An anal fissure is a cut or tear in the lining of the anus. The anus is the opening through which stool leaves the body. Tears generally occur just inside the opening. The exact cause of an anal fissure is unknown. In most cases, tearing is the result of trauma to the anal lining.
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An anal fissure is a longitudinal tear or defect in the skin of the anal canal distal to the dentate line. It is hypothesized that this predilection for the posterior midline may occur because this portion of the anal canal is poorly perfused. They are associated with younger, mostly female, patients often with an injury to or dysfunction of the external anal sphincter. Irrespective of these differences posterior and anterior anal fissures are thought to be of primary etiology, whereas lateral or multiple fissures are more likely to be secondary in nature. The clinical features are severe tearing pain with the passage of feces often with a small amount of bright red blood on the stool or toilet paper.