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Anal fissure last revised in january 2017 next planned review by december 2021. An anal fissure is a tear or ulcer in the lining of the anal canal, immediately within the anal margin. 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 in children are most often caused by constipation and the passage of hard or large stools. One-time anal fissures are common in young children, though youth with crohns disease may experience multiple, more severe or recurrent tears due to their condition. Anal fissures are painful, and embarrassing, but i would recommend anyone who thinks they may have them and can not treat them at home, to see a doctor. This is not something anyone wants to have chronically, or at all. I was given stool softeners, and topical creme for my affected area. An anal fissure is a tear in the mucosa of the anal canal, just inside the anal margin. It is a common condition causing pain on defecation in adults and children. Most anal fissures respond well to conservative or topical management. Anal fissure what is an anal fissure? An anal fissure is a tear in the lining of the anus or anal canal (the opening through which stool passes out of the body). Who is at risk for anal fissures? Anal fissures can occur in anyone at any age. The chance of having an anal fissure decreases as people get. An anal fissure is a cut or tear in the lining of the anus that causes pain during and after a bowel movement. Anal fissures are sometimes confused with hemorrhoids, which may also cause pain.