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Anal fissures are a painful condition that need medical attention. 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. Many factors can cause anal swelling, or a swollen anus, which can be itchy or painful. the treatment information given here is not official policy of the american cancer society and is not intended as medical advice to replace the expertise and judgment of your cancer care team. It is intended to help you and your family make informed decisions, together with your doctor. An anal fissure is a tear or cut that extends into the anal canal. While many fissures measure less than 1 centimeter, the area is sensitive, and any tear can be painful. The treatment of anal fissure breaks the cyclic anal sphincter spasm, prevents tearing of the anal mucosa, and promotes healing of the fissure. The majority of anal fissures are treated medically, which is the topic of this discussion.