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an anal fissure is a small cut or tear in the lining of the anus. The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements. An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. anal fissure is the most common cause of rectal bleeding in infancy. Anal fissures occur in the specialized tissue that lines the anus and anal canal, called anoderm. an anal fissure is a cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter. an anal fissure is an anal tear or crack, in the lining of the anal canal, a cut or tear in the anus that extends into the anal canal. It can cause pain during and after a bowel movement and there. It is a rare disease, but typically brought on by anal fissures and irritable bowel disease.