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  acute anal fissure typically heals after conservative treatment in 6 weeks chronic anal fissure. During childbirth, trauma to the perineum (the skin between the posterior vagina and the anus) may cause a tear that extends into the anoderm. Anal fissure (fissures) is a very painful condition caused by trauma to the anus and anal canal, which then cuts or tears the anus and anal canal tissue. These tears can be caused by straining to have a bowel movement, hard stools, and chronic episodes of diarrhea. Symptoms include rectal bleeding, anal itching, and painful bowel movements. Anal fissure or fissure-in-ano is a kind of longitudinal cut (linear ulcer) at the anal canal outer anterior and posterior margins (skin-lined part) which is formed when a person suffering from constipation passes hard stool with strain. An acute anal fissure appears as a fresh laceration, while a chronic anal fissure has raised edges exposing the internal anal sphincter muscle fibres underneath. A fissure may fail to heal because of scarring or muscle spasms of the internal anal sphincter muscle. Surgery usually consists of making a cut to a small portion of the internal anal sphincter muscle to reduce pain and spasms and allow the fissure to heal. Cutting the muscle rarely results in the loss of ability to control bowel movements.   when you are discharged from the hospital, this is what to expect after anal fissure surgery, regarding the medicines you will be prescribed, which include. Topical medicine to relax your anal muscle and increase blood circulation in the area. Some of these medicines also have anesthesia to relive your pain, which should only last for two to three days after surgery. Anal fissure is a linear ulcer in the squamous epithelium of the anal canal located just distal to the dentate line. It is usually located in the posterior midline but occurs anteriorly in a fifth or more or patients. It typically causes pain during defaecation which may last for 12 h afterwards. The internal anal sphincter is one of two muscles that form the anal sphincter. The internal anal sphincter is partially divided surgically to reduce spasming and the resting pressure without affecting the use of the sphincter. It improves the blood supply to the fissure area and helps it to heal faster. Documented to be the best non-surgical option for prevention and healing of anal fissures. The pranicura treatment is a breakthrough in bringing relief and.

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