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Resist the urge to scratch—The itching might seem worse at night, so people might unconsciously scratch the anal area with their fingernails during sleep. Fissures are the anal problem misdiagnosed most commonly. There are several types of colitis, including: National Center for Biotechnology Information , U. Anal fissures can be caused by trauma to the anus and anal canal. The rectum is 4 inches long and just upstream from the anus. The doctor will obtain a full medical history and perform a physical examination to identify possible underlying causes, such as dermatological conditions and other illnesses.
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Anal Fissures Management and Treatment | Cleveland Clinic

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Anal Fissures: Management and Treatment

Treatment for anal fissure: The cause of the trauma can be one or more of the following: A Prospective, Randomized Study". Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet.
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