Hemorrhoids and fissure- occurrence and treatment together

Going to the toilet should not be a pain, especially if the pain does not last more than two days. If it has become a nightmare then there must be some serious problem. There are patients who report painful washroom visits and blood in stools, they believe that they may have hemorrhoids. On diagnosis, another possibility of the same symptoms may be anal fissures. These are two different problems but have similar symptoms. Sometimes anal fissures and hemorrhoids develop at the same time. Both the problems are painful and the sooner you resolve it, the better it is!

What are hemorrhoids?

Hemorrhoids commonly know as piles are masses of tissue inside the anal canal containing blood vessels. These are the swollen veins which are very painful when sitting. These can be internal within the anal opening and external bulging out from the anal opening. With time, they tend to grow in size and number.


If we talk about the symptoms, it includes:

  • Anal itching
  • Regular anal pain
  • Pain during bowel movements
  • Hard tender lump near the anus
  • Mucous discharge

They are classified into four grades:

  • Grade I is usually painless and may bleed but they do not protrude from the anal opening.
  • Grade II protrudes or prolapses from the anal canal during bowel movements and prolapse retracts on its own.
  • Grade III prolapses and is pushed back using hands
  • Grade IV is a permanently prolapsed hemorrhoid
Grades of piles

Whether internal or external, all hemorrhoids occur when there is too much straining while passing stools. They are very common during or after pregnancy due to the pressure from the baby developing baby and hormonal changes. Sometimes, smaller hemorrhoids disappear naturally if constipation reduced. But larger hemorrhoids need immediate attention. The best treatment for hemorrhoids is laser treatment which is a minimally invasive procedure.

What are fissures?

A fissure is a tear in the anus that may extend up to the anal canal. They are very common and can happen at all ages. People with fissure experience pain which gets worse during bowel movements. Ranging from mild discomfort to severe pain, unusual bowel movement can cause the lining of the anus to tear. Other risk factors for fissures include inflammatory bowel disease or being overweight, pregnant or because of anal intercourse. The symptoms of the fissure are almost the same as piles:

  • Pain during bowel movements
  • Pain after bowel movements that last up to several hours
  • A visible crack in the skin around the anus
  • A small lump on the skin near the anal fissure
  • Blood in the stool

If fissures fail to heal within a few weeks, they become chronic and need further treatment. A fissure which occurs on the side of the anal opening rather than front or back is likely to be a sign of another disorder called Crohn’s disease.

Fissure vs hemorrhoids

The difference between hemorrhoids and fissure is that fissure shows symptoms only during bowel movements while hemorrhoids are painful throughout the day. There is a foul smelly discharge in the fissure and can be infectious while hemorrhoids do not cause any infection. Both the problems can be treated using laser procedure.

  • The reason for fissure is tear in the skin around the anus while excessive constipation is the and straining during bowel is the reason for piles or hemorrhoids.
  • Hemorrhoids do not give any symptoms at the initial stages whereas the fissure is known since the problem starts.
  • Chronic cough, long-term constipation, and pregnancy exert a lot of pressure on veins in the anal area, leading to piles while Crohn’s disease is the main cause of Fissure.

Both can be cured with minimally invasive laser surgery. This is a no cuts, no wounds and painless surgery. The patient recovers faster and the post-surgery complications are negligible. Pristyn Care has highly skilled and experienced doctors who perform laser surgery for both fissure and hemorrhoids with great precision.

pile vs fissure


Anyone experiencing what they believe to be anal fissure or hemorrhoids should come to Pristyn Care multispeciality clinic. Specialists are best equipped to provide an accurate diagnosis and effective treatment for your condition, whatever it might be.

The advantages of getting laser treatment are:

  • It is a minimally invasive procedure
  • Painless treatment
  • Faster recovery compared to the traditional method
  • Negligible post-surgery complications
  • Can lead a normal life immediately after the surgery

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