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The American Journal of Surgery. The risks from Botox injections and medicines used to treat curing anal fissures with diet fissures are relatively mild. Mayo Clinic does not endorse companies or products. Your doctor may recommend further testing if he or she thinks you have an underlying condition:. Anal fissures are common and can easily become chronic, because after the first tear, bowel movements reinjure the area. The fissure's location offers clues about its cause. This causes severe pain.