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Anal Fissure

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An anal fissure is a small split or cut in the skin at the anal opening. Fissures typically cause pain and often bleed. Fissures are quite common, but are often confused with other causes of pain and bleeding, such as hemorrhoids. Most fissures occur along the mid-line - the top or bottom - of the anus.

Signs and Symptoms

The symptoms of anal fissure are following:

  • Painful bowel movement
  • Bleeding
  • Constipation

Causes of Anal Fissure

There could be many reasons for Anal fissure including:

  • Anal fissures are pretty much common in young infants but may occur at any age
  • Diarrhea for a longer period of time
  • Too much tension in the sphincter muscles that control the anus
  • Passing of large, hard stools


Most anal fissures heal their own and do not need any specific treatment. However following treatment options are used to treat anal fissures:

  • Drinking more fluids
  • Eating a high-fiber diet to avoid constipation
  • Using stool softeners
  • Allowing enough time for a bowel movement
  • Sitz baths (soaking anal area in plain warm water)
  • Avoid foods that may not be well-digested (i.e., nuts, popcorn, tortilla chips)
  • Topical ointments