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An anal fissure is a small cut or tear in the lining of the anus. The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements. 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 tiny tears that occur in the delicate lining of the anus. This tearing is often associated with constipation and the passage of hard stool. At first these tears only involve the outermost layer (epithelium) of the anal mucosa but over time it can extend deeper. Examples of possible causes of anal itching include hemorrhoids, anal fissures, pinworms (enterobius vermicularis), spicy foods, and medications. Additional symptoms associated with anal itching include burning and pain if the anal skin is traumatized by scratching. The diagnosis of the cause of pruritis ani requires examination of the anus for. Anal skin tags are usually formed as a coping response to anal fissures or tears. There can be several ways by which small fissures or tears may be formed around the anus constipation when you are constipated, your stool gets dehydrated and gets compressed, hence it becomes significantly harder. 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. Anal fissures are small cuts or tears that occur in or on the anus. They may result from passing hard stool, which can tear the delicate skin of the anus.