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an anal fissure (see the images below) is a painful linear tear or crack in the distal anal canal, which, in the short term, usually involves only the epithelium and, in the long term, involves the full thickness of the anal mucosa. Anal fissures develop with equal frequency in both sexes they tend to occur in younger and middle-aged persons. Anal fissure a tear in the lining of the anus, often caused by constipation. An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus. An anal fissure is a lesser known condition even though many do experience fissures. An anal fissure is just such a tear or cut in the lining of the anus. The anus is at the end of the final part of the rectum known as the anal canal, forming the opening to the outside of the body. In approximately 90 of patients the anal fissure is located in the posterior midline. It is hypothesised that this predilection for the posterior midline may occur because this portion of the anal canal is poorly perfused. 7, 8 anterior anal fissures affect approximately 10 of patients and may have a different pathophysiology. They are associated with younger, mostly female, patients often. Sitz baths, or hip baths, can promote healing of an anal fissure. By soaking the rectal area in a tub of warm water -- two or three times a day for 10 to 15 minutes -- you can clean the anus. The tear may extend into the internal anal sphincter (ias), which is a circular ring of muscle that surrounds the anus. Anal fissures are called acute if youve had them for less than six weeks or chronic if youve had them for more than six weeks. chronic anal fissure resistant to conservative treatment and may require surgical management epidemiology. Most commonly affects infants and young middle aged individuals equally prevalent in males and females diagrams tables.