Deep painful anal

If a secondary anal fissure is suspected, assess for features of an underlying cause, such as: Constipation — see the CKS topics on Constipation and Constipation in children for more information. In many cases, piles do not cause symptoms.

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The doctor will look at the outside of your anus first, looking for lumps, bumps, fissures and skin rashes. When symptoms do occur, they often include bleeding, pain, and itching.