A tear in the anus or anal canal's lining is known as an anal fissure (the opening through which stool passes out of the body). The fissure may bleed and cause pain. Anyone can get anal fissures at any age. As people age, their likelihood of developing an anal fissure reduces. Fissures are more likely to occur in people in the future if they have experienced them in the past. Your doctor will reexamine you and might perform more tests to ascertain why other therapies have failed to repair the fissure before surgery is recommended. Scarring or internal anal sphincter muscle spasms might cause a fissure to not heal. Surgery typically involves cutting a tiny piece of the internal anal sphincter muscle to relieve pain and spasms and promote healing of the fissure. Seldom does losing the ability to control bowel movements as a result of muscle cutting.
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