Dear In reference to your inquiry, please note that you need not worry, as treatment for this problem of Anal fissures is available with us. Anal fissures are most commonly caused by damage to the lining of the anus or anal canal .it usually occur in people who have constipation , when a particularly hard or large stool tear the lining of the anal canal The causative factors may not be necessarily based into the affected region and may be associated with disorders of internal organs. It is, ‘the nature of the problem’ that calls in for the strategy of the treatment which may include internal remedies supported by external modalities On examination by the concerned Doctor and on case taking these details are given to you as a routine procedure. For further information see our website valedalife.com. With best wishes, Dr. Ankita bali