'Sentinel Piles' or internal hemorrhoids.
Not all anal pain is a simple fissure. If the fissure is located on the side (lateral) rather than the midline, or if there are multiple fissures, we investigate for:
No Painful Probes
"We understand you are in pain. Our examination is extremely gentle. We diagnosis 95% of fissures just by listening to your history."
Dr. Jaya Maheshwari explains why she avoids putting instruments inside the anus when a patient is in severe pain, and how inspection is usually enough.
For complex or non-healing cases, we may use:
