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Difference Between Piles Fissures and Fistula

Many people are always embarrassed to openly talk about the problems they face in their anal region. Piles, Fissures, and Fistula are the three different problems people are almost confused about and don’t even know the intent of the problem. But, you don’t have to worry now, as you can read further the difference between Piles, Fissures, and Fistula.

How are Piles, Fissures, and Fistula different from each other?

Piles, Fissures, and Fistula are the three diseases categorized under Anorectal Disease, which actually originated from the anal canal. Many people think that everything in the anal canal region that the patient feels is Piles. But piles aren’t the only reason behind anal discomfort! There can be other reasons such as fissures and fistula. 


Yes, there is a massive difference between Piles, Fissures, and Fistula.

What are Piles?

Piles are also known as hemorrhoids and are actually the cushions in the anorectal region that can pop out of the anal canal and go in on their own or even stay out. These are called Piles which are at times external or at times internal. Piles are normally painless bleeding. The bleeding will be bright red in color and starts after you have passed the stools. You can see red spots in the pot that are active bleeding caused by the cushions that have burst.

What are Fissures?

A fissure is a cut in the anal canal. When you pass hard stools, it causes injury in the Anorectal canal, and there is a tear in that canal. Fissure causes intense pain. As soon as stool starts to pass through the torn area, it will cause intense and severe pain. The inner canal goes into the spasm, which will cause difficulty to pass stools.

What is Fistula?

The fistula, to be precise, is the second opening that is formed and is not normal in the anal region and is formed outside the anal canal. There is swelling in that area that sometimes bursts on its own or can be consulted when the pain and when the swelling goes beyond the limit before it bursts. The fistula is a separate swelling away from the anal canal. When a doctor does a digital rectal examination, there is an internal opening. There will be an external opening if the fistula has now become chronic. If a pus is formed, an incision is done, and the pus is drained out and later operated upon. 


Piles, Fissures, and Fistula are different! These problems cannot be managed on your own. Consult a General Physician and get treated. 

How to take care of piles at home:

Do this:

  • Keep your poop soft by drinking plenty of fluids and eating plenty of fiber.
  • Use moist toilet paper to clean your behind.
  • If your piles hurt, try paracetamol.
  • relieve itching and soreness by taking a warm bath
  • Wrap an ice pack in a towel and use it to relieve pain
  • push a stack back into the room
  • Maintaining a clean and dry bottom is essential.
  • Regularly work out

Do not do this: 

  • Avoid constipation by limiting your intake of alcohol and caffeine (such as tea, coffee, and cola).
  • After you poop, don't wipe your bottom too hard
  • Please do not ignore the urge to poop
  • When pooping, try not to exert too much pressure
  • Constipation is a side effect of taking codeine-containing pain relievers
  • If your piles are bleeding, avoid taking ibuprofen
  • Avoid using the restroom for longer than is necessary


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