How you can overcome anal fissure problem
Anal fissure - NHS
This systematic review addresses the pathophysiology, diagnostic evaluation, and treatment of several chronic pain syndromes affecting the pelvic organs: chronic proctalgia, coccygodynia, pudendal neuralgia, and chronic pelvic pain. However, these pain syndromes are poorly understood, with little research evidence available to guide their diagnosis and treatment. Excessive tension spasm in the striated muscles of the pelvic floor appears to be common to most of the pelvic pain syndromes. This suggests the possibility that similar approaches to diagnostic assessment and treatment may improve outcomes in other pelvic pain disorders. Chronic or frequently recurring pain in the anal canal, rectum, or pelvis is a prevalent symptom that affects an estimated 6. However, despite its prevalence and impact, relatively little research has been published which addresses its epidemiology, pathophysiology, and treatment; and pelvic and rectal pain is widely considered frustrating to diagnose and treat.
Chronic anal fissure: 2% topical diltiazem hydrochloride
An anal fissure is a tear of any size in the anus. Some people experience a spot or two of bright red blood on their toilet tissue after having an uncomfortable bowel movement; in such cases the person has likely experienced an anal fissure. An anal fissure can lead to burning, stinging, or sharp pain during bowel movements. The pain can last anywhere from a few seconds to a few hours. In severe cases, the pain can cause a spasm of muscles that surround the rectum, which can cause the pain to intensify.
An anal fissure is a tear in the lining of the lower rectum anal canal that causes pain during bowel movements. Anal fissures don't lead to more serious problems. Most anal fissures heal with home treatment after a few days or weeks.