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Despite the fact that countless patients suffer from anal problems, there tends to be a lack of understanding of anal health care. Unfortunately, this leads to incorrect diagnoses and treatments. When treating a patient with an anal complaint, the primary goals are to first diagnose the etiology of the symptoms correctly, then to provide an effective and appropriate treatment strategy. The first step in this process is to take an accurate history and physical examination. Specific questions include details about bowel habits, anal hygiene, and fiber supplementation.
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Anal Health Care Basics

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A skin tag is a noncancerous growth of excess skin. Skin tags that form around the anus or rectum are called anal skin tags. Anal skin tags are typically small, measuring a few millimeters or less. They may be the same color as the skin or slightly darker. They often go unnoticed or cause no problems and can be left alone. On the other hand, some people may want them removed for cosmetic reasons, because they get in the way, cause sensitivity, or they itch. But anal skin tags should only be removed by a dermatologist or another qualified medical professional.
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How Are Anal Skin Tags Identified and Removed?

JOHN L. This is Part II of a two-part article on anorectal conditions. Patients with a wide variety of anorectal lesions present to family physicians.
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An anal fissure fissure-in-ano is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements. Fissures are quite common in the general population, but are often confused with other causes of pain and bleeding, such as hemorrhoids. Anal fissures can occur at any age and have equal gender distribution. A small number of patients may actually have fissures in both the front and the back locations.
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