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Breakthrough treatment proves 90 success rate on painful anal fissures. Our colorectal surgeon explains how to get an accurate diagnosis and the right relief. The pain caused by anal fissures can be scary, especially if youve never experienced it before. You can treat fissures with medication after seeing your doctor for an exam. An anal fissure is a tear in the lining of the anal canal usually in the posterior portion, often the result of constipation and straining to have bowel movements. Fissures also can be caused by anal trauma (including anal sex) and laxative abuse, and can occur during childbirth. By richard ellin, md, facp question im a 37-year-old cyclist. Im contacting you today to seek help with a saddle issue that is threatening to remove me from the sport. And the thought of not being able to ride my bike is heartbreaking. 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. Anal fissures are small tears in the thin, moist tissue that lines the anus, and typically cause pain, bleeding and even spasms. Here are seven natural treatments that can promote healing and help relieve discomfort. 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. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you dont follow the self-help advice outlined below. Anal fissures are quite common in infants, affecting as many as 8 out of 10 babies under one year of age. Anal fissures typically heal on their own within a couple of days, and bleeding generally stops within 5 to 10 minutes. Breakthrough treatment proves 90 success rate on painful anal fissures.