Surgery

Piles are mainly the swollen blood vessels while fissures are kind of cracks and fistulas are an opening of a cavity. 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.

Subcutaneous perianal fistulas may occur either as a result of a chronic fissure-in-ano or as a variant of the fistula-in- ano formed from abscesses of the anal crypt glands. Sphincterotomy is mandatory in the fissure-fistula complex.

But they are different conditions. An anal fissure is a small tear or ulcer (open sore) in the skin just inside your anus. Whereas piles, also known as haemorrhoids, are swollen veins and surrounding tissue around your anus or in your back passage.

Constipation or fecal impaction may occur. The pain from an anal fissure can be so overwhelming that it discourages people from defecating. Acute fissures can become chronic, and sentinel pile can result. A permanent skin tag can result, and fistulas may form.

Pain during a hard bowel movement, and sharp pain that continues afterward are the most common symptoms of an anal fissure. Sitting can be quite painful with an anal fissure. You may see a few drops of blood in the toilet bowel or when wiping.

Most anal fissures heal with home treatment after a few days or a weeks. These are known as acute anal fissures. Pain during bowel movements usually goes away within a couple of days after the start of treatment.

Foods with little fiber can cause or make constipation (and therefore hemorrhoids) worse, so it’s best to limit how much you eat of them.
White bread and bagels.
Milk, cheese, and other dairy.
Meat.
Processed foods such as frozen meals and fast food.

Piles are a very common ailment that may affect men or women at any age. These are caused due to continuous high pressure in the veins. Other causes include constipation, excessive straining during bowel movements and persistent diarrhoea. These swellings are usually round, discoloured, and small lumps.

A thrombosed hemorrhoid will appear as a lump at the anal verge, protruding from the anus, and will be dark bluish in color because of the blood clot contained inside the swollen blood vessel. Non-thrombosed hemorrhoids will appear as a rubbery lump. Often more than one swollen hemorrhoid appears at the same time.

A pile can hang down (prolapse) and can be felt outside the back passage. Often, it can be pushed back up after you have been to the toilet. However, more severe piles remain permanently prolapsed and cannot be pushed back up inside. Small internal piles are usually painless.

Unfortunately, stress can have a negative effect on hemorrhoids. Stress can lead to digestive problems—and straining, due to constipation and diarrhea, can cause hemorrhoid flare-ups. When people are stressed, they tighten their sphincter muscle and put pressure on the rectum.

Exercises that are generally considered safe and effective for hemorrhoid management and prevention include: Walking and other cardiovascular exercises. Treadmill or elliptical machine exercises. Water-based exercises like swimming and water aerobics.