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the pain many people feel before or right after a bowel movement comes from muscle spasms brought on by the anal fissure. Warm baths help those muscles relax, which in turn helps the fissure heal. Anal fissure and proctalgia anal fissure causing itch follow posted 5. It sounds like a fissure but you may want to get a doctors opinion. Certain creams reduced pain, but doctors antibiotic vasaline (to coat the fissure spots.). An anal fissure is a tear in the lining of the anal canal usually in the posterior portion, often the result of constipation and straining to have bowel movements. Fissures also can be caused by anal trauma (including anal sex) and laxative abuse, and can occur during childbirth. An itchy bottom may be from too much or too little washing, or it may be a sign of a more serious issue that needs a clear medical diagnosis. An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. However, you should see your gp if you have an anal fissure as they can give you advice and medications to help ease your symptoms and allow the fissure to heal more quickly. An itchy bottom can be caused by irritating chemicals in the foods we eat, such as are found in spices, hot sauces, and peppers. Anal itching also can be caused by the irritation of continuous moisture in the anus from frequent liquid stools, diarrhea, or escape of small amounts of stool (incontinence or fecal soilage). Moisture increases the possibility of infections of the anus, especially. This is a tunnel that connects a serious infection inside your anus with skin on the outside. Fluids can leak out and irritate the skin, which triggers pain and itch.