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An anal fissure is a linear tear in the skin of the distal anal canal below the dentate line. It is a common condition affecting all age groups but particularly common in young adults men and women are equally affected. The classical symptoms are of anal pain during or after defaecation and the passage of bright red blood per anus. the surgery, called a lateral internal sphincterotomy (lis), involves making a small cut in the anal sphincter muscle. 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. anal fissures, or tears in the mucous membranes supporting the anus, are very common, painful problems. Most fissures are small and temporary, generally responding well to home remedies and medications. A fissure can become a chronic nuisance for some people, however, and surgery may be recommended as a permanent cure. a non-healing anal fissure can trigger a cycle of discomfort that may require medications or surgery to reduce the pain and to repair or heal the fissure they may recur. It may be that the tear is healing, but recur in the same area because the skin in thin and weakened. Medication or surgery are often necessary to stop this process. When you are discharged from the hospital, this is what to expect after anal fissure surgery, regarding the medicines you will be prescribed, which include. Topical medicine to relax your anal muscle and increase blood circulation in the area. Some of these medicines also have anesthesia to relive your pain, which should only last for two to three days after surgery. an anal fissure is a tear of the squamous epithelium that usually extends from the dentate line to the anal verge. In 90 of cases, the fissure manifests as a painful linear ulcer lying in the posterior midline of the anal canal. If your anal fissure doesnt heal, or comes back after a sphincterotomy, your surgeon may suggest you have some tests to check whether the surgery went to plan. These may include an ultrasound scan of your anus and tests to see how well your sphincter muscle is working.