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An anal fissure typically occurs due to a tear in the anal mucosa, leading to exposure of the underlying muscle. This can cause pain and spasm, which in turn can lead to constipation and further exacerbate the condition. The pathophysiology involves not just the initial tear but also the subsequent ischemia and poor blood flow to the area, which impede healing.

The anal region is a complex area that can be prone to various conditions, including hemorrhoids, anal fissures, and fistulas. Among these, anal fissures are particularly painful and can lead to significant distress. The condition is often underreported due to the stigma associated with discussing anal health. Sofy Lucky first BBC, with Balls Deep Anal, Gap...

The exact prevalence of anal fissures is difficult to determine due to underreporting. However, it is estimated that anal fissures account for a significant number of visits to colorectal surgeons and gastroenterologists. They can affect individuals of all ages but are more common in young adults. An anal fissure typically occurs due to a