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Breakthrough treatment proves 90 success rate on painful anal fissures. Unusual bowel movements, including hard stools and diarrhea, can cause the tender lining of the anus to tear. In addition to constipation and diarrhea, other risk factors for fissures include having inflammatory bowel disease, being overweight or being of an advanced age. Hemorrhoids and anal fissure treatment 100 effective natural remedies to accelerate healing hemorrhoids and fissures occur in the rectum when chronic constipation and more tender damage anal tissues. But if your doctor thinks an inflammatory bowel disease has led to the anal fissure, you might need more tests. 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. Our colorectal surgeon explains how to get an accurate diagnosis and the right relief. Breakthrough treatment proves 90 success rate on painful anal fissures.