An anal fissure is a cut or a crack in the skin around the anus. If you have it, you usually know about it – they can be incredibly painful when you do a poo. Some people describe a ‘’tearing’’ feeling. There is usually blood as well. It is really important that you are not straining on the toilet and that you avoid constipation. If you have recurrent anal fissures (you keep getting them over and over again), or chronic anal fissures (they take ages to heal), your tissue healing may be compromised. At Equilibria, we include nutritional therapy in your treatment, as well as teaching you how to release the muscles when you do a poo.