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Possible Crohn's? (Please Help)

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Crohn's Disease
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Posted 11/27/2016 11:14 PM (GMT 0)
Hi everyone. This is my first post and I'd just like to let everyone know before I ask of your assistance that I do have a scheduled appointment with a specialist to address this question specifically (I met with a specialist previously before this as well).

I'd just like a possible easing of my mind by asking this in a public forum. So with that out of the way I'd just like to ask you if it's possible I have a mild form of Crohn's disease. I've read in other forums that it's possible to have Crohn's in a specific region of the anus.

So, to give a rundown, I'm very sure that I have a single Anal Fissure. I have slight pain while going to the bathroom. Most of the time blood is only on the toilet paper. I hardly ever have diarrhea and the most recent time i had it, it was because of anxiety and no blood was anywhere to be seen including the toilet paper. I only have pain in my anus after i go to the bathroom. I also have no pain in my stomach region even when pressing on it while laying down. I only over had really noticeable bloating(side of my stomach was gurgling) was the last time i went to a specialist. How likely is it I have Crohn's? Thank you so much for your time.
Posted 11/27/2016 11:59 PM (GMT 0)
Also, if i see remnants of blood on the left side of my movement, does that indicate a stronger possibility of IBS because I read that that they are typically located laterally.
Posted Yesterday 1:11 AM (GMT 0)
I don't think it's terribly likely you have Crohn's, but it's possible. The only thing which will rule it out or confirm it is testing, which the specialist should organise.

IBS doesn't cause bleeding, so it won't be that. But you could have haemorrhoids.
Posted Yesterday 1:19 AM (GMT 0)

NiceCupOfTea said...
I don't think it's terribly likely you have Crohn's, but it's possible. The only thing which will rule it out or confirm it is testing, which the specialist should organise.

IBS doesn't cause bleeding, so it won't be that. But you could have haemorrhoids.


Thanks for the response. The biggest thing I'm worried about is the fact that the fissure looks to be off to the side considering where i see the blood on the movement. These two quotes make me the most worried.

"These less common causes of fissures include inflammatory conditions and certain anal infections or tumors, such as Crohn’s disease, ulcerative colitis, syphilis, tuberculosis, leukemia, HIV/AIDS, or anal cancer. These diseases cause atypical fissures that are located off the midline, are multiple, painless, or non-healing after proper treatment. "

"Multiple fissures or those in a lateral position on the anal margin raise suspicion as there may be underlying inflammatory bowel disease."
Posted Yesterday 1:39 AM (GMT 0)
NCOT is right. It *could* be Crohn's, but it likely is not. The two quotes you include talk about multiple fissures and/or those that don't heal correctly with proper treatment. You're not there yet, and may never be to that point.
Posted Yesterday 1:43 AM (GMT 0)
To me, it's not obvious that you have an anal fissure. I'm not an expert on anal fissures, but I think they cause worse pain than what you describe. I had what I think was an anal fissure once, and the pain upon passing a BM was absolutely excruciating - even two drops of liquid stool was unbearable. Never got it checked out, so I can't be 100% sure it was even a fissure, but I think it was.

My advice? Forget the googling. It's a dead end. People always seem to home in on the unlikeliest or rarest possibilities. In reality the only accurate way to diagnose something is to get the proper tests (and even then, it's not always easy to tell.)
Posted Yesterday 2:51 AM (GMT 0)
I think it's impossible to tell without proper testing. My son started with just some blood on the paper. That lasted a few months and was diagnosed by his regular PA as a hemorrhoid. When it didn't respond to treatment we saw a pediatric GI. He never had any pain at all. The same day we saw the GI, he started having abdominal pain and bloody mucous diarrhea. Obviously he then had a colonoscopy and endoscopy. He was diagnosed as having Crohns or UC.

The thing is a hemorrhoid at his age (10) was very unlikely. I'm sure you are much older than that, so I would guess it's a real possibility. Crohns or UC are less likely than a fissure or hemorrhoids. There isn't any sense worrying about the less likely possibility. But definitely have tests done as soon as you can.
Posted 12/3/2016 9:10 PM (GMT 0)
I'd go to a doctor if the symptoms are really bothering you. There's always a possibility it's Crohns, but it doesn't sound likely. Fissures are extreme pain, that sounds more like hemorrhoids. Especially if you're not having diarrhea, I'd say it sounds more like maybe you need more fiber in your diet.
Posted 12/5/2016 8:10 PM (GMT 0)
I can confirm that fissures or any opening in the wall of the anus that is off to the side 'can' be indicative of Crohn's, as this is what my colorectal surgeon told me. As far as everyone's opinion on pain with fissures, it is completely individual. Some are very painful, some are barely noticeable. I speak from personal experience. How do you know it is a fissure to begin with?
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