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Difference between Piles, Fistula and Fissure

Piles or Hemorrhoids are the swollen veins in the lower part of the anal canal or anus, these are painless. Fissures are very painful, as they are caused due to the tear or cut in the skin near the anus. The fistula is the small opening develops in the skin around the anus, this opening has pus inside it.


Piles or Hemorrhoids are the inflammation in the veins of the anal tract. It occurs due to constipation, obesity, pregnancy, sitting in the toilet for a long time, weakening of the rectus muscles, diarrhea and mainly due to lack of fibre diets and liquids, etc.

Piles are of two types, internal or external hemorrhoids. These hemorrhoids are present in everyone’s body, but when it get enlarge, they are considered as abnormal. Internal hemorrhoids are painless as they belong to the nerve fibres of the intestine and so cannot be felt, but the hemorrhoids which get protrude from the anus and bleed during hard stools.


The tear or a cut around the anus, which are painful, is known as fissures. It is noticed when passing the stool becomes difficult or constipation occurs, while we try to stretch and gives pressures to the sphincter muscles.

There are two types of fissures, acute and chronic. Acute fissures are easy to treat and heal with time, Chronic fissures are difficult to treat than the acute one and have the chances of reoccurrence. If the fissures do not get heal, one should take the medical help.


Anal Fistula is formed especially to the person who has anal abscess earlier; it is a type of opening in the anal area filled with the pus. The small gland in the anus gets infected and causes an abscess.

The symptoms include swelling, pain, redness and irritation around the skin of the anal canal, with the discharge of the pus through the fistula. Diagnosis and treatments are available of this, although antibiotics are also considered as one of the best ways to care fistula.

Key Differences between Piles, Fissures and Fistula

  • The swollen blood vessels in the anal canal, which occurs due to chronic constipation and result in bleeding is called as Piles, while Fissures or Anal Fissures are kind of cracks or tear found in the skin of the anal canal or around the anus, resulting in pain.


  • Symptomsof piles are not noticed in the earlier stage as they are painless, but later on, swelling occurs in the anal area and become painful, when they are felt, whereas fissures cause a lot of pain in the anal area, that the sufferer avoids using the toilet, though bleeding is infrequent. The symptoms of fistula are more severe condition than two, as in this, the pus is discharged from the anal area.
  • In all the three cases it is advisable to take liquids and diet with high fibre work best, even they are advised not to exert too much pressure at the time of passing stools, along with that maintaining hygiene habits while using toilets, is the best way of preventing the infections in the anal canal.

Pain, bleeding, constipation, after going toilet or while passing stools can be the symptoms of the disease related to the anal canal. These can be due to the changes in the lifestyle, eating habits which have increased the percentage of such problems drastically. In this article, we discussed the main problems occurring in the anal part and how they distinguished from each other

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