Corresponding author: A Boutall boutall icloud. This typically presents with pain on defecation and blood spotting on toilet paper. These symptoms are due to an ischaemic mucosal ulcer within a high-pressure sphincter. The fissure is usually visible at inspection of the gently distracted anus Fig. Digital examination is intolerable and should be avoided.
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We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Anal herpes is an infection caused by the herpes virus that erupts as sores or blisters around the anus, the opening through which bowel movements pass. Syphilis , chancroid , and donovanosis are infections that can cause different types of lesions around the anus. The same virus that causes genital herpes can cause lesions in the genitals, anus, or perianus.
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An anal fissure is a small tear in the thin, moist tissue mucosa that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus anal sphincter.
A more recent article on benign anorectal conditions is available. JOHN L. This is Part II of a two-part article on anorectal conditions. Patients with a wide variety of anorectal lesions present to family physicians. Most can be successfully managed in the office setting.