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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 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 condition causes inflammation and sores along the gastrointestinal tract. An anal fissure is a tear or crack in the anus or anal canal. Primary fissures are caused by direct trauma, such as the passage of a large, hard stool. An anal fissure is a ulcer or tear in the longitudinal axis of lower anal canal. It occurs in midline posteriorly (common in male) but also occur in midline anteriorly (common in female). Acute fissure- deep tear in lower anal skin with severe sphincter spam, presents with severe pain and constipation. An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus. An anal fissure is a tear or cut that extends into the anal canal. While many fissures measure less than 1 centimeter, the area is sensitive, and any tear can be painful. 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. An anal fissure is usually a short-term (or acute) problem, with symptoms that last 6 weeks or less. Its considered chronic when symptoms last for more than 6 weeks. The goal of treatment is to relieve pain and discomfort, and heal the torn lining. Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own.