Anal Fissure or Hemorrhoids?
Excuse the frankness:
For the past 3-4 months I have off and on, severe pain when I have a bm. Sometimes it heals up and I think it's gone, but then it comes back for another couple of weeks.
The pain is a sharp burning feeling (symptom of an Anal Fissure, I've read) but it also feels like there is something blocking the path - like I'm pushing the **** past something that is very tender. The pain used to be only in one spot (the front part of the anus about an inch or so up) but it is now in two distinct places.
When I stick my finger down there while I'm pushing I can feel the inner area that is painful and it feels like two bumps (hemorrhoids??) but they're so tender I don't put my finger up any further.
Nothing is sticking out of me and I've read that internal hemorrhoids don't usually cause pain so I'm leaning towards Anal Fissure. Only a few times have I seen blood, although there was one time that quite a bit of blood came out - not seeping or oozing out but pouring out. That was a few months ago, and nothing like that has happened since.
I've used topical ointment but it's hard to tell if it's helping at all.
What are your thoughts? Anal Fissure or Hemorrhoids? Both?
If it is Anal Fissure are there OTC treatments in addition to dietary changes that I can use, or are all the treatments by prescription?