Difference Between Piles, Fissures, and Fistula

Piles, Fissures, and Fistula are very rare, but they are the most painful and unpleasant conditions of Ano-rectal anatomy. According to recent reports, 50% of people across India suffer from these painful conditions. Everyday we come across various questions relating to piles, fissures, and fistula which makes the patients feel a little low.     

Patients with these anal conditions has to go through severe pain and are asked to undergo an open surgery. However, people can now easily get rid of piles, fissures, and fistula by getting treatment done from the best ayurvedic hospital in Hyderabad.    

Understanding Piles 

Hemorrhoids (Piles) is an unpleasant condition that occurs due to swelling of blood vessels in the walls of the rectum and anus. They are indicated by continuous bleeding, pain, and irritation during bowel movements. They are most likely to occur during pregnancy, constant constipation, chronic diarrhoea, and straining. Piles can occur both inside and outside the anus. 

Types of Piles:        

Depending upon the severity, piles are categorized into 4 grades, as follows. 

Grade I – Acute Piles with mild pain, itching, and heaviness in the rectum

Grade II – Repeated bleeding, itching, burning sensation, and feeling of a prolapse

Grade III – Painful defecation, heavy recurrent bleeding, uncontrollable itching, and feeling of a grown prolapse

Grade IV – Prolapse becomes irreducible

Understanding Fissures

Fissures are the breakage in the inner lining of the anus. This is also a painful condition that results from frequent bowel movements or passing of hard stools. It isn’t a serious condition, and heals on its own in one to two weeks. But this is not the case with chronic fissure, and can take much longer to heal. 

Anal fissures are more likely to occur in individuals suffering from medical ailments like Crohn’s or ulcerative colitis, Anal cancer, Leukemia, STDs and HIV. Men and women aging between 20 and 40 are highly prone to this condition.   

Understanding Fistula

In anal fistula, a small channel is created between the surface of the anus and end of the bowel. This condition occurs as a result of infection, or inflammation to the bowel. It causes discomfort, skin irritation and requires medical intervention.  

How to Identify Piles, Fissures, and Fistula

Check if it’s Piles 

Make sure that you visit your doctor and opt for best piles treatment in Hyderabad, if you notice any of these symptoms. 

  • Painful lump around the anus
  • Bleeding after a bowel movement
  • Excessive anal bleeding 
  • Fecal incontinence 
  • Infection or a blood clot
  • Anal fistula 

Check if it’s Fissures  

Here are a few indications of fissures and if you experience any of these symptoms, Book an appointment immediately with the doctor and get the best Fissures Treatment in Hyderabad, India

  • Pain that worsens with bowel movements
  • Recurring constipation and even fecal impaction
  • Discomfort and frequent urination 
  • Inability to urine
  • Mild bleeding and itching

Check if it’s Fistula

Consult a doctor, if you have any of these symptoms for best fistula treatment in Hyderabad. 

  • Pain and swelling around the anus
  • Constant urine leakage 
  • Frequent urinary tract infections (UTIs) 
  • Painful bowel movements 
  • Bleeding around the anus 
  • Foul-smelling discharge from the anus 
  • Diarrhoea and abdominal pain  

How Are They All Different

Basis for ComparisonPilesFissuresFistula
MeaningThis condition occurs due to swelling of blood vessels in the walls of the rectum and anus.This condition occurs due to the breakage in the inner lining of the anus.In this condition, a small channel is created between the surface of the anus and end of the bowel.
TypesInternal Hemorrhoids (Grade I)External Hemorrhoids (Grade II)Prolapsed Hemorrhoids (Grade III)Thrombosed Hemorrhoids (Grade IV)Acute anal fissureChronic anal fissureIntersphincteric fistulaTransphincteric fistula Suprasphincteric fistula Extrasphincteric fistula
CausesPregnancyConstant constipationChronic diarrhoeaStrainingConstipationAnal fissure postpartum (pregnancy)Persistent diarrheaSexually Transmitted Infection (STI’s) Inflammatory bowel disease (IBD)Previous anal surgeryAnal cancerAnal abscess Crohn’s diseaseDiverticulitis Hidradenitis suppurativaTuberculosis (TB) or HIVPrevious surgery near the anus
SymptomsPainful lump around the anusBleeding after a bowel movementExcessive anal bleeding Fecal incontinence Infection or a blood clotAnal fistula  Pain that worsens with bowel movementsRecurring constipation andeven fecal impactionDiscomfort and frequent urination Inability to urineMild bleeding and itching Pain and swelling around the anusConstant urine leakage Frequent urinary tract infections (UTIs) Painful bowel movements Bleeding around the anus Foul-smelling discharge from the anus Diarrhoea and abdominal pain   
Diagnosis Physical examinationAnoscopySigmoidoscopyColonoscopyPhysical examX-rays or a CT scanColonoscopy 
Treatment MedicationsBotox for anal fissureSphincterotomyFistulotomySeton techniquesAdvancement flap procedureLIFT procedureEndoscopic ablationLaser surgeryFibrin glueBioprosthetic plug


Piles, Fissures, and Fistula are common diseases and affect people of all age groups. It is an unpleasant condition which can be cured when you choose the effective treatment for piles, fissures, and fistula. With the right treatment and care, you can get rid of conditions of Ano-rectal anatomy. 

Are you in search of the best piles doctor in hyderabad? Then opt-in to our clinic now and get the best treatment for piles, fissures, and fistula.