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Documented to be the best non-surgical option for prevention and healing of anal fissures. Triggers can range from bad bathroom habits to certain health conditions. Find out more from webmd about what could be to blame for that itch. I first got an anal fissure about a month ago, and i feel a sharp pain when passing stools ever since it started,. Our colorectal surgeon explains how to get an accurate diagnosis and the right relief. This scratch-itch cycle is made worse by nighttime scratching when the sufferer is half asleep and unaware that they are. Older adults are also prone to anal fissures due to decreased blood flow in the anorectal area. An anal fissure is a tear in the lining of the anal canal usually in the posterior portion, often the result of constipation and straining to have bowel movements. Fissures also can be caused by anal trauma (including anal sex) and laxative abuse, and can occur during childbirth. Anal fissures usually heal within a few weeks without the need for treatment. But they can easily come back if theyre caused by constipation that remains untreated. In some people, symptoms from anal fissures last 6 weeks or more (chronic anal fissures). Sometimes fissures may deepen to reach the underlying sphincter muscle (the muscle around the anal canal). It is not completely understood why some fissures heal and others do not. One major factor is persistent constipation or diarrhea, which can prevent healing. Documented to be the best non-surgical option for prevention and healing of anal fissures.