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To see a diagram of a fissure, watch the video anal fissure--3d medical animation. Hemorrhoids are often accompanied by fissures and show many of the same symptoms. The difference between anal fissures and hemorrhoids is that they are each a different kind of injury. While an anal fissure is a tear of tissue, hemorrhoids are caused by the weakening of cushions of tissue in the lower rectum, causing the skin to. 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. A hemorrhoid is a pile of inflamed varicose veins in the inner layer of the rectum and anus. Anal fissures occur when there is a split or tear in the anus. This can occur from a particularly hard or large stool, and most patients can recall this occurring shortly before the onset of symptoms, maybe within a few days. An anal fissure can also be the result of some sort of trauma to the anus, including scratching. an anal fissure is a tear in the thin outer lining of the anus while hemorrhoids are engorged blood vessels located within the lower rectum and the anus. Although the two conditions seem similar, they generally have different causes and also anal fissure have different medicine. blood in the stool, painful bowel movements, anal itchingpatients that experience these symptoms may be worried what these symptoms mean and if theyre evidence of hemorrhoids or anal fissures. These two conditions may seem similar with their symptoms and causes, but they are two separate conditions. Hemorrhoids are presumed to be caused by repeated pressure in the anal and rectal veins. Anal fissures are caused by trauma to the anal canal usually during bowel movements. Anal fissures are also sometimes caused by inflammatory bowel disease or infection. What is an anal fissure? Anal fissures are cracks that occur in or near the anal opening. The pain and burning during a bowel movement and the blood on the toilet paper mean fissures are often confused with hemorrhoids. We often see patients who believe they have hemorrhoids who actually have an anal fissure, or they have both. An anal fissure is a cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter.