| SYMPTOMS- Drops of bright red blood on bowel movement, toilet tissue or clothing; occasionally the bleeding is more profuse.
- Tearing or burning pain in the anal region during bowel movement; dull ache may continue for several hours.
- A small piece of skin at the end of the fissure (called a "sentinel pile") that may show outside the anus.
- Hard or infrequent stools, usually from deliberately retaining painful bowel movements.
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