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The most common symptoms of anal fissures are a sharp pain when you poo, often followed by a deep burning pain that may last several hours bleeding when you poo most people notice a small amount of bright red blood either in their poo or on the toilet paper when to see a gp. 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, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. 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. An anal fissure is a cut or a tear in the thin, delicate lining of your anus. The tear often exposes the muscle around the anus, called the anal sphincter. If your anal fissure is particularly severe or doesnt respond to treatment after 8 weeks, you may have to be referred to a colorectal surgeon, a doctor who specialises in conditions that affect the rectum and anus, for specialist treatment. Treatment wise, ive already gone to the colorectal surgeon im seeing twice, for a diagnosed anal fissure ive had since around the start of january 2020. The first time he just have me a prescription strength hydrocortisone cream, and the second time a small (and expensive) tub of nifedipine ointment prescription, which i just finished. An anal fissure is a tear or split in the lining of the anus (anal mucosa). The symptoms and signs include pain when passing a bowel motion and bright red blood from the anus. The problem is common in children younger than one year, and affects around eight out of 10 babies.