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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. Botulinum toxin is a relatively new treatment for anal fissures. Botulinum toxin is a powerful poison thats safe to use in small doses. If you have an anal fissure, an injection of the toxin can be used to paralyse your sphincter muscle. 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. The goal of treatment is to relieve pain and discomfort, and heal the torn lining. Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own. 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. there are many options for anal fissure treatment without surgery. Anal fissure home treatment solutions include stool softeners and topical creams. an anal fissure is a tear or cut that extends into the anal canal. While many fissures measure less than 1 centimeter, the area is sensitive, and any tear can be painful.