An anal fissure or rectal fissure is a break or tear in the skin of the anal canal.Anal fissures may be noticed by bright red anal bleeding on toilet paper, sometimes in the toilet. If acute they may cause pain after defecation but with chronic fissures pain intensity is often less.n anal fissure or rectal fissure is a break or tear in the skin of the anal canal.
Drug addiction is one of the most common public health problems in the United States. Over 20 million people are current or former drug addicts in the States. It is a significant factor in health and disease issues, incarceration rates, vehicle accidents, employment and financial burden.
Alcohol is the most commonly used and abused drug among youth in the United States.1. 1  Excessive drinking is responsible for more than 4,300 deaths among underage youth each year, and cost the U.S. $24 billion in economic costs in 2010.2,3.