Anal fissures are painful tears in the skin of the anus which is one of the most sensitive parts of the body. They are usually precipitated by hard bowel motions or diarrhoea and can sometimes be a cause of rectal bleeding. Classically patients describe a feeling of ‘passing broken glass’ They can sometimes be quite a tricky cause of anal pain to diagnose but anal fissures are usually fairly easy to treat and often will be cured without needing surgery.
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Anal fistulas may either form after patients develop an abscess in the anus or as part of a systemic disease process such as Crohn’s Disease. Fistulas can cause a number of symptoms such as pain and discharge from the anus or recurring abscesses. There are a number of different ways to treat and manage fistulas that should be tailored to a patient’s specific needs.
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Anal Skin Tags
Anal skin tags are very common, particularly in women. They are composed of pieces of loose skin that protrude from the anus and so can often cause problems with hygiene as stool gets trapped in them even after thorough wiping. Also, some patients find them embarrassing in intimate situations. They are usually very easy to treat and can be removed at day case surgery.