Narayana Health Care
  • Cardiology
  • Gastroenterology
  • Nephrology
  • Neurology
  • Oncology
  • Book An Appointment
    • Video Consultation
    • Physical Consultation
  • English
    • Hindi
    • Bengali
Narayana Health Care
  • Cardiology
  • Gastroenterology
  • Nephrology
  • Neurology
  • Oncology
  • Book An Appointment
    • Video Consultation
    • Physical Consultation
  • English
    • Hindi
    • Bengali
Home > Blog > Urology > Difference between Piles, Fissures and Fistula
Urology

Difference between Piles, Fissures and Fistula

by Narayana Health April 19, 2020
written by Narayana Health April 19, 2020
Difference between Piles, Fissures and Fistula | Narayana Health

The common thing about these disorders is that they all are anal pathologies. The anus is the last orifice from which the stool is excreted. It is 4-5cm long. A terminal part of the anus has sensitive nerve endings, lined by blood vessels. The middle portion possesses several anal glands. Once we are through with the anatomy of the anus, letтАЩs look into its various disorders.

LetтАЩs look at each of the anal disorders:┬а

Piles

What is piles disease?

Also called hemorrhoids, anal piles are swollen veins in the terminal part of the anus.

Some quick facts:┬а

  • They may affect 75% of the population by age 50.
  • Common in pregnancy.
  • They can be internal or external.
  • Presenting symptoms may be bleeding after passing stool or bloody stool.
  • Sometimes blood can clot surrounding anus causing external hemorrhoids.
  • Mostly they cure by themselves even before symptoms begin to appear.
  • Caused due to chronic constipation, difficult bowel movements.

Is piles dangerous?┬а

Generally, piles are not that serious. They normally get okay in a few days. Some of the common symptoms of piles are:┬а

  • Painful lump around the anus
  • A feeling of full bowels even after passing stool
  • Bright red blood after bowel movements
  • Itchy, red, and sore anus
  • Pain during the passing of stool

Piles become serious when thereтАЩs

  • Anal bleeding leading to anemia
  • Fecal incontinence
  • Anal fistula┬а
  • Strangulated hemorrhoid leading to a blood clot or infection

Causes of piles

Piles generally occur due to excessive pressure in the lower rectum. Some of the reasons for piles:

  • Chronic constipation
  • Chronic diarrhea
  • Lifting heavyweights
  • Pregnancy
  • Straining while passing stool

Is piles curable?┬а

In most cases, piles go away on their own. In case they donтАЩt, you can try out some treatments such as:┬а

  • Lifestyle alterations such as dietary changes or trying to reduce body weight
  • Medications such as laxatives and corticosteroids
  • Surgical treatments such as banding, sclerotherapy, infrared coagulation, and hemorrhoidectomy, and hemorrhoid stapling

Fissure

What are fissures?

They are identified as a tear around the anus and is very painful.

  • Happens at times when a person stretches and pressurizes too much to defecate.
  • They may ooze blood or pus if infected.
  • They may occur due to constipation, diarrhea, and heavy exercising.
  • They mostly affect age groups above 50.
  • They may present in acute and chronic forms.
  • An acute fissure can be easily cured with a fiber-rich diet and medication.
  • Chronic is difficult to manage and can recur.

How to know if you have anal fissures?┬а

Some of the signs and symptoms of anal fissures are:┬а

  • Severe pain during bowel movements
  • Lasting pain after bowel movements for several hours
  • Bright red blood after bowel movements
  • Lump or skin tag near anal fissure

What can cause anal fissures?

Some of the common causes of anal fissures are:┬а

  • Passing large or hard stools
  • Straining during bowel movements
  • Chronic diarrhea
  • Anal intercourse
  • Childbirth

Some other less common reasons for anal fissures are:┬а

  • CrohnтАЩs disease
  • HIV
  • Anal cancer
  • Tuberculosis
  • Syphilis

Are there any complications for anal fissures?┬а

In case the anal fissures become serious, they may lead to complications such as:┬а

  • They may fail to heal. If it crosses eight weeks, then they may require more treatment.
  • They may recur and you may have more than one.┬а
  • They may extend to the surrounding muscles, making it difficult to heal.┬а

Fistula

What are fistulas?┬а

The anal glands in the middle portion of the anus may get infected and cause an anal abscess, which starts oozing pus. Fistulas are the passage connecting the infected gland to the abscess.

Some quick facts

  • They may be caused due to radiation, cancer, warts, trauma, CrohnтАЩs disease, etc.
  • They may also be associated with obesity and prolonged hours of sitting.
  • They are presented as an opening oozing pus, swollen, painful, and red.
  • They can be treated with antibiotics.

