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Retrieved 12 May Archived from the original on 4 February You may opt out at any time. Archived from the original on 27 July Saunders Elsevier; Is anal sex even an option? This allows more blood to flow through the area to heal and protect tissues.
An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation,  but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because anal fissure image the relatively unsupported nature and poor perfusion of the anal wall in that location. Fissure depth may be superficial or sometimes down to the underlying sphincter muscle. Untreated fissures develop a hood like skin tag sentinel piles which cover the fissure and cause discomfort and pain. Most anal fissures are anal fissure image by stretching of the anal mucous anal fissure image beyond its capability.