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the goal of treatment is to relieve pain and discomfort, and heal the torn lining. Acute anal fissures -- the ones that dont last longer than 6 weeks -- are common and usually heal on their own. Advancement anal flaps involve taking healthy tissue from another part of your body and using it to repair the fissure and improving the blood supply to the site of the fissure. the goal of anal fissure treatment is to lower the pressure on the anal canal by making stools soft, and to ease discomfort and bleeding. Conservative treatments are tried first and include one or more of the following preventing constipation through the use of stool softeners,. an anal fissure is a cut or tear in the tissue inside your anus. An acute anal fissure is usually small and shallow and often heals without treatment. A chronic fissure may last longer than a month and will usually require treatment. an anal fissure is a small tear or crack in the lining of the anus. If you experience severe pain or bright red bleeding during or after bowel movements, you may have an anal fissure. Anal fissures usually heal within a few weeks without the need for treatment. But they can easily come back if theyre caused by constipation that remains untreated. In some people, symptoms from anal fissures last 6 weeks or more (chronic anal fissures).