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I suffered a chronic persistant fissure for at least six months, on and off. The problem would temporarily go away, then return despite visits to gp, creams with hc etc. To try to solve the problem, i used to have all-bran for breakfast & lunch always included an apple or pear. Welcome! Discuss your experiences, share your stories and get friendly help and advice. This forum provides members experience based informative help for such health issues as anal fissures, hemorrhoids, fistulas,. anal fissure is one of the most common lesions to consider in the differential diagnosis of anal pain. This is an ulcer in the squamous epithelium of the anus located just distal to the mucocutaneous junction and usually in the posterior midline. Welcome! Discuss your experiences, share your stories and get friendly help and advice. Fissure healing was assessed over an 8-week period and pain scores were monitored. Results oral nifedipine produced an initial reduction in maximum resting anal pressure (mrp) of 35 per cent (p 0.). Signs you have an anal fissure if you experienced pain, somewhat severe, during a bowel movement you may have stretched the anal canal to the point whereby a tear has occurred. Unfortunately, if you have an anal fissure, the pain will continue even after the bowel movement and may even last for several hours, according to the mayo clinic. A painful bowel movement accompanied by blood in the toilet bowl can be frightening, but its not uncommon. An anal fissure is a linear tear in the lower aspect of the anal canal. When this tear does not heal it then becomes an ulcer resulting in pain and spasm of the muscles of the anal canal. This condition results from trauma to the anus with the most common cause being the passage of hard constipated stool. I currently have an anal fissure and am suffering from anal spasms. I find they usually start an hour or two after a bowel movement and have noticed not as bad with softer stool.