What is the most common cause of anal pain or bleeding that you will see in primary care? It is not hemorrhoid, like we talked about last week. It is in fact anal fissures and some patients will describe them as razor blades coming out of their rectum.

Join Dr. Niket Sonpal, as he discusses how these fissures start and the underlying risk factors such as constipation and diarrhea. Next, is determining if it is in fact an anal fissure or hemorrhoid. Once the fissure is diagnosed, the treatments to start them on is more fiber in their diet and topical analgesics.

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