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Documented to be the best non-surgical option for prevention and healing of anal fissures. 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. Was very bad and for a year doctors treated it as piles but then when i was loosing so much blood that started fainting they referred me to the hospital and done botox injection. Fissure didnt go away but i was able to get away using regtogestic glyceril trinitrate cream on daily basis. An anal fissure is a linear tear in the skin of the distal anal canal below the dentate line. It is a common condition affecting all age groups but particularly common in young adults men and women are equally affected. The classical symptoms are of anal pain during or after defaecation and the passage of bright red blood per anus. Be aware, however, that surgery to treat an anal fissure involves partially dividing the internal sphincter muscle. This will help ease the pain and labor involved during bowel movements, giving fissures a chance to heal. When the fissure first develops, it usually only involves the mucosa, the outermost lining of the canal. If an anal fissure is left unattended, however, it can erode through the entire anal and even create a fistula, a second anus opening through the skin. This can happen because of constipation, diarrhea, labor and delivery of a baby, laxatives, and stress. An anal fissure can cause pain, rectal bleeding, a tearing feeling when using the toilet and cramping in the anal opening. Documented to be the best non-surgical option for prevention and healing of anal fissures.