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If your anal fissure is particularly severe or doesnt respond to treatment after 8 weeks, you may have to be referred to a colorectal surgeon, a doctor who specialises in conditions that affect the rectum and anus, for specialist treatment. Sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water -- two or three times a day for 10 to 15 minutes -- you can clean the anus. 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. 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. You can treat external hemorrhoids with oral medications and ointments to apply locally. Internal hemorrhoids are more painful, and they occur at the junction of the rectum and anus inside the body. They are covered with a mucous membrane and can protrude from the anus cut off the blood supply. 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). An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus. If other treatment options havent helped your anal fissure to heal, or it keeps coming back, your gp may refer you to a colorectal surgeon. Your surgeon will talk to you about what other options they may recommend for treating your anal fissure.