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The video discusses two main types of anal fissures: acute and chronic anal fissures. Acute anal fissures are caused by a tear in the lining of the anal canal and typically heal within a month. Chronic anal fissures, on the other hand, are long-lasting and are often associated with a skin tag (sentinel pile) near the fissure. The video also details the risk factors for anal fissures, including childbirth, constipation, and inflammatory bowel disease (IBD). The speaker mentions that the most common symptom of anal fissure is pain, often described as sharp or burning, during and after bowel movements. Other symptoms may include bleeding during bowel movements and difficulty passing stool. The video concludes by discussing treatment options for anal fissures. These include conservative measures, such as increasing fiber intake and using stool softeners, and surgery.