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People with colon cancer may develop anal fissures, but anal fissures dont cause colon cancer or increase your risk of getting colon cancer. Even if your anal fissure heals completely, it can come back after you have a hard bowel movement. At first, most people assume the bleeding is caused by hemorrhoids (painful, swollen veins in the anus and rectum that may bleed). I had an anal fissure in april that didnt go away until i had to have surgery on it in july. I found a fissure support websight with members and board experts. Some people pass alot of blood with them some just have the pain. The symptoms of anal cancer are often similar to more common and less serious conditions affecting the anus, such as piles (haemorrhoids) and small tears or sores called anal fissures. Anal cancer community 254 members anal fissure or not? Gail38. Hi i have had a burning and stabbing pain in my rectum for the past three weeks. Anal cancer is a relatively rare cancer and more common in females than in males.