&lt;h1&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Anal Fissure - Causes Symptoms and Treatment&lt;/strong&gt;&lt;/span&gt;&lt;/h1&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Common reasons for an anal fissure include constipation and the effort involved in passing hard or large stools during bowel movements. Anal fissures usually result in pain and bleeding during bowel movements. Additionally, spasms may occur in the muscle ring at the end of the anus, known as the anal sphincter.&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3 style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Book Your Appointment Today!&lt;br /&gt;&lt;br /&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
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&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What is Anal Fissure?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;An anal fissure is a tear in the lining of the anus, often caused by trauma or chronic constipation. Symptoms include pain during bowel movements and bright red blood on toilet paper. Treatments range from dietary changes and topical medications to surgical intervention in severe cases. Early diagnosis and management can prevent complications and promote healing.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What do you need to know?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;An anal fissure is a tiny tear in the thin, wet tissue that surrounds the anus. The anus is a muscle aperture at the end of the digestive tract that allows stool to exit the body. Constipation and straining, as well as passing hard or big stools during bowel movements, are common causes of an anal fissure. Anal fissures usually cause pain and bleeding during bowel movements. You may also suffer spasms in the anal sphincter, which is a muscle ring located at the end of your anus.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Anal fissures are prevalent in early infants, but they can occur at any age. Most anal fissures improve with easy therapies like increased fiber intake or soaking in a warm water bath. Some patients with anal fissures may require.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What are the causes of anal fissures?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Anal fissures are small tears or cracks in the lining of the anus. They can be quite painful and are usually caused by trauma or injury to the anal canal. Here are some common causes of anal fissures.&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Common causes of anal fissures are:&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Passing huge, hard stools.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Constipation and strain during bowel motions.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Long-term diarrhea.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Anal intercourse.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Childbirth.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Less prevalent causes of anal fissures are:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Crohn&#39;s disease or another inflammatory bowel condition.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Anal cancer.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;color: #ffffff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/hiv&quot;&gt;HIV&lt;/a&gt;.&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Tuberculosis.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;text-decoration: underline; color: #ffffff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/syphilis&quot;&gt;&lt;strong&gt;Syphilis&lt;/strong&gt;&lt;/a&gt;.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What are the symptoms of anal fissures?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Anal fissures typically present with several distinct symptoms, which can vary in severity depending on the individual and the underlying cause. Here are the common symptoms associated with anal fissures:&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;The most common symptoms of anal fissures include:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Itching or burning:&lt;/strong&gt;&lt;/span&gt; The skin around the anus may feel itchy or burned.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Difficulty or pain with bowel movements:&lt;/span&gt;&lt;/strong&gt; You may experience difficulty passing stools or feeling pain.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Skin irritation:&lt;/span&gt;&lt;/strong&gt; The skin around the anus may become swollen, red, or inflamed.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Pain:&lt;/span&gt;&lt;/strong&gt; during bowel movements may range from mild discomfort to sharp, severe pain.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Bleeding:&lt;/strong&gt;&lt;/span&gt; Bright red blood may appear on toilet paper or in the toilet bowl after a bowel movement.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;If left untreated, anal fissures can lead to complications, including:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Infection:&lt;/span&gt; &lt;/strong&gt;Virus or Bacteria can enter the fissure and cause an infection.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Fistula:&lt;/strong&gt;&lt;/span&gt; If the fissure does not heal properly, a small tunnel or passage may form between the anus and surrounding tissue, leading to drainage and infection.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Fecal incontinence:&lt;/span&gt;&lt;/strong&gt; Severe or chronic anal fissures may weaken the anal sphincter muscles, leading to difficulty controlling bowel movements.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Chronic pain:&lt;/strong&gt;&lt;/span&gt; Persistent pain and discomfort can interfere with daily activities and quality of life.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Some people may also have trouble controlling their bowel movements, or poop may leak out.&amp;nbsp;&lt;/span&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;See a doctor if you have signs of an anal fissure to avoid complications and get a quick diagnosis and proper treatment. Most anal fissures can be addressed without surgery by altering your diet and taking medications.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What does anal fissures looks like?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;div class=&quot;flex max-w-full flex-col flex-grow&quot;&gt;
&lt;div class=&quot;min-h-8 text-message flex w-full flex-col items-end gap-2 whitespace-normal break-words text-start [.text-message+&amp;amp;]:mt-5&quot; dir=&quot;auto&quot; data-message-author-role=&quot;assistant&quot; data-message-id=&quot;676e17aa-844f-4431-af70-c01ed1bfd116&quot; data-message-model-slug=&quot;gpt-4o&quot;&gt;
&lt;div class=&quot;flex w-full flex-col gap-1 empty:hidden first:pt-[3px]&quot;&gt;
&lt;div class=&quot;markdown prose w-full break-words dark:prose-invert light&quot;&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;A recent anal fissure typically resembles a fresh tear, similar to a paper cut. In contrast, a chronic anal fissure, which persists for more than eight weeks, is usually deeper and may be accompanied by internal or external fleshy growths.&lt;/span&gt;&lt;/p&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;table style=&quot;border-collapse: collapse; width: 100%;&quot; border=&quot;1&quot;&gt;
&lt;tbody&gt;
&lt;tr&gt;
