If you have pain in your lower rectum and around your anus or notice bright red blood in your stool or on the toilet bowl after a bowel movement, you may have an anal fissure or hemorrhoids.

An anal fissure is a small tear or fissure in the anus that results in the formation of a linear ulcer at the tip of the anus. Anal fissures can cause itching, pain, and bleeding. They may extend up into the lower lining of the rectum or down, causing a swollen lump at the edge of the anus. You can also search online for cleavage hemorrhoids.

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Anal fissures cause pain during bowel movements that can last for hours. They are caused by severe constipation or diarrhea. In cases of constipation, anal fissures are usually caused by the passage of dry, hardened stools, which tear the anal mucosa.

At least half of all anal fissures naturally close up. Using a cotton swab or tissue moistened with witch hazel after every bowel movement can aid the healing process. A high-fiber diet and more water can encourage regular bowel movements and stop additional tearing and breakdown.

Like anal fissures, hemorrhoids cause pain, itching, burning, and bleeding. Hemorrhoids are swollen veins located at the bottom of the rectum and anal canal.

If your pain or symptoms do not go away, or you experience severe pain, itching, or burning, it is best to see a doctor.