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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood In Stool, Diagnosed As Anal Fissure. Constipated, Thin Pieces Of Stools. Colon Cancer Or Hemorrhoids ?

hi, I have been to the GP for blood in my stool and was sent back home with the diagnosis of an anal fissure and was prescribed to apply cream to the area. Over the past few days I have had constipation and my stool is coming out in pieces that are thin and looks like they are sculpted (doesn't look round more like it scrapes against something in my colon that creates a flat angle). Also I have noticed that there has been a smell from my anus even though I have cleaned properly. Is this a sign of colon cancer or internal hemorrhoids?
Wed, 27 Nov 2013
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Critical Care Specialist,  's  Response
Hi thanks for your question.
Constipation is common cause for anal fissure and anal fissure give rise to constipation. This is a vicious cycle. On per rectal examination anal fissure and to some extent hemorrhoids can be diagnosed. The type of stool you have described could be due constipation. Smell could be due to infected stool. Possibility of a colonic cancer though very less with this type of symptoms can only be ruled out by means of investigations like colonoscopy. Consult a physician who may be able to perform out colonoscopy on you to rule out colonic cancer and Haemorroids and confirm diagnosis of anal fissure.
Hope this answers your question.
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Blood In Stool, Diagnosed As Anal Fissure. Constipated, Thin Pieces Of Stools. Colon Cancer Or Hemorrhoids ?

Hi thanks for your question. Constipation is common cause for anal fissure and anal fissure give rise to constipation. This is a vicious cycle. On per rectal examination anal fissure and to some extent hemorrhoids can be diagnosed. The type of stool you have described could be due constipation. Smell could be due to infected stool. Possibility of a colonic cancer though very less with this type of symptoms can only be ruled out by means of investigations like colonoscopy. Consult a physician who may be able to perform out colonoscopy on you to rule out colonic cancer and Haemorroids and confirm diagnosis of anal fissure. Hope this answers your question.