Our expert says:
A persistant anal tear can be very painful and irritating and it is difficult to treat. Usually it is caused by spasm of the anal muscle and everytime you have a bowel movement it may open up again. See this article re the treatment of chronic anal tears: http://clinicalevidence.bmj.com/ceweb/conditions/dsd/0407/anal-fissure-standard-ce_patient_leaflet.pdf
I suggest you see your doctor for an evaluation to see how big the tear is and if it can be treated by topical medication rather than a operation.
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