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Breakthrough treatment proves 90 success rate on painful anal fissures. Documented to be the best non-surgical option for prevention and healing of anal. Many factors can cause anal swelling, or a swollen anus, which can be itchy or painful. the fissure can bleed, cause anal sphincter spasms which hurt like heck, there can also be swelling and itching. I found sitz baths help, keeping the area clean and dry also helps. There are some ointments out there nitro, or nifedipine ointment or diltiazem cream but your doctor has to prescribe them and you need a compounding pharmacy to fill them. Most causes of anal swelling are benign, but some can be more serious. Learn about the causes of anal swelling and what treatment options are available. Most anal abscesses are a result of infection from small anal glands. This often appears as a painful boil-like swelling near the anus. An anal fissure (fissure-in-ano) is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements. A lump or a swelling that is painful and develops suddenly may be caused by many reasons such as an injury or an infection. If you are susceptible to the risk factors for hemorrhoids, the anal lump may be due to piles. 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. Breakthrough treatment proves 90 success rate on painful anal fissures. Documented to be the best non-surgical option for prevention and healing of anal.