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Conditions

Anal Fissure

A fissure on the tongue, similar to that found on the anus

An anal fissure is a small tear of the skin just inside the opening of the anus, which are very common in people of all ages, but are most common in teenagers and young adults. Frequently no cause is found for an anal fissure, but they can occur on other parts of the body (the image above shows one on the tongue). However, it is commonly linked to constipation, where straining on hard stools (a feeling akin to trying to pass a house brick) can tear the skin of the anus. The resulting fissure can cause a sharp, knife-like pain, especially when opening the bowels. It may also bleed a little and stain the toilet paper with bright red blood. But before you declare the toilet a crime scene, it’s worth remembering that an anal fissure, whilst painful and sometimes upsetting, is very rarely serious and will usually heal on its own in a couple of weeks. But if it doesn’t, then get your GP to have a look – they’ll have seen it all before.

If you are worried that your child may have an anal fissure, then read our guide especially for parents on the Embarrassing Bodies: Kids website.

What the Men in White Coats Say

Comments and Questions

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im a mess :( ive just been diagnosed woth crohnes disease ive got a chronic anal fissure that a i type is so painful im in tears ive got anxiety, depression an borderline agrophobia as i fear im going have a toilet accident when im not near one its ruining my relationship prospecs and ive lost a job over it as i felt trapped behind the till alone for five hours eachday and couldnt just run to the bathroom as soon as i needed to i cant control anything down there and it seems every emotion i have upsets my stomach





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Vitimin A cream or Citimn E cream better for anal scarring?





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Ooops I meant VITIMIN E

Probably about 2 months ago I had blood after I wiped and sometimes on the stool almost every time I went sometimes with a little pain but sometimes not then it went away for a while but today after I went there was blood on the tp and on the stool I think more than before and I dont know what is causing it the stool wasnt particularly large but there was a lot and it might have been hard I dont think I was constipated today but I have been before also while I was going today there was alittle stinging/burning or pain and after I went today there was irritation please let me know if you think it is an anal fissure or what





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The pain started a week ago when I had a small cut in my anus and doesn't hurt as bad when my stools are funny and soft from laxative. However, I was on antibiotics (for another infection) when my fissure started and this has led to constipation.. Prior to this I had absolutely healthy bowel movements. I have just ended my course of antibiotics today. It's been a week and was getting better two days ago, today it took me an hour to poo and was In Extreme pain. Seen a doctor and she told me to apply anusol and wait for the cut to heal. Will it get better soon because I really don't want a surgery! I am currently drinking 4-5 litres of water s day, loads of fibre, stool softerners with nearly every meal And laxatives at night.





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I have been experiencing anal pains when I go number two and they don't go afterwards I can barely sit down the discomfort is just unbearable, this is new to me I don't know what to do, please assist me as I am currently lying on my bed on my belly I can barely move... I'm 29 And I have experienced constipation before normally this pain goes away after like 30mins but today its bin like this since the morning... Its been almost 12 hours now... I'm too embarrassed to ask for help... So can we try home remedies first then we'll go to the chemist my name is Douglas





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Hi I know how you feel I've had so much pain for 8 weeks was treated for anal fissure and piles nothing really worked ice your bottom use cream I've tried all, I can go to the toilet then it ruins my whole morning, simple best advice shower your bottom after going to toilet lay on your bed on your side for a while, rectogestic from gp helps lots, go to the doctors and get referred to consultant I now have neozem cream helping lots, hopefully all fixed soon so I can get back to work, ( small helpful advice a warm flannel held around your bottom for few seconds helps loads).

I have no pain but noticed blood when using toilet paper. I took a closer look a seen a small cut. Is that bad?





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Hi,I have a problem going to the toilet when I have a number 2 I tend to go to the toilet anything from 3 times a week or it can be more,I have to squeeze really hard and I also have to hold my breath to get any sort of movement when it starts to move down to the anus it's sore to come out as I have a fissure, when it crosses it blood come out of my bottom. My stools are hard and lumpy I had to change my diet to high fibre this doesn't make any difference. I have been to the hospital a few times and i had a camera up my back passage and the doctors found nothing wrong, I have had most medication to soften my stools but nothing works for me.I have had this problem for about 20 years plus.Please can you help. Thanks from Dougie.





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Hi there,I have been having terrible pain in side my bottom since January,my pain mostly comes in the middle of the night and last for about 40 minutes,Have been to the Doctors so many times,and yesterday I had a procedure called a flexy Sig,and they found a tear inside my Anal canel,told me to apply some cream which I'm getting of my Doctor today,But still don't no why I'm getting so much pain if I havent opened my bowls,And when I do open my Bowls I get such a belly pain and feel like everything wonts to full out if you no what I mean,I had a Cist on my right Oaviery which was removed two months ago,I am 45 years old and just don't feel right inside my body anymore,any advice for me please,many thanks xx





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My doctor precribed me with neozem before she diagnosed me with this cream. I havent yet used it as im sure im pregnant though a blood test and urine tells me otherwise so im just waiting it out till i start showing more signs. But im up because im feeling extreme pain. I eas wondering if its safe to use this cream whilst pregnant.





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I've had anal fissures for 4 years and here is what totally got rid of them. I shower with pure Castille Soap (found in Health food stores) and then I apply coconut oil on the fissures after my showers and after each BM. In four days they were gone and, after 2 months, I'm still free of them. YES!





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I have anal fissure for more than 1 year. Nothing works for me. But I never tried coconut oil. I find that everything on internet saying to use coconut oil in fissure. Can you please explain how to and how much it should be applied.


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Content supplied by NHS Choices

An anal fissure is a tear or ulcer in the lining of the anal canal, just inside the opening of your anus. They can be very painful, particularly when you are passing stools and for a while afterwards. Anal fissures can also causeminor bleeding, which you may notice in your stools or on your toilet paper. Read More »

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