The doctor will ask about your medical history and will perform a physical test, which will include a gentle inspection of the anal region. Most of the times the tear is visible. This is the test that is done for the fissure diagnosis. A fissure is considered chronic if it lasts for more than eight weeks. The location of the fissure offers clues about the cause. A fissure bleeding that occurs on the side of the anal opening is likely to be a sign of Crohn’s disease. Your doctor will recommend these fissure tests for the diagnosis:
- Anoscopy: An anoscope is a tubular device that is inserted into the anus to help the doctor view the anus and rectum.
- Flexible sigmoidoscopy and colonoscopy: In this process, the doctor will insert a thin tube into the bottom portion of your colon. This test is done when you are younger than 50 years and capable to rule out any risk factors for colon cancer.