An anal fissure is a tear in the lining of the anus or anal canal. One sign of an anal fissure is pain during or after a bowel movement. Causes, diagnosis, and treatment--including surgery--are discussed. 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). The fissure can be painful and may bleed. Anal fissures can occur in anyone at any age. The chance of having an anal fissure decrease as people get older. People who have had fissures in the past are more likely to have them in the future. Before surgery is considered, your doctor will re-examine you and may conduct other tests to determine why other treatments have failed to heal the fissure. The surgery can usually be performed on an outpatient basis (the patient goes home the same day). Pain is relieved after a few days and complete healing takes place in a few weeks.
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