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There are several causes of cracks, and you can get them because of one of the following reasons hemorrhoids and anal fissure treatment. In this condition, the anal lining tears and the sphincter muscles damaged with more force to pass over a stool hard and dry. To see a diagram of a fissure, watch the video anal fissure--3d medical animation. where hemorrhoids are swollen clusters of blood vessels that can form inside the rectum or outside the anus, fissures tend to develop on the anal opening or the lining inside the anal canal. While you cannot feel internal hemorrhoids unless they prolapse, you can quickly tell the difference between an anal fissure and external hemorrhoids. anal fissures, like most other anal problems, are often misunderstood as hemorrhoids. An anal fissure is a tear in the thin outer lining of the anus while hemorrhoids are engorged blood vessels located within the lower rectum and the anus. Although the two conditions seem similar, they generally have different causes and also anal fissure have. What is an anal fissure? Anal fissures are cracks that occur in or near the anal opening. The pain and burning during a bowel movement and the blood on the toilet paper mean fissures are often confused with hemorrhoids. We often see patients who believe they have hemorrhoids who actually have an anal fissure, or they have both. Treating anal fissures at least 50 percent of fissures heal by themselves and can be treated with home remedies including application of special medicated cream, use of stool softeners, avoidance of constipation, or sitz baths (soaking the area in plain warm water for 10-20 minutes, several times a day). A fissure is a tear or a break in the lining of the anal canal (the last part of the large intestine, where stool passes out of the body) is called an anal fissure. Some of the symptoms of an anal fissure include pain, bleeding, itching, and pain during bowel movements. Hemorrhoids are often accompanied by fissures and show many of the same symptoms. The difference between anal fissures and hemorrhoids is that they are each a different kind of injury. While an anal fissure is a tear of tissue, hemorrhoids are caused by the weakening of cushions of tissue in the lower rectum, causing the skin to. Piles (haemorrhoids) are lumps inside and around your bottom (anus).