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An anal fissure is a small tear in the skin that lines the anus. As in your situation, fissures are often the result of constipation and typically cause pain and bleeding with bowel movements. Most anal fissures heal within a few weeks when steps are taken to soften stools and treat constipation. An anal fissure is a tear in the lining of the anus or anal canal. One sign of an anal fissure is pain during or after a bowel movement. Causes, diagnosis and treatment--including surgery--are discussed. anal fissures, however, are a frequent source of pain with bowel movements. These small tears occur in the skin around the anus or in the thin tissue that lines the anus, called the anoderm. An anal fissure may develop when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. 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. 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. An anal fissure is a tear in the lining of your anus or anal canal, the lowest part of your intestinal tract. It can make bowel movements very painful, and can even cause pain that lasts for hours. these may include a medicated cream (to help heal the fissure), a topical muscle relaxant (to relax the anal muscles), an anesthetic ointment (to reduce pain, if pain interferes with having a bowel movement), or nitroglycerin or calcium channel blocker ointments (to relax the anal muscles and increase blood flow to the region, promoting healing).