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Find anal fissure stock images in hd and millions of other royalty-free stock photos, illustrations and vectors in the shutterstock collection. 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. Although anal fissures are sometimes confused with hemorrhoids, fissures pictures will clearly show the difference in these two conditions. Anal fissures can be extremely painful when having a bowel movement and for some minutes afterwards. The pain is often described as like passing razor blades or broken glass and it can last for some 10 to 15 minutes after a bowel movement. 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. 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. a doctor can often diagnose an anal fissure with a quick physical exam. Treatments can include using stool softeners to make it easier to defecate, cleansing the area with mild soaps, soaking in warm water to ease pain and inflammation, and applying lubricating anti-inflammatory creams to address discomfort. Anal fissures are often curable without surgery, but in rare cases a minor surgery to. in this patient education video for colorectal surgical associates in houston, texas, learn more about an anal fissure.