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Breakthrough treatment proves 90 success rate on painful anal fissures. An anal fissure is a small rip or tear that occurs in the lining of the anus. Damage to the lining of the anus or overstretching it, possibly during a bowel movement, can cause an anal fissure. the fissure can bleed, cause anal sphincter spasms which hurt like heck, there can also be swelling and itching. I found sitz baths help, keeping the area clean and dry also helps. There are some ointments out there nitro, or nifedipine ointment or diltiazem cream but your doctor has to prescribe them and you need a compounding pharmacy to fill them. Most causes of anal swelling are benign, but some can be more serious. Learn about the causes of anal swelling and what treatment options are available. Most anal abscesses are a result of infection from small anal glands. This often appears as a painful boil-like swelling near the anus. An anal fissure (fissure-in-ano) is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements. An anal fissure may extend into the ring of muscle that holds your anus closed (internal anal sphincter), making it more difficult for your anal fissure to heal. An unhealed fissure can trigger a cycle of discomfort that may require medications or surgery to reduce the pain and to repair or remove the fissure. An anal fissure is a small tear or crack in the lining of the anus. If you experience severe pain or bright red bleeding during or after bowel movements, you may have an anal fissure. Swelling, redness and tenderness of the area near anus deeper anal fissures and lumps may be associated with fever, malaise, and chills. How does a lump on anus look like? Lumps on anus can look different for different conditions. Anal fissures are small cuts or tears that occur in or on the anus. They may result from passing hard stool, which can tear the delicate skin of the anus. Breakthrough treatment proves 90 success rate on painful anal fissures.