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.
Excessive alcohol use led to approximately 88,000 deaths and 2.5 million years of potential life lost (YPLL) each year in the United States from 2006 â 2010, shortening the lives of those who died by an average of 30 years.1,2 Further, excessive drinking was responsible for 1 in 10 deaths among working-age adults aged 20-64 years.