Symptoms usually happen during or right after passing stool and can include:
The pain can last from several minutes to several hours and happens again when you pass more stool.
Anal fissures that cause symptoms for less than 6 weeks are called acute. Those that cause symptoms for longer are called chronic.
Doctors can usually tell you have a fissure just by looking at your anus.
Sometimes, they will need to do an exam of the rectum with a gloved finger or an anoscope (a short tube doctors use to look in the anus). If there's bleeding, doctors look at the lower bowel with a longer scope to see if there's another cause for the bleeding.
To make it easier to have a bowel movement (pass stool), you can:
To help lessen the pain, you may need to:
Anal fissures can cause the muscle in your anus to cramp up (spasm). Anal spasms hurt. They also can limit blood flow to the anus. The lack of blood flow keeps the anal fissure from healing. To stop the spasms and help the fissure heal, doctors may: