In this blog let’s look at the disorders that fall out of various anal pathologies. The following involves three different kinds of most common anal disorders: Pilss, Fissure, and Fistula. The anatomy of the anus includes 

  • 1. The anus is the last orifice or opening, which is 5- 6 inches long and from it, the stool flushes out of the body.
  • 2. Next, a sensitive nerve ending is found in the terminal part of the anus. 
  • 3. Several anal glands are possessed by the middle portion.

Following is a detailed understanding of how similar as well as different all these three disorders are from each other. 

Piles, Fissure, and Fistula – An Overview 


What are Piles (hemorrhoids)? In simple terms, piles are inflamed or swollen veins found in the terminal part of the anus or rectum. 

Piles are generally best treated by medical assistance, as leaving them untreated may result in pain, discomfort, and bleeding. 

Causes of Piles

It is mainly caused due to excessive straining during bowel movement. Some major reasons for its occurrence so frequently are: 

  • 1. Chronic constipation 
  • 2. Bowel movement straining
  • 3. Obesity 
  • 4. Pregnancy
  • 5. Lifting heavy weights regularly
  • 6. Chronic diarrhea

Symptoms of piles 

  • 1. Painful bulging around the anus 
  • 2. Bleeding while bowel movement 
  • 3. Red, itchy, and sore anus 
  • 4. Bloated stomach 
  • 5. Pain or strain while passing stools

Some facts about piles 

  • 1. By the age of 50, it is most likely that 75%of the population has been already affected by pulse condition, at least once. 
  • 2. Piles can be both internal and external conditions. 
  • 3. In most cases, piles generally are cured by themselves, before the physical occurrence of the symptoms. 
  • 4. These are the ultimate result of excessive straining during bowel movement and chronic constipation. 
  • 5. Pregnant women are at risk of developing piles. 
  • 6. Bleeding in the stools or bleeding while bowel movements are visible symptoms of piles.

Are piles dangerous? Usually, piles aren’t that severe a condition. Most likely in many of the piles cases, the patient recovers by themselves through natural care. 

But, other conditions of piles, depend on grades of pulse, as grade 3 or 4 urgently requires medical assistance and surgical approach to treat piles. 

Piles may become an emergency in the following situations 

  • 1. Fecal incontinence 
  • 2. Strangulated or clotting.of hemorrhoids 
  • 3. Anal bleeding 
  • 4. Anal infection 
  • 5. Anal fistula

Are piles curable? Yes, often piles are easily curable or in most cases, they even go away on their own. Some of the effective ways to treat piles are : 

  • 1. Lifestyle changes are the best to bring quick relief such as healthy diet plans, balancing your body weight, and maintaining a habit printed life. 
  • 2. Medications such as over-the-counter medication, corticosteroids, or laxatives. 
  • 3. Surgical procedures such as chemotherapy, haemorrhoidectomy, banding, hemorrhoid stapling, and infrared coagulation.


What are fissures? A painful tearing found around the anus is known as a fissure condition. It gives immense burning and makes cuts to the skin and sensitivity increases. 

  • 1. Aged 50 and above are at higher risk of developing. 
  • 2. Can become infected and form pus. 
  • 3. It generally happens due to intense pressure or too much stretching.
  • 4. Are often caused or developed due to heavy lifting, chronic constipation, or diarrhea. 
  • 5. Can be present both as an acute or chronic condition. 
  • 6. Acute conditions of an anal fissure are quick to be healefiber-basedibre based diet, lifestyle changes, or over-the-counter medicines. 
  • 7. Chronic anal fissures are much more difficult to control or cure and are often managed through a surgical procedure.

How to identify developing anal fissures? Commonly experienced signs and symptoms of an anal fissure are : 

  • 1. Forming of a skin tag or lump near the anal fissure. 
  • 2. Pain that remains even hours after a bowel movement and continues to cause discomfort while sitting, walking, standing, or doing anything. 
  • 3. Bright red-colored blood after a bowel movement. 
  • 4. Intensifying pain that is sharp and severe.

Causes of anal fissure? Common and less common causes of occurring of anal fissures are : 

  • 1. Common causes Strain or pressure during bowel movement. Passing of hard or large stools, anal intercourse, chronic diarrhea, or childbirth. 
  • 2. Less common causes are Anal cancer, HIV, Tuberculosis, Crohn’s disease, and Syphilis.

Complications associated with anal fissure? Some serious complications associated with a growing anal fissure condition are : 

  • 1. Reoccur Lance rates may rise and the next time more than one can develop. 
  • 2. If left untreated for too long, they may not respond properly to medications and fail to heal easily. Further, more treatment can be required. 
  • 3. Also, its pain can cause discomfort in the surrounding areas as well and healing might become difficult. 


What are fistulas? Infected glands are connected to the abscess which fistulas are the passage. Also, in other words, the fistula is the passage that connects two organs or vessels. 

What are anal fistulas caused by? The blockage formed in the fluid gland results in the development of a fistula. Followed by infectious small-sized abscesses. 

If the condition remains untreated or ignored for a longer time, the pus that formed, gradually starts to grow bigger, draining out of the anua. 

Further, these abscesses usually become fistulas. Also, can be caused due to tuberculosis or sexually transmitted diseases. 

How to identify anal fistula? The identification of anal fistulas can be done through these signs and symptoms : 

  • 1. Painful bowel movement 
  • 2. Redness 
  • 3. Swelling 
  • 4. Bleeding 
  • 5. Fever

Note: it is strictly advised to immediately contact your doctor to avoid the worsening of the condition. 

Can anal fistula be diagnosed? it is believed some fistula conditions are quick to diagnose whereas other conditions may seem quite complicated. 

While diagnosing a fistula the doctor may take the following steps : 

  • 1. Physical exam: Checking for bleeding, oozing fluids, 
  • 2. Examination by a specialist: Someone with a deeper knowledge of treating such conditions. 
  • 3. Other tests: X-ray and CT scan.

Some facts to learn about anal fistula? 

  • 1. Fistulas can be a result of excessively sitting for longer hours or due to obesity. 
  • 2. The treatment can be done through the use of antibiotics. 
  • 3. Its signs are oozing pus, intense pain, red color, or swollen. 
  • 4. Can be caused due to warts, radiation, trauma, cancer, or Crohn’s disease.

Frequently Asked Questions

Q. What is the difference between fistula and hemorrhoids?

In simple terms, pulse deals with the swelling up of blood vessels whereas fistula is the condition where the tunnel develops from. anus to the skin that surrounds the area. 

Q. Can piles and fistula occur together? 

The condition of haemorrhoids and anal fistula can occur both ways, either together or separately. 

Many patients get confused between these two especially because of the similarity in their signs and symptoms. 

Q. Which is more painful, piles or fissures? 

The symptoms of the two conditions are similar. May it be a piles or fissure, the person is most likely to experience itchiness, pain, or bleeding. 

So, the major difference that separates its intensity of pain is leaking mucus is a sign of piles but external bulging is a sign of fissure. 

Q. How do you confirm fistulas? 

A list of tests is prescribed to confirm fistula. The tests include anorectal ultrasound, MRI, CT scan, blue dye test, a no rectal geometry, and contrast test. 

Q. Who treats piles and fistula? 

A psychologist is an experienced and specialist doctor as well as a surgeon who treats piles, fissures, and fistula-related all sorts of conditions.

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