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Most anal fissures are caused by stretching of the anal mucous membrane beyond its capability. Anal fissure (fissures) is a very painful condition caused by trauma to the anus and anal canal, which then cuts or tears the anus and anal canal tissue. These tears can be caused by straining to have a bowel movement, hard stools, and chronic episodes of diarrhea. Symptoms include rectal bleeding, anal itching, and painful bowel movements. An anal fissure is a small tear or crack in the lining of the anus. If you experience severe pain or bright red bleeding during or after bowel movements, you may have an anal fissure. Inflammatory bowel diseases like crohns disease and ulcerative colitis can cause complications to the tissue around the anus, like anal fissures. 1 an anal fissure is a split or tear at the end of the anal canal. A fissure that has been there for 3 months or more is chronic.

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