Anal fissures or ulcers are superficial tears in the skin of the anal canal. They produce symptoms of severe pain and bleeding which can commonly be mistaken for hemorrhoids. Once identified they are treated primarily with local and dietary therapy. Compounded ointments may be used for slow to heal fissures and surgical treatment is reserved for chronic or recurrent fissures. All of these treatment modalities are available at Colon and Rectal Associates.