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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. Who gets anal fissures? These tears are common, although you might think the pain and bleeding are symptoms of other conditions, like hemorrhoids. Haemorrhoids, anal tears and anal fissures can all result in bleeding from the anus, which can be quite alarming. All these conditions are relatively common and in most cases any bleeding is not a cause for alarm. However, any bleeding from the anus should always be investigated immediately as it may be a symptom of a more serious condition. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. However, you should see your gp if you have an anal fissure as they can give you advice and medications to help ease your symptoms and allow the fissure to heal more quickly. 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. Anal (bottom) fissures are small tears or cracks in the skintissue that lines the bottom (the part in between your butt cheeks where poop comes out) this can be due pressure and strain on muscles during pregnancy or due to childbirth. It is not uncommon for people to confuse anal fissures with hemorrhoids.