An anal fissure is a tear or crack that occurs in the skin near the anal canal.

It is typically caused by stretching of the skin beyond its capacity .

Severe pain during and following bowel movement

Bleeding is often associated with the bowel movement

Some heal on its own while others become chronic


  • Rectal Bleeding
  • Pain
  • Leakage
  • Difficulty with bowel movement
  • Fever
  • Chills

Treatment allows for looser stools and healing

  • Fiber
  • Sitz bath
  • Xylocaine 2%
  • Nitroglycerine ointment 0.2%
  • Surgery is rare
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