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Is this a case of fissures?

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dk93585
dk93585

Hi guys, the concept of getting my rectum examined greatly embarrasses me and I have been hesitant about getting the help i needed.

The anonymity on the internet gives me courage and hope I get some information to see if I should get professional help or not.

I have been suffering from anal bleeding since 2015 but it goes on and off. It is accompanied with constant itches and wetness which is discomforting but I deemed it as not serious. Over the past year I have been monitoring the situation of my rectum by taking photos, and recently (couldn't have been more than a week) noticed that a small lesion has been developing.

I do remember extremely painful sensation (like someone putting a knife) during bowel movement which would remain sore for a while. I'm not entirely sure if this has got to do with Hemorrhoids or anal fissure. I will attach a before and after image (I do apologize for you guys having to see the image). Recently with the lesion, I realized that the discharge from my rectum has worsened in terms of odor, and now smells very fishy.

Any help is greatly appreciated.

P.S Treatment option advice will also be tremendously helpful thank youimage

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