Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • pain on defecation
  • tearing sensation on passing stool
  • fresh blood on stool or on paper
  • anal spasm

Other diagnostic factors

  • intermittent symptoms
  • sentinel pile
  • fissure visible on retraction of buttock

Risk factors

  • hard stool
  • pregnancy
  • opiate analgesia

Diagnostic investigations

Investigations to consider

  • anal manometry
  • anal ultrasound
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Executive Director

Colorectal Surgery

Florida Hospital System

Florida Hospital Medical Group

Orlando

FL

Disclosures

JRTM declares that he has no competing interests.

Dr John Monson would like to gratefully acknowledge Dr John Scholefield and Dr Jonathan Lund, previous contributors to this monograph. JS and JL are authors of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Professor

York Hospital

York

UK

Disclosures

SHL declares that he has no competing interests.

Consultant Colorectal Surgeon

Northern General Hospital

Sheffield

UK

Disclosures

SB declares that he has no competing interests.

Associate Professor of Surgery

Chief

Section of Colorectal Surgery

Southern Illinois University School of Medicine

Springfield

IL

Disclosures

JR is an author of a reference cited in this monograph.

Use of this content is subject to our disclaimer