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Breakthrough treatment proves 90 success rate on painful anal fissures. 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 usually a short-term (or acute) problem, with symptoms that last 6 weeks or less. Its considered chronic when symptoms last for more than 6 weeks. The symptoms of anal fissures are usually very noticeable and can be particularly disturbing and painful. 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. 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. If you have an acute anal fissure, you may feel a tearing or ripping sensation in that area during bowel movements. Breakthrough treatment proves 90 success rate on painful anal fissures.