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Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut. A chronic anal fissure likely has a deeper tear, and may have internal or external fleshy growths.
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Anal Disorders

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Anal fissure - Diagnosis and treatment - Mayo Clinic

Anal swelling can occur for a variety of reasons. Most causes of a swollen anus are temporary and harmless, but some require medical attention. The anus is at the end of the rectum, and muscle surrounds it. Depending on the cause of the swelling, people may have additional symptoms, such as pain, itching, burning, or bleeding around the anus.
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What can cause anal swelling?

An anal fissure is a small tear in the thin, moist tissue mucosa that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements.
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