An anal fissure is a tear in the lining of the lower rectum (anal canal) that causes pain during bowel movements. About 9 out of 10 short-term fissures heal with home treatment—including using stool softeners or fiber supplements and taking regular sitz baths. If a fissure lasts more than 8 to 12 weeks, you may need prescription medicines. These may include nitroglycerin cream, high blood pressure medicines in pill or gel form, or injections of botulinum toxin (Botox).
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