Anal Fissure An anal fissure is a tear in the lining of the anal canal. What are the symptoms of an anal fissure? Symptoms of an anal fissure include anal pain or discomfort, itch and small amounts of bleeding from the anus. What causes an anal fissure? The most common cause of an anal fissure is constipation and passage of a hard stool. How are anal fissures treated? There are several treatment options available for anal fissures. The first treatment usually involves prevention of constipation and a specialized cream to aid healing. Sometimes other treatments, including surgery, may be required.Dr Zhu can assess your symptoms and recommend a personalized treatment plan. Learn about Anal Fissure Surgery