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An anal fissure is a small cut or tear in the tissue lining the anus similar to the cracks that occur in chapped lips or a paper cut. Aside from that, a decrease in the blood supply in the anal mucosa can also lead to anal fissure. Once blood supply is low, this can cause spasms in the anal sphincter. These spasms can put unnecessary force in the anal area, thereby resulting to tears or splits along the skin. Anal fissures can also be caused by anal sex, tuberculosis, and. Older adults are also prone to anal fissures due to decreased blood flow in the anorectal area. Blood in the stool can be frightening, whether you discover it while wiping after a bowel movement or from a test ordered by your health care provider. Anal fissures, which are tiny tears in the anus usually caused by hard stools, are the most common cause of blood in toddler stool. View messages from patients providing insights into their medical experiences with blood in the stool - anal fissures. Share in the message dialogue to help others and address questions on symptoms, diagnosis, and treatments, from medicinenets doctors.