A man using the toilet.[Photo/myhealthcarereviews.com] 

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The term anal fissure itself makes shivers run down your spine. Many dread it. Anal fissure is a break or tear in the skin of the anal canal. They are noticed by bright red anal bleeding on toilet paper and sometimes in the toilet. 

Chronic anal fissures don't have much pain unlike acute anal fissures which can get you screaming especially after defecation. 

Most anal fissures are caused by stretching of the anal mucosa beyond its limit. The lining of the anus is elastic, but when stretched beyond its capability, it can tear. For instance, bypassing large and hard stool. 

Even if the tear isn't deep, it can be quite painful. People have described it as though one is passing a piece of glass or sharp object. 

Anal fissures in adults can be caused by prolonged diarrhea, constipation and passing of large and hard stool. Sexually transmitted infections like chlamydia, syphilis, and herpes can also cause anal fissure. Younger people are more susceptible to anal fissure since they have narrower anal canals. 

Constipation can make your experience much worse in excruciating pain. Avoid constipation by having sufficient fiber and water, using stool softener once in a while, avoiding constipating agents and maintaining anal hygiene.