I've noticed that a lot of the people who introduce themselves here and describe how they got their fissure, say that they were under a lot of stress at the time. And I always wondered if stress itself is a contributing factor, or is it that people who are stressed out tend not to look after themselves. If you are under stress, you might eat junk food (comfort food), and drink coffee and alcohol, thus getting dehydrated. You might be so busy that you put off doing your BM, the moment passes, and next time you feel the urge the stool is old and dry. And so on.
Lately I've had some stress in my life. It's pretty minor really - a kitchen renovation which is dragging on longer than it should and costing way more than it should. After dealing with the workmen, I've found my bottom stinging a bit, and feeling quite sore. Once I notice the sting, I also notice that I'm clenching my bottom. I have to force myself to relax.
In fact, almost every day, I have to consciously relax my bottom. I think it's a bit clenched literally ALL THE TIME. And when I'm anxious or stressed, I clench it more!
Could this is a contributing factor to anal fissures?
What do you all think?