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An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, [1] but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location.

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If you buy something through a link on this page, we may earn a small commission. How this works. Like other muscles, your anal sphincter is only accustomed to stretching so far. Your anus is full of sensitive nerve endings that make anal play feel oh so good.

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