امرأة عندها ألم حاد شديد مع الإخراج ودم أحمر قليل على المناديل، والألم يستمر بعد الإخراج. ما الأرجح؟

A woman has sharp severe pain with defecation, a little bright red blood on the tissue, and pain lasting after defecation. What is most likely?

1. Sigmoid colon cancer
2. Anal fissure
3. Diverticulitis
4. Painless internal haemorrhoids

Answer: B) Anal fissure. An anal fissure causes sharp tearing pain during and after defecation with a little bright blood; treated with fibre, water, softeners and sitz baths.