Difference Between Piles, Fissure and Fistula

 Difference Between Piles, Fissures, and Fistula


The anus is the lowermost part of the body and is also called “the exit for the stools”. It passes through the strong, muscular canal of the pelvic and anal sphincter. The canal is around 5-6 cm long. We know defects in the anal canal are known as anal disorders, and piles, fissures, and fistula are some of the most common anal diseases. 

Many people think that there is no difference between piles, fissures and fistula and that they are just synonyms. Metro Piles Clinic is the best clinic for providing the best Piles Doctors in Delhi and all over India. Well, that’s not true. 

Let’s understand the difference between piles fissure and fistula but first, let’s learn more about them individually:

Piles

What Is Piles Disease?

Pile is a disease caused by the swollen, sensitive nerves at the end of the anus canal and is also known as haemorrhoids.

Some facts about piles:

● Found commonly in people aged 50 or above. 

● Widely observed in pregnant women.

● Haemorrhoids can be both internal & external.

● Bleeding may occur.

● Occasionally blood may thicken, resulting in external haemorrhoids.

● Occur because of chronic constipation and difficult bowel actions.

Are Piles Risky?

Piles are not that serious at the initial stages until they swell up. The swollen part can result in chronic constipation and harden the bowel movement. 

Let’s have a look at some of the common symptoms of piles.

● Painful inflammation around the rectum

● A sensation of full bowels even after the excretion of stool

● Rosy red blood after every bowel movement

● Itchiness, bleeding, and swelling in the anus

● Discomfort during the passage of stool

Piles become serious when these symptoms can be observed. 

● Anal bleeding leading to anaemia

● Faecal incontinence

● Anal fistula

● Blood clot or infection due to strangulated haemorrhoid

Causes of piles

Piles can be a result of increased pressure in the lower rectum, among other reasons like-

● Constant constipation

● Incessant diarrhoea

● Lifting heavyweights 

● Pregnancy

● Stressing while passing stool

Are Piles Curable?

In almost every case, piles just go away on their own. Some treatments such as laxatives and topical corticosteroids also work well in treating piles. Your doctor can prescribe surgical treatments such as banding, sclerotherapy and infrared coagulation, depending on the condition. 

Fissure

Fissures are small drop-like structures at the lining of the anal canal. Fissures can be formed by passing hard or large stools. 

Some facts about fissures:

● It generally occurs when a person extends and pressurises a lot to defecate.

● It may be possible that a person may ooze blood or pus if infected with a fissure.

● Fissures can happen due to constipation, chronic diarrhoea, and enormous exercise.

● It may introduce acute and incurable aspects.

● An acute fissure can be effortlessly remedied with a fibre-rich diet and treatment.

● Chronic is tough to regulate and can recur.

How To Know If You Have Anal Fissures?

Here are some symptoms of anal fissures:

● Extreme pain during bowel movements

● Pain that pertains after bowel movements, for several hours

● Rosy red blood appears after bowel movements

● Inflammation of skin label near anal fissure

Only after you read about the two conditions do you realise the diff between piles and fissures!

What Can Cause Anal Fissures?

Here are some common causes behind anal fissures:

● It can be caused by defecating large or hard stools

● Stretching during bowel movements

● Continual diarrhoea

● It can be caused due to anal intercourse

● During childbirth

Some other less common reasons for anal fissures are:

● Crohn’s disease

● Anal cancer

● HIV

● Syphilis

● Tuberculosis

Are There Any Complications For Anal Fissures?

There are some chances where anal fissures become severe and lead to complications. They may lengthen the surrounding muscles, making them tough to recover. If fissures fail to heal in eight weeks, then additional medication or procedures are needed. 

Here is some information about fistulas that will help you identify the diff between a fissure and a fistula:

Fistula

Fistulas are an infected connection between the anus and the skin. They are the passage connecting the infected gland to the abscess. The anal glands (in the middle of the anus) may get affected, which leads to inflammation or results in ulcers or sores inside the intestine and the nearby organs and causes the pus to ooze out from the infected region. The collection of pus (abscess) can also cause fistulas. 

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