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Ask health related questions from verified doctors for free and get quick medical advice for your health queries. An anal fissure is a tear in the lining of your anus or anal canal. Theyre common, and they can be caused by any trauma or injury that stretches and tears the anus. Can you tell me how one go to the restroom (2) with an anal fissure? Keep stool soft drink plenty of water, take fiber, avoid acidic foods like citrus and tomato products. Get tested if i understand your question, you have an anal fissure and during a sexual encounter, the fissure was exposed to semen, or some fluid from the penis of an infected individual with hiv. I advise you to seek testing asap for hiv - may require two tests over a few weeks. 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. Although before the covid the doctor examined me and with her finger managed to tell me that the fissure was a problem. When i put the cream on i do it all of inside and outside as well. Started using sudo cream in the afternoon as it seems its getting better. an anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it.