Hemorrhoids and anal fissure start with a defect in the human anatomy of rectum and colon. The anal canal gets too tight for hard stools to come out of the body. These stools get stuck in the colon or rectum. In the end, this makes you strain and becomes one of the common causes of hemorrhoids and anal fissure. Let us talk about them in detail. 

What causes hemorrhoids or piles? 

Piles occur when you strain during the bowel movement. So, people with chronic constipation often suffer from piles. 

Piles are also common during or after pregnancy due to the pressure on the abdominal muscles. 

There are four grades of hemorrhoids. Usually, treating constipation can treat your Grade I hemorrhoids. There are some home remedies for piles and other preparations that can ease the discomfort. 

What causes anal fissure?

Bleeding from the anus can occur if you have constipation and pass a rather big and/or hard stool and experience pain during and after the bowel movement. They can also be caused by inflammatory bowel disease or inflammation. 

Anal fissure is a tear around the anus. They can open when you have a bowel movement and may continue to pain and bleed afterward. You can prevent the fissures from reopening by trying to avoid constipation. This will, therefore, make your stool easy to pass.

If the condition gets severe, the doctor may suggest surgery as the treatment of anal fissure. 

Other Common Causes of hemorrhoids and anal fissure

Other common causes of hemorrhoids and anal fissure include prolonged sitting, pregnancy, obesity, loss of muscle tone due to old age, rectal surgery, alcoholism with liver disease, anal infection, anal intercourse, and colon malignancy.

  • Chronic Constipation can cause hemorrhoids and anal fissure

If chronic constipation is left untreated, it can cause hemorrhoids and anal fissure. If you experience signs or symptoms of constipation on an ongoing basis, consult a doctor. They can help you identify potential causes of constipation and help you treat it. They can also guide you to prevent and treat potential complications.

Constipation can lead to piles and fissure

  • Pregnancy is also a common cause of hemorrhoids and fissure

Pregnant women usually face constipation problems due to hormonal changes. Another reason for constipation in pregnant women can be reduced physical activity and dietary changes. As your baby grows and your uterus stretches, it can also press on your intestines and cause digestive delays or obstructions. Therefore, piles and fissure are common problems during pregnancy.

Do not take medicines on your own to treat constipation. Consult your gynecologist about which ones are suitable for you during pregnancy.

Know About the Risk of Piles during Pregnancy

  • Obesity is another common cause

Lifestyle today has made people inactive and lazy. Everything is just a click away. Obesity is the result of this lethargic lifestyle. Especially, people who eat junk, spicy and excess cholesterol food are more susceptible to obesity. Their diet does not include fiber, enough water and fluid that is required by the body. This further leads to constipation and accumulation of fat. Therefore, there is straining during the bowel movement. 

Obese people can exercise and eat a balanced diet to maintain a healthy weight. Sometimes, people with a family history of blood pressure, heart problems, piles, fissure and other hereditary problems, are unable to reduce weight. They choose bariatric surgery for weight loss. 

So, consult a doctor to stay away from these digestive and anorectal disorders. 

Obesity can cause hemorrhoids and anal fissure

Diagnosis of both hemorrhoids and fissure 

Diagnosis is usually done by examination of the anal area, which may include: 

  • Anoscopy: Visual examination of the anus using a short tube called an anoscope.

  • Sigmoidoscopy: A method of examining the rectum and lower part of the colon using an optical instrument with a lighted tip. 

Common surgical method for treatment of hemorrhoids and anal fissure

Laser surgery is the best way to treat both anal problems. It is a day-care procedure that is preferred over traditional surgery. Compared to other conventional procedures, laser effectively treats hemorrhoids and anal fissure improves symptoms and reduces postoperative pain. 

How is Hemorrhoid treated with laser?

Laser cauterization is a technique in which the surgeon burns to shrink the swollen hemorrhoids. Alternatively, the surgeon may use a narrow beam of the laser to focus only on hemorrhoids without damaging the surrounding tissues. It is a safe procedure with minimal bleeding and quick heal time.

A laser fiber is passed through the anal opening and laser energy is applied to the hemorrhoidal mass. The controlled emission of laser energy reaches the submucosa zone, causing the hemorrhoidal mass to shrink. Fibrosis reconstruction generates new connective tissue, ensuring the mucosa adheres to the underlying tissue preventing the recurrence of prolapse.

How is Anal Fistula treated with laser?

It is a minimally invasive and sphincter-preserving technique used in treating anorectal fistula. The affected tissue is destroyed and sealed using laser emission radially 360° in a controlled manner.

Advantages of Laser surgery

Similar benefits are seen for patients with severe anal spasms, external thrombosis, fissure, and sentinel tags, fistula & varicose veins due to the following advantages:

  • 30-minute procedure
  • Daycare process
  • Back to routine life in 3-5 days
  • Greater surgical precision
  • No scars 
  • Quick recovery as there are no cuts or stitches
  • Immediate relief from the symptoms
  • Minimally invasive procedure
  • Negligible postoperative pain
  • Reduced risk of infection
  • Reduced risk of rectal stenosis or prolapse
  • Chances of recurrence are negligible
  • Fewer follow-ups post-surgery
  • High success rate
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