What are anal fistulas caused by?┬а

Anal fistulas occur when the fluid glands in your anus are blocked. This leads to a bacteria buildup that may create pockets abscesses.┬а Unless treated, abscesses may grow, finally moving outside near the anus hole to drain out. In most cases, abscesses may turn into fistulas. They may also be a result of conditions such as tuberculosis and sexually transmitted diseases.┬а

How to identify anal fistulas?┬а

When you have anal fistulas, you may experience signs such as pain, redness, and swelling around the anus. There can also be bleeding, painful bowel movements, and fever. In such cases, itтАЩs advisable to visit a doctor.┬а

Is it possible to diagnose anal fistulas?┬а

Your doctor may be able to diagnose your anal fistula after a physical exam. Some fistulas may be easy to diagnose, some may not. Your doctor may check for oozing fluids or bleeding. They may also refer you to specialists in the colon and rectal problems. You may have to conduct some other tests such as X-rays or CT scans.┬а

How are they all different?

  1. Piles are mainly the swollen blood vessels while fissures are kind of cracks and fistulas are an opening of a cavity.
  2. Piles are mostly painless and unnoticeable. Fissures cause a lot of pain. In the case of fistulas, pus is discharged out of the anal area.
  3. Apart from constipation, which is commonly associated with all three, piles are also associated with pregnancy and a constant cough. Fissures are associated with diarrhea and pressurizing to defecate. Fistulas may commonly be a result of CrohnтАЩs disease, obesity, and sitting in one place for prolonged hours.┬а
  4. All three can be prevented by a high fiber diet and more intake of fluid. In addition, fistula can be prevented by practicing better hygiene practices involving defecation.
  5. Piles are easily treated by over the counter medication and home remedies. But to treat fissures, medication and surgical procedures like lateral sphincterotomy may be required. Detection and treatment of fistula are all the more difficult and may require MRI or sonofistulagram to spot the passage of occurrence. They are treated through a procedure called video-assisted anal fistula treatment and other similar approaches.

Rectal bleeding in itself is a noticeable symptom and medical advice should be taken about it. All the above conditions have excellent outcomes once taken care of personally and medically. Ignoring the condition might lead to unexpected complications. As common as they are, a lot of people are facing similar problems as you are. ItтАЩs yet another disorder and itтАЩs considered as one, donтАЩt be embarrassed to ask for help, itтАЩs just around the corner!

Dr. Amit Goel, Consultant – Urology,┬аDharamshila Narayana Speciality Hospital, Delhi

bloody stoolFissureFistulaHemorrhoidsPilestreatment of fissuretreatment of fistulatreatment of pileswhat is fissurewhat is fistulawhat is piles
0 comment
0
FacebookTwitterPinterestWhatsapp
previous post
рдирд╡рдЬрд╛рдд рд╢рд┐рд╢реБрдУрдВ рдореЗрдВ рд╕рд╛рдорд╛рдиреНрдп рд╕реНрд╡рд╛рд╕реНрдереНрдп рдХреА рд╕реНрдерд┐рддрд┐
next post
рд▓рд┐рд╡рд┐рдВрдЧ рдбреЛрдирд░ рдХрд┐рдбрдиреА рдЯреНрд░рд╛рдВрд╕рдкреНрд▓рд╛рдВрдЯ рдЕрдЪреНрдЫрд╛ рдХреНрдпреЛрдВ рдорд╛рдирд╛ рдЬрд╛рддрд╛ рд╣реИ

You may also like

Everything About Cystinuria That You Need To Know

April 24, 2022

Protest Prostate by Being Proactive

September 24, 2021

рдорд╣рд┐рд▓рд╛рдУрдВ рдореЗрдВ рдЧреБрд░реНрджрд╛ рд╕рдВрдмрдВрдзреА рд╡рд┐рдХрд╛рд░: рдХрд╛рд░рдг рдФрд░ рд░реЛрдХрдерд╛рдо

July 1, 2021

рдореВрддреНрд░ рд░реЛрдЧ рд╡рд┐рд╢реЗрд╖рдЬреНрдЮ рд╕реЗ рдкрд░рд╛рдорд░реНрд╢ рдХрд░рддреЗ рд╕рдордп рдХреНрдпрд╛...

June 28, 2021

Urological Problems in Men

June 26, 2021

Stones in the Kidneys, Ureter and Bladder

June 24, 2021

Kidney Cancer: How much are we aware?

June 17, 2021

рдкреМрд░реБрд╖ рдЧреНрд░рдВрдерд┐ рдХрд╛ рдХреИрдВрд╕рд░: рдХреНрдпрд╛ рдпрд╣ рдЗрд▓рд╛рдЬ рдпреЛрдЧреНрдп...

May 17, 2021

рд░рд╣реЗрдВ рд╕реЗрд╣рддрдордВрдж, рд░рдЦреЗрдВ рдХрд┐рдбрдиреА рдХреА рдмреЗрд╣рддрд░ рджреЗрдЦрднрд╛рд▓

April 25, 2021

рд╕рд╣реА рд╕рдордп рдкрд░ рдкрд╣рдЪрд╛рдиреЗрдВ рдкреНрд░реЛрд╕реНрдЯреЗрдЯ рдПрдирд▓рд╛рд░реНрдЬрдореЗрдВрдЯ рдХреЗ рд▓рдХреНрд╖рдг

April 19, 2021
1 2 3 … 250

About NH

Narayana Health

Narayana Health is headquartered in Bengaluru, India, and operates a network of hospitals across the country, with a particularly strong presence in the southern state of Karnataka and eastern India, as well as an emerging presence in northern, western and central India. Our first facility was established in Bengaluru with approximately 225 operational beds and we have since grown to 23 hospitals, 7 heart centres, 19 primary care facilities across India and an international hospital in the Cayman Islands.

Keep In Touch

Facebook Twitter Instagram Linkedin Youtube Telegram

Tell us your Medical Query

    [recaptcha]


    Popular Posts

    • 1

      Boosting your Immune System against Coronavirus: How to minimize the risk of...

      April 2, 2020
    • 2

      Coronavirus Testing – How to Test for Coronavirus? – Different Types of Tests

      March 13, 2020
    • 3

      How to maintain a Balanced Diet

      September 3, 2019
    • 4

      Know about proper usage, disposal and reuse of mask

      April 6, 2020

    Categories

    • Aids (5)
    • Bengali (1)
    • Blood Pressure (4)
    • Bone marrow transplant (12)
    • Breast Cancer (31)
    • Cancer (38)
    • Cardiac Surgery (26)
    • Cardiology (157)
    • Coronavirus (108)
    • Dental Sciences (1)
    • Dermatology (14)
    • Diabetes (37)
    • E. N. T – Paediatric (6)
    • E. N. T. (3)
    • ECMO (1)
    • Endocrinology (10)
    • Gastroenterology (29)
    • General Health (77)
    • General Surgery (4)
    • Gynaecology (42)
    • Haematology (5)
    • Health Nuggets (33)
    • Healthy Life (1)
    • Hepatology (14)
    • Hindi (6)
    • Infectious Diseases (4)
    • Kidney (4)
    • Liver (30)
    • Medical Oncology (1)
    • Mental Health (3)
    • Narayana Health (227)
    • Nephrology (33)
    • Neurology (98)
    • Neurosurgery (30)
    • News (9)
    • NH services (6)
    • Nutrition and diet (22)
    • Oncology (101)
    • Organ Donation (1)
    • Orthopaedics (98)
    • Paediatric Cardiology (13)
    • Paediatric Liver Transplant (1)
    • Paediatric Oncology (3)
    • Paediatric Surgery (5)
    • Paediatrics (69)
    • Pain & Palliative Care (4)
    • Pregancy (8)
    • Psychology (4)
    • Pulmonology (28)
    • Radiation Oncology (8)
    • Rheumatology (3)
    • Services (6)
    • Spine Surgery (30)
    • Stroke (5)
    • Swine Flu (1)
    • Transplant (1)
    • Urology (36)
    • Vascular Surgery (10)

    Follow us

    QUICK LINKS

    Find a Doctor

    Book an Appointment

    Make an Enquiry

    Feedback

    Hospitals

    Blogs

    Privilege card

    Heart Rhythm Disorder

    NH CARES

    Hernia

    Lung Cancer

    Brain Tumour

    Liver Cancer

    Heart Attack

    Urinary Problems

    Heart Transplant

    Kidney Transplant

    Bone Marrow Transplant

    Pulmonary Hypertension

    CENTRES OF EXCELLENCE

    Liver Transplant & HPB Surgery

    Cardiology

    Cardiac Surgery

    Neurology

    Neurosurgery

    Orthopaedics

    Robotic Surgery

    Vascular Surgery

    Nephrology

    Radiation Oncology

    MEDICAL PROFESSIONALS

    Academics

    Clinical Research

    NH Colleges

    SUBSCRIBE TO OUR NEWSLETTER

    Subscribe to our Newsletter for new blog posts, tips & new photos. Let's stay updated!

    About Narayana Health

    |

    Stakeholder Relations

    |

    News & Media Relations

    |

    Awards and Accreditations

    |

    Leadership

    |

    Careers

    |

    CSR

    |

    Sitemap

    ┬й Narayana Hrudayalaya Ltd | All rights reserved
    NPPA Implant Pricing     Terms & Conditions     Privacy Policy     Disclaimer

    Book Online Consultation