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What are the symptoms of anal fissures?
People with anal fissures almost always experience anal
pain that worsens with bowel movements. The pain following a bowel movement may
be brief or long lasting; however, the pain usually subsides between bowel
movements. The pain can be so severe that patients are unwilling to have a bowel
movement, resulting in constipation and even fecal impaction. Moreover, constipation can result in
the passage of a larger, harder stool that causes further trauma and makes the
fissure worse. The pain also can affect urination by causing discomfort when
urination, or the inability to urinate. Bleeding in small amounts, itching (pruritus ani), and a
malodorous discharge may occur
due to the discharge of pus from the fissure.
As previously mentioned, anal fissures commonly bleed in infants.