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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. 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. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. 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 common and painful condition appearing as a small tear near the external anal opening. Anal fissures can occur spontaneously or as a result of difficult bowel movements. While anal fissures are almost always benign, they are usually tender and painful, especially during bowel evacuation. About one million patients are diagnosed with fissures each year. Keeping the anal sphincter muscle relaxed to prevent spasm is critical to reduce pain and break the anal fissure cycle. 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. video ifs about anal fissure, resons and its treatment along with home remedies. Autoplay when autoplay is enabled, a suggested video will automatically play next. 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.