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Breakthrough treatment proves 90 success rate on painful anal fissures. 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. 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 fissures usually heal within a few weeks without the need for treatment. But they can easily come back if theyre caused by constipation that remains untreated. In some people, symptoms from anal fissures last 6 weeks or more (chronic 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. Breakthrough treatment proves 90 success rate on painful anal fissures.