Patient: Description of the condition (time of onset, main symptoms, hospital visited, etc.): It has been several years, can not eat pepper and constipation, often bleeding during stool, not hospitalized, the onset of the hemorrhoids with Ma Yinglong hemorrhoid cream, can be controlled. Do I have to have surgery? Or can outpatient laser treatment be done as you go? Please give a cure, thanks! Chen Shufen, Department of Anorectal Medicine, Jinhua Central Hospital: Anal fissure is a painful anal fissure caused by anal sphincter spasm due to anal canal fissure. Therefore, in addition to removing sentinel hemorrhoids, anal fissure must be treated so that the anal sphincter spasm can be released in order to cure the disease. Outpatient laser is less effective in dilating the anal sphincter, you should go to a regular hospital anorectal department.