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
Diagnostic investigations
Treatment algorithm
Contributors
Authors
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 topic. JS and JL are authors of a number of references cited in this topic.
Peer reviewers
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 topic.
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