Anal Fissures :
An anal fissure is a small tear or cut in the skin inside the anal opening, which is the end of the digestive tract where stool passes out of the body. Most fissures occur because of passing hard or large stools that cause strain on the anal opening and stretch the sensitive skin around the anus. They may also be secondary to chronic constipation, diarrhea, and other conditions that impair the blood supply to the region, such as inflammatory bowel disease. Affected patients commonly have sharp pain with passage of stools and after they pass stools, as well as itching or pruritus in the region around the anus. Treatment is usually aimed at softening the stool, which can easily pass. This is done through a diet that is rich in fiber, contains large hydration and possible administration of stool softeners. Warm bath shall enhance pain relief, and topical creams or ointments aid healing of wounds better. Surgery may be recommended by a doctor in major or chronic conditions to relax the muscle near the anus if the symptoms do not subside with medication.