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The crack in the skin causes severe pain and some bright red bleeding during and after bowel movements. At times the fissure is deep enough to expose the muscle tissue underneath. An anal fissure may occur as a result of childbirth, straining during bowel movements, or long bouts of constipation or diarrhea. Anal fissures can also be the result of certain medical conditions such as inflammatory bowel disease IBD , infection, and cancer. Constipation is a common problem in these age groups.

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