Piles vs anal fissure

Question

Asked for Female, 28 Years

Please tell my condition is piles or anal fissure i have confusion between two based on the story that i posted

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Dr. Aditya Prasad Padhy

Laparoscopic Surgeon 11 yrs exp Bhubaneswar

It may be both, sentinel tag indicating chronic fissure, bleeding usually associated with haemorrhoids, that can be confirmed on physical examination

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Dr. Irfan Shera Gastroenterologist 11 yrs exp Faridabad · Accepted Answer

Dr. Irfan Shera

Gastroenterologist 11 yrs exp Faridabad

Skin tag with underneath chronic fissure,you need rectal examination to look for internal hemorroids