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You don’t usually need an anaesthetic. But if it's painful, you can have the examination under general anaesthetic. Your doctor will take a sample of tissue (a biopsy) … 2020-7-24 · Physical Examination. Initially, the fissure is just a tear in the anal mucosa and is defined as an acute anal fissure. If the fissure persists over time, it progresses to a chronic fissure that can be distinguished by its classic features.

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The external anal sphincter is the most distal part of the anal canal.

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