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Documented to be the best non-surgical option for prevention and healing of anal fissures. An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic fissures, pain intensity often reduces. 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. Anal fissure last revised in january 2017 next planned review by december 2021. An anal fissure is a tear or ulcer in the lining of the anal canal, immediately within the anal margin. The most common symptoms of anal fissures are a sharp pain when you poo, often followed by a deep burning pain that may last several hours bleeding when you poo most people notice a small amount of bright red blood either in their poo or on the toilet paper when to see a gp. 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 cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. However, you should see your gp if you have an anal fissure as they can give you advice and medications to help ease your symptoms and allow the fissure to heal more quickly. An anal tear (fissure) causes pain around the back passage (anus). Documented to be the best non-surgical option for prevention and healing of anal fissures.