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This is Dr. David
yes, you could have developed another internal sphincter fissure possibly
if you developed anal fissures before, you are at some risk for developing another one
but it could be scar tissue which is causing pain.
you need to see your surgeons and get an anoscopy which is an office procedure which can look into your anal canal to look for early fissures.
have you had problems with constipation which can cause early fissures?