Anal Fissures

This is characterized by a small tear in the lining or muscle of the anus. They typically occur as the result of passing large or hard stools, or from severe diarrhea.
Symptoms include:

  • Pain during or after a bowel movement
  • Bleeding during or after a bowel movement
  • A tearing sensation with bowel movements


There are certain risk factors associated with anal fissures including childbirth, constipation, and Crohn’s disease. Typically, a physical exam is all that is needed to diagnose an anal fissure.


With proper care, anal fissures heal within a few weeks. Nonsurgical treatments include topical creams, warm water soaks and avoidance of straining In the event that an anal fissure is chronic and does not heal, your surgeon may recommend botox injections or a lateral internal sphincterotomy.

Choosing the Right Surgeon

At the Palm Beach Digital Surgery Institute, we’re committed to empowering our patients, sharing options and information so you can make the decision that’s right for you and your family.

Dr. Eduardo Parra-Davila MD, FACS, FASCRS and his team begin by focusing on not just the patient, but their entire family: the support system and people committed to restoring the patient to a better quality of life.

Prior to joining Palm Beach Health Network Physician Group, Dr. Parra served as the Director of Minimally Invasive and Colorectal Surgery and the Director of Hernia and Abdominal Wall Reconstruction at Florida Hospital Celebration Health in Orlando, FL. Previously, he also served as the Director of the Minimally Invasive Surgery Program at a Hospital in Boca Raton and as the Chief of General Surgery at Veterans Affairs Medical Center in Miami. Dr. Parra-Davila has worked as a clinical assistant professor of surgery at the University of Central Florida, Florida State University and University of Miami.

"I get criticized sometimes because I give my cell number to the patients. And my take on it is, you can always be on the other side."
- Parra-Davila MD, FACS, FASCRS

Choosing the Right Hospital

new-GS-Ext-Edit-2020-logo-Medium-340x250Dr. Parra performs his surgeries at Good Samaritan Medical Center, located in West Palm Beach. “One of the reasons I came to Good Sam was for the robotic program,” explains Dr. Parra. “It’s a small community hospital with maybe one of the best technologies there is in surgery, and I like that combination.”

Good Samaritan Medical Center is part of the Palm Beach Health Network, which also includes Palm Beach Gardens Medical Center, St. Mary’s Medical Center, West Boca Medical Center and Delray Medical Center.