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some conditions that may more directly lead to anal fissures are ones that induce trauma to the area, such as vaginal delivery, anal sex, or passing hard stool. bowel movements can also keep the fissures from getting better. The condition may occur due to constipation and hard pressure (to get rid of the stool). There may also be an increased tension (a kind of cramp) in the anal sphincter. Cramp in the anal sphincter results in reduced blood flow into this muscle. For preventing anal fissures, you can try the following - eating a diet full of fiber. You can even try supplementing fiber in the diet through over-the-counter fiber powders. These help in reducing the stool size and preventing anal fissures. Anal fissures are a common complaint of people who have ibs, particularly those who have constipation-predominant ibs. The hard stools and straining associated with constipation are both possible contributors to the onset of anal fissures. The silver lining here is that anything you do to help your system to treat your ibs and get your system to function more regularly should also help to.