A colon & rectal doctor can diagnose an anal fissure just by the symptoms. Often they don't do an examination because the area is so sensitive. The use of the term “razor blades” makes it 90% likely she has an anal fissure. Most likely a doctor will advise that it is important that she start applying a new medicine (0.2% or 0.3% nifedipine) immediately before the anal fissure (if that is diagnosed) becomes chronic. If the doctor is not familiar with the use of nifedipine for AFs refer him to November 2002 Diseases of the Colon & Rectum at page 1468 (95% cure rate). Once an AF becomes chronic it is much more difficult to heal and then surgery becomes an option. Also, check out the analfissure group on yahoo and the anal fissure self help page at [url="http://boardsailor.com/jack/af/#ModHistory."]http://boardsailor.com/jack/af/#ModHistory.[/url]