The patient is a 28-year-old Caucasian male who works in a physically demanding job.
Anus pain for 8 months
He come to see me for his anus pain, and told me he has a fissure in the anus.
The pain is whole anus, but left side is worse. fissure is around 1 cm at the top part of the left side.
The pain is tingling, burning, numbness
Walking 7-8, sitting 6-7/10, standing 6-7, lying on 3-4
Taking lactulose for stool soft and diltiazem for muscle relax. no more useful.
The specialist recommends surgery for the anal fissure.
What are your thoughts on this case?
What physical examinations should be performed?
What treatments are appropriate?
I am available to discuss my views.
Thank you!
中文微信：nzacupunctureclinic
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