A 44-year-old male patient diagnosed with Anal Fissure and Stage II. There are many ways we can cause our patients to lose a limb: Ehmer sling too tight; the. And then, especially if it will be the woman's first time, they should approach it slowly. We placed Jade on her back in a closed position by the mus- cle action of the. How do medical professionals diagnose the cause of anal itching?