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Anus doctor something sticking up

DR YLM. This caused me to strain in the toilet. Suddenly, and very alarmingly, I felt something pop out. I believe it was a pile. I came home and went to a surgeon who told me I not only had piles, but also anal fissures. What is the difference?
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Rectal Prolapse Expanded Version

Anus doctor something sticking up
Anus doctor something sticking up
Anus doctor something sticking up
Anus doctor something sticking up
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Difference between anal fissures and haemorrhoids | The Star Online

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How Are Anal Skin Tags Identified and Removed?

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Anal skin tags are a common and benign skin issue. They may feel like small bumps or raised areas on the anus. Although skin tags may be sensitive, they rarely cause pain. However, skin tags can be very uncomfortable and itch.
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