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Documented to be the best non-surgical option for prevention and healing of anal fissures. The goal of treatment is to relieve pain and discomfort, and heal the torn lining. Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own. An anal fissure is a tear in the mucosa of the anal canal, just inside the anal margin. It is a common condition causing pain on defecation in adults and children. Most anal fissures respond well to conservative or topical management. If your anal fissure is particularly severe or doesnt respond to treatment after 8 weeks, you may have to be referred to a colorectal surgeon, a doctor who specialises in conditions that affect the rectum and anus, for specialist treatment. Researchers at mayo clinic are working to improve diagnosis and treatment of anal fissure. See a list of publications on anal fissure by mayo clinic doctors on pubmed, a service of the national library of medicine. If your anal fissure fails to respond to other treatments, your doctor may recommend an anal sphincterotomy. This surgical procedure involves making a small incision in the anal sphincter to relax. Webmd does not provide medical advice, diagnosis or treatment. An anal fissure is a tear in the lining of the anus or anal canal. One sign of an anal fissure is pain during or after a bowel movement. Causes, diagnosis and treatment--including surgery--are discussed. Documented to be the best non-surgical option for prevention and healing of anal fissures.