Question: Two previous doctors advised me that I may have an anal fissure, but I'm not certain I gave enough information, because from my own reading that doesn't totally fit my symptoms.

About two weeks ago, I experienced some rather severe rectal discomfort/pain. Bowel movements were normal, no blood in stool but some on toilet tissue. The discomfort gradually subsided over the course of a few days to the point now of being very moderate. But there is still some rectal tenderness and discomfort, as well as some blood, again not in stool but on the toilet paper, as well as swollen area around the anal base. Also, what I can only describe as small stool buildup over the course of the day around the rectum -- not discharge but buildup. I've noticed being in a hot shower noticeably relieves the symptoms.

My understanding is that a fissure is very painful, but except for the first two or three days, I've experienced little real pain. Would hemorrhoids be a more a likely cause? I know they can also be painful, but again, pain isn't one of my main symptoms.

Thank you so much for your helpful answer. I was mildly concerned these symptoms could indicate something more serious, such as anal cancer. But your information helps to ease my mind in that regard.

Do you think ointments would be helpful?

Many thanks again!

You've been very helpful, sir. May I ask one final question?

My only remaining concern is that so many people seem to say that fissures are very painful. Of course I don't want to be in pain, but the fact that I've experienced more discomfort and not so much outright pain made me wonder exactly what was wrong. But it's sometimes the case that fissures are not as painful for some people as others?

Once again, thank you so much. You've helped me a great deal.