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Symptoms of anal fissures can range from minor irritation to severe pain with and after bowel movements. Anal fissures can be acute or chronic. Leave a Reply Cancel reply Your email address will not be published. Hard stools are more often the cause of anal fissures, but loose stools also cause the tears. Symptoms Symptoms of anal fissures can range from minor irritation to severe pain with and after bowel movements. There has to be lots and lots and lots of trust involved here, because obviously you could really hurt her. Fissures are a small split or tear in the skin.