Difference between Piles and Fissures: Diseases like piles, fissures, and fistula are very painful and people also get a lot of inconvenience due to them. But, according to Dr. Madhav Mayank Sharma, most people do not recognize the cause of pain or discomfort in the lower part of the body. They do not understand the difference between piles and fissures. The symptoms of both piles and fissures are similar.
Both of these conditions are common and in most cases, bleeding does not indicate a serious problem. But rectal bleeding should be investigated immediately as in some cases it can also be a sign of some serious disease. Usually, doctors diagnose the condition by looking at the position of the anus or by examining the affected area with a finger.
But to differentiate between these two conditions, colonoscopy or sigmoidoscopy can be done. Hemorrhoids are suspected when a person feels pain or discomfort in the anal area or sees blood in the stool or on the toilet paper. Piles are caused by the enlargement of blood vessels or tissue due to excessive pressure on the anal area or anal canal due to prolonged constipation or sitting for hours. Fissures are caused by a tear in the skin around the anus or anus.
Symptoms of piles include itching or prickling in the area of the anus, sticky mucus in underwear or toilet paper after wiping the anus, pain or discomfort, and swelling or bleeding around the anus. Fissure, on the other hand, is characterized by severe pain, which begins with passing stool.
This pain can last from a few minutes to a few hours. As a result, some patients shy away from having a bowel movement to avoid the pain. Bleeding is very rare in the early stages of the fissure. A small lump or skin tag often forms near the anal fissure, especially if it persists for a long time.
Excessive straining during bowel movements, prolonged sitting on the toilet, chronic diarrhea or constipation, chronic cough, obesity, lifting heavy weights regularly, and pregnancy put a lot of pressure on the veins in the anal region, leading to piles. Is. Common causes of anal fissures include large, hard stools, constipation and pressure during bowel movements, chronic diarrhea, having anal sex, and childbirth. Less common symptoms of anal fissures include Crohn’s disease or any other painful bowel disease, colon cancer, HIV, tuberculosis, and syphilis.
Piles are usually not serious. They get well in a few days. If the piles do not heal themselves, they can be treated with over-the-counter medicine, home remedies, or in some cases minimally invasive surgery. Fissures, on the other hand, may not heal, recur, or may spread to nearby muscles, making them difficult to heal. Therefore, in many cases, medication and surgical procedures, such as a lateral sphincterotomy, may be needed.
In the early stages, piles can be cured with medicine, a healthy, high-fiber diet, and drinking plenty of water throughout the day. Ice packs or cold water provide immediate relief, but only for a short period of time. For persistent bleeding or painful hemorrhoids, the doctor may recommend minimally invasive procedures, such as band ligation, injection sclerotherapy, or coagulation techniques.
These treatments can be done in a doctor’s office or other outpatient setting and do not require anesthesia. Very few people with hemorrhoids need hemorrhoid removal surgery, such as hemorrhoidectomy or hemorrhoid stapling.
Fissures are treated by softening the stool and relaxing the sphincter of the anus. Most anal fissures heal with simple treatments, such as overeating and sitz baths. Some people with anal fissures may need medication, or occasionally, surgery. If an anal fissure does not heal within eight weeks, it is called a chronic fissure and needs to be treated.
A person suffering from acute fissures is advised to undergo surgery. Surgery options include injection of botulinum toxin (Botox) into the sphincter of the anus or surgical division into the inner part of the sphincter of the anus (lateral internal sphincterotomy). It can take 6 to 10 weeks for full recovery after medical and surgical treatments. It is important to maintain intestinal health and eat a high-fiber diet even after the pain and bleeding have subsided.
It is important to take a proper diet and develop habits to keep the stool soft so that there is no pressure on the intestines. Eat a high-fiber diet (fruits, vegetables, legumes, and whole grains) daily and drink enough water (8 to 10 glasses per day). Do not rush or force a bowel movement. Avoid sitting in the toilet for a long time. Do not wipe vigorously after having a bowel movement (to reduce irritation) and exercise regularly.
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