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Ed solves another problem! In the united states alone, about a million people suffer from anal fissures. This is a painful split in the skin where bowel movements come out. Welcome! Discuss your experiences, share your stories and get friendly help and advice. An anal fissure is a small tear in the skin that lines the anus. As in your situation, fissures are often the result of constipation and typically cause pain and bleeding with bowel movements. Most anal fissures heal within a few weeks when steps are taken to soften stools and treat constipation. A fissure may fail to heal because of scarring or muscle spasms of the internal anal sphincter muscle. Surgery usually consists of making a cut to a small portion of the internal anal sphincter muscle to reduce pain and spasms and allow the fissure to heal. Cutting the muscle rarely results in the loss of ability to control bowel movements. Fibrin glue is a therapeutic for fistulas that activates thrombin to form a fibrin clot, which mechanically seals the fistula tract. We assessed the efficacy and safety of a heterologous fibrin glue that was injected into the fistula tracts of patients with crohns disease (clinicaltrials.). Sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water -- two or three times a day for 10 to 15 minutes -- you can clean the anus. you can sometimes use skin tension to bring the edges of the fissure together, then apply superglue sparingly, making sure to extend the area glued about 5mm beynd the edge of the fissure otherwise it doesnt hold the edges together. Author information (1)gastroenterology service, university clinical hospital of valencia, 46010 blasco ibanez avenue, valencia, spain. Es diagnosis of chronic anal fissure is easy and common in clinical practice. most commonly, a fistulotomy is necessary in order to cure the fistula. Usually, the fistulous tract is opened surgically and allowed to granulate and resolve. Recurrences are not uncommon, and the treatment is usually curative.