&lt;td style=&quot;width: 25%; text-align: center;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/Anal%20fissures/32096.jpg&quot; width=&quot;200&quot; height=&quot;150&quot; /&gt;&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/Anal%20fissures/32120.jpg&quot; width=&quot;200&quot; height=&quot;150&quot; /&gt;&lt;/td&gt;
&lt;td style=&quot;width: 25%; text-align: center;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/Anal%20fissures/32122.jpg&quot; width=&quot;200&quot; height=&quot;150&quot; /&gt;&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/Anal%20fissures/32118.jpg&quot; width=&quot;200&quot; height=&quot;150&quot; style=&quot;display: block; margin-left: auto; margin-right: auto;&quot; /&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;Brender, E. (2000). &lt;em&gt;chronic anal fissure&lt;/em&gt;. Society of American Gastrointestinal and Endoscopic Surgeons. Retrieved December 19, 2024, from https://www.sages.org/image-library/chronic-anal-fissure/.&lt;/span&gt;&lt;/p&gt;
&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;Brender, E. (2000). &lt;em&gt;Chronic Anal Fissure&lt;/em&gt;. Retrieved December 19, 2024, from https://www.sages.org/image-library/chronic-anal-fissure-2/.&lt;/span&gt;&lt;/p&gt;
&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;Elliott. (2009). &lt;em&gt;fibrotic chronic anal fissure&lt;/em&gt;. Society of American Gastrointestinal and Endoscopic Surgeons. Retrieved December 19, 2024, from https://www.sages.org/image-library/fibrotic-chronic-anal-fissure/.&lt;/span&gt;&lt;/p&gt;
&lt;/td&gt;
&lt;td style=&quot;width: 25%;&quot;&gt;&amp;nbsp;
&lt;p&gt;&lt;span style=&quot;color: #808080;&quot;&gt;Brender, E. (2009). &lt;em&gt;Anal Fissure with Sentinel Pile 2&lt;/em&gt;. Society of American Gastrointestinal and Endoscopic Surgeons. Retrieved December 19, 2024, from https://www.sages.org/image-library/anal-fissure-with-sentinel-pile-2/.&lt;/span&gt;&lt;/p&gt;
&lt;/td&gt;
&lt;/tr&gt;
&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What are the treatments for anal fissures?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Pain-relieving medication.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Laxatives.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Anaesthetic creams.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Nitroglycerin creams or &lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/botulinum-toxin-injections-for-anal-fissures&quot;&gt;Botox injections to relax the associated muscle spasm&lt;/a&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Surgery.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Research indicates that surgery is significantly more effective than any medical treatment for chronic fissures.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;When to see a doctor?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Consult your doctor if you have pain during bowel movements or notice blood on stools or toilet paper after a bowel movement.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Risk Factors&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;The following factors may increase your risk of having an anal fissure:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Constipation:&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; Straining during bowel motions and passing firm stools raises the chance of ripping.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Childbirth:&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; Anal fissures become more common in women after giving delivery.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Crohn&amp;rsquo;s Disease:&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; This inflammatory bowel disease causes chronic inflammation of the gastrointestinal system. This may render the anal canal lining more susceptible to tears.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Anal Intercourse:&lt;/span&gt;&amp;nbsp;&lt;/strong&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;Anal intercourse involves sexual penetration of the anus, practiced for pleasure or intimacy.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Age:&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; Anal fissures can appear at any age, but they are more prevalent in newborns and middle-aged adults.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Complications&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;An anal fissure may cause the following complications:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Failure to heal. An anal fissure that does not heal within eight weeks is termed chronic and may require additional treatment.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Recurrence. If you have had an anal fissure before, you are more likely to have another.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;A tear that spreads to the surrounding muscles. An anal fissure may extend into the ring of muscle that keeps your anus closed. This muscle is known as the internal anal sphincter. This complicates the healing of your anal fissure. An unhealed fissure can cause a cycle of agony that may necessitate medication or surgery to alleviate the pain and repair or eliminate the fissure.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Prevention&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;You may be able to avoid an anal fissure by taking steps to prevent constipation or diarrhea. To avoid straining during bowel motions, eat high-fiber foods, drink plenty of water, and exercise often.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;strong&gt;PULSE Clinic&lt;/strong&gt;, We will always be with you. Here to help, Not to Judge!! Feel free to contact us.&lt;/span&gt;&lt;/p&gt;
&lt;p style=&quot;-qt-block-indent: 0; text-indent: 0px; margin: 0px;&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3 style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Book Your Appointment Today!&lt;br /&gt;&lt;br /&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/booking&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Buttons/Booking-an-appointment-at-PULSE-CLINIC.png&quot; width=&quot;300&quot; height=&quot;41&quot; /&gt;&lt;/a&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Contact us at&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;mailto:info.bkk@pulse-clinic.com&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;info.bkk@pulse-clinic.com&lt;/span&gt;&lt;/a&gt; &lt;span style=&quot;color: #99ccff;&quot;&gt;or chat on your preferred platform:&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;48&quot; height=&quot;82&quot; /&gt;&lt;span style=&quot;color: #ffffff;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/a&gt;&lt;/strong&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;+66 65 237 1936&lt;/a&gt;&amp;nbsp;&lt;/span&gt;&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;line://ti/p/@946svqfh&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/line-logo.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt; &lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt; @PULSEClinic&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&amp;nbsp; &lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WeChat_App_Icon.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt;&lt;/a&gt;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;PulseClinic&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;

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