Anal fissures are considered to be painful if the pain occurs during defecation or persistent pain after defecation. Anal fissures are caused by constipation, thick and hard stool lines, and fissure of the entire skin of the anal canal during defecation. Most acute fissures can be cured by conservative treatment with medication and improved diet and bowel habits, and can be cured by the use of tylenol suppositories and topical Ma Yinglong hemorrhoid cream. Chronic anal fissures are mostly treated conservatively with medication, and the fissures may recur and require surgery. If the pain is not related to defecation, it should be considered as anal fissure. It is a perianal skin disease that is caused by the superficial skin cracking due to the irritation of the perianal skin by the anal humidity. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.