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There are several causes of cracks, and you can get them because of one of the following reasons hemorrhoids and anal fissure treatment. In this condition, the anal lining tears and the sphincter muscles damaged with more force to pass over a stool hard and dry. To see a diagram of a fissure, watch the video anal fissure--3d medical animation. Hemorrhoids are presumed to be caused by repeated pressure in the anal and rectal veins. Anal fissures are caused by trauma to the anal canal usually during bowel movements. Anal fissures are also sometimes caused by inflammatory bowel disease or infection. where hemorrhoids are swollen clusters of blood vessels that can form inside the rectum or outside the anus, fissures tend to develop on the anal opening or the lining inside the anal canal. While you cannot feel internal hemorrhoids unless they prolapse, you can quickly tell the difference between an anal fissure and external hemorrhoids. 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. Hemorrhoids are often accompanied by fissures and show many of the same symptoms. The difference between anal fissures and hemorrhoids is that they are each a different kind of injury. While an anal fissure is a tear of tissue, hemorrhoids are caused by the weakening of cushions of tissue in the lower rectum, causing the skin to.