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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. Anal fissures usually heal within a few weeks without the need for treatment. But they can easily come back if theyre caused by constipation that remains untreated. In some people, symptoms from anal fissures last 6 weeks or more (chronic anal fissures). Ask health related questions from verified doctors for free and get quick medical advice for your health queries. Anal fissure surgery, tailored sphincterotomy, can you tell me more? 1 doctor answer. More precise lateral internal sphincterotomies treat chronic anal fissures. Traditionally the internal sphincter muscle was divided all the way up to the dentate line. An anal fissure is a tear in the lining of your anus or anal canal. Theyre common, and they can be caused by any trauma or injury that stretches and tears the anus. Anal fissures are also more common during pregnancy and childbirth. An anal fissure occurs in about 1 in 10 women during childbirth. In a small number of cases, a fissure occurs as part of another condition. I have an anal fissure and was prescribed nitroglycerin ointment. Can someone tell me exactly how to apply this? Ive read online that you are supposed to put an inch of it on your finger and apply rectally. Does that mean i am literally sticking my finger inside of my anus or do i place on top of the anus? I am confused.   anal fissure is injury to anal canal like scratch due to passing of hard stool. The best treatment for it is hot sitz bath in large container after passing stool and laxatives for 15 day and if still it is there than surgery woud be the best and permanant option.

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