Dr. Mohammed Hatem Alsubaih · Consultant Colorectal Surgeon

CLINICAL DECISION PATHWAY

Anal pain analysis

Separates fissure-like, abscess-like, painful lump, fistula-related and postoperative pain patterns.

Red flags firstDecision-changing questionsPattern-based resultNext step

For adults: educational guidance to understand your next step and prepare for examination. An urgent warning appears immediately; you may continue documenting your history, but do not delay urgent care to finish the questionnaire.

Tool limits: Structures clinical reasoning, priority and missing information. It does not diagnose disease or choose an operation.

BEFORE YOUR VISIT

Describe pain in a way that helps examination

Describe when pain starts, whether it relates to bowel movements or persists between them, and any lump or drainage. Mention a recent operation. These details prepare the visit; the app cannot see a fissure or exclude a deep abscess. You do not need to know a medical term before asking for help.

What will you take away?

A next-step guide, discussion points, preparation list and a summary to copy or save for any clinician you choose.

You control sharing

No account, name or intimate images. Answers are temporary within the page. Booking does not send answers; sharing is your choice.

Question guide: how each answer changes the differential

Fever/chills or increasing painful swelling?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Severe difficulty/inability to urinate?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Relation to bowel movement?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

If bowel-related, how long does it persist afterward?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

How did pain start?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Sudden painful lump?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Purulent drainage/recurrent opening?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Bright blood with pain?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Duration?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

How is the pain changing over time?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Is stool often hard with straining?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Prior abscess/fistula/anal surgery?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Has a clinician examined this problem and made a diagnosis?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Do you have diagnosed Crohn’s disease or ulcerative colitis?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Any unintentional weight loss or confirmed anemia?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Any ulcer, rash or nonhealing lesion in the area?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Worse with sitting and relieved by lying/sleep?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Are there completely pain-free intervals between episodes?

This question distinguishes fissure, abscess, thrombosed hemorrhoid, fistula, functional pain and atypical causes.

Sources and how they are used

Guidelines and official patient information support the medical principles. Question wording and priority categories are educational adaptations, not a society-validated instrument. No ASCRS, ECCO or NICE endorsement is claimed. Referral and testing systems vary by country. Reference-link checks: 9 September 2026; this is not human clinical review or clinical performance validation.

Privacy and assessment scope

Questions run on this page without requiring your name, phone number or intimate images. You may add a first name for the displayed report; it stays on your device and is not sent to AI. Optional AI assessment sends your answers and text to Cloudflare only with your consent; files are sent when you request extraction. Remove identifiers before upload. The app creates no permanent medical record and no clinician reviews the output. Answers do not persist after reload and are not sent automatically to the clinician. WhatsApp is an external service; the booking button does not attach medical answers. Saved or copied reports contain health information: review them and choose who to share them with.

App files may be cached locally for offline use; this does not include assessment answers. Hosting services process ordinary web requests under their policies. Guidance is automated education, not a diagnosis, prescription or clinician-issued report.