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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. An anal fissure is a tear in the opening at the end of the gastrointestinal tract, called the anus. Anal fissures in children are most often caused by constipation and the passage of hard or large stools. 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. an anal fissure is a tear or cut in the anal canal which is the last part of the large intestine through which stool is expelled. This occurs during a bowel movement when you pass hard or large stools. anal fissures are small tears in the membranes of the anus. They usually heal very quickly with home care, although some cases may require more aggressive treatment, and they are relatively common, especially in infants. new protocol to treat anal fissures offers excellent results, without cutting the muscle. Sometimes the most difficult thing about a problem is overcoming the fear of facing it. When people have painful conditions of the anus, they tend to be embarrassed to talk about that part of the body and even less enthusiastic about inviting a doctor to take a look. if you develop an anal fissure after childbirth, you will seek ways to relieve your discomfort. A warm bath for an anal fissure is also considered a sitz bath. For it to be effective, you must sit in the bathtub in an upright position so you can clean or comfort the rectal area.