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Fissure or fistula?

Hi everyone,
I'm still pretty new to my crohns disease I was diagnosed with in august. I went to see my GI doctor two weeks ago and his assistant nurse checked my "bum" out and she thought it was a fissure. Well the pain is back and I am having some random drainage. She did notice I had a skin tag which is still there. The medication they gave me nitroglycerin gel I believe really stings badly when I use it. How do I know if it's a fistula? Thank you for your help
 
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