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An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, [1] but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Fissure depth may be superficial or sometimes down to the underlying sphincter muscle.
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An anorectal abscess also referred to as an anal abscess, rectal abscess, perianal abscess, or perirectal abscess depending on its location is a pus-filled cavity that forms within the furrows of the anal canal called the anal sinuses. As your body tries to control the infection, white blood cells killed in the battle and other bodily fluids start to collect in the tissue, forming a pocket of pus. Abscesses can form near or within the anus or develop much higher up in the rectum itself.
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