Sorry for the double post. I posted this on my introduction thread, but I think more people might look at it on a separate post. So decided to create a new one to get more visibility

I saw new CRS and he mentioned to me that I actually have 2 fissures slightly away from the center. He drew a diagram describing where he saw them. From the diagram it seemed like they were at the 11:00 and 1:00 position slightly off center (from the classic 12:00 position near the tail bone for men) He said that fissures generally happen on the front or back but in the center of the muscle and my 2 fissures were slightly off the center. He was asking to rule out IBS or some other reason for the off center location. I said I had done a colonoscopy about 3.5 years ago and nothing was found during it. Then he said he was not overly worried about it.

Does anybody else have a fissure that is not in the center? Does it necessarily mean something more complex than a fissure alone?

I have a fissure at 11 and 6 so it can happen. It's unlikely to be anything suspicious as most people with peri anal crohns have fissures at 9 or 3. No anatomy is symmetrical and just off centre is normally okk. I had my fissures tested for peri anal crohns but mainly because I have crohns anyway. My CRS who specialises in IBDs assured me the test would come back negative and it did.
Try not to worry

The CRS said he was not overly worried. Thanks mpb for your response, going to keep this in the back of my mind for now.

This was posted by patience_and_healing on my other thread

Ideally you should create a new thread for a question on a different topic. If you are concerned about the off center location you could go ahead with the colonoscopy. It's been a while since your last one. My CRS told me the same thing about off center fissures, that they do further investigation to make sure it's not another cause. Also they can tell by the look of the fissure (highly inflamed) whether it could be caused by an underlying condition.

Thx for the response patience_and_healing. I actually created a separate thread for it as well.

I dread the thought of going through the prep for colonoscopy with an active fissure. I wanted to get more information what exactly is the worry.

He said that the skin tag was inflamed, do you mean that or does the fissure itself get inflamed apart from the Skin tag? He asked me to use Analpram to decrease the inflammation on the skin tag and then switch back to Diltiazem.