Anal Fissures vs. Hemorrhoids Understanding the Difference

Many people in India suffer from pain or bleeding while passing motion but are confused about whether it is piles (hemorrhoids) or anal fissures. These two problems affect the same area but are quite different. Knowing their differences can help you get the right treatment at the right time.

If you are searching for the best gastroenterologist in Bangalore, this blog will guide you with useful information about symptoms, causes, and the best treatments for piles and fissures.

Hemorrhoids, commonly called piles, are swollen blood vessels found inside the rectum or around the anus. They can be internal or external and often cause bleeding, itching, or discomfort while sitting. Hemorrhoids are common among adults who strain while passing stool or have a low-fiber diet.

Anal fissures are small cracks or tears in the skin around the anus, often causing sharp pain during bowel movements.They are usually caused by passing hard or dry stools and are very painful, especially during and after bowel movements. Both conditions are treatable and should not be ignored.

If you are unsure whether you have piles or fissures, visit the best laparoscopic surgeon in Bangalore for expert advice.

The key difference between hemorrhoids and anal fissures is the type of tissue involved. Hemorrhoids are swollen veins found inside the rectum or around the anus. They can be either internal (inside the rectum) or external (outside the anus). On the other hand, anal fissures are small tears or cuts in the lining of the anal canal, usually caused by passing hard stools or constipation.

While hemorrhoids often cause painless bleeding during bowel movements, anal fissures usually cause sharp pain and discomfort, especially when passing stools.Anal fissures can sometimes lead to painful muscle spasms around the anus. Identifying the right condition is important to get the correct treatment from a specialist like a GI cancer surgeon in Bangalore.

Both conditions have some overlapping symptoms, but there are key differences. Hemorrhoids often present with bright red blood on the toilet paper or in the stool. You may also feel itching, irritation, or a small lump around the anus in case of external piles.Many people feel mild discomfort or pain while sitting, especially if they have conditions like piles or anal fissures.

Anal fissures, however, usually cause severe pain during and after passing stools. The pain often feels like a sharp cutting sensation or a burning discomfort. There may also be visible tears near the anus, and you might see streaks of blood on the toilet paper. If you are experiencing these symptoms, it is important to consult the best laparoscopic surgeon in Bangalore for proper evaluation and care.

The causes of hemorrhoids and anal fissures are slightly different but often related to poor bowel habits. Hemorrhoids often develop due to frequent straining while passing stools, sitting on the toilet for long hours, ongoing constipation or diarrhea, obesity, pregnancy, and eating a diet low in fiber. All these factors increase pressure in the lower rectum, leading to swollen veins.

Anal fissures mostly occur due to passing hard or bulky stools, which cause small tears in the anal lining. Other causes include chronic constipation, anal intercourse, childbirth, and certain inflammatory bowel diseases. Fissures can occur in anyone but are more common in people with poor hydration or dietary habits. Both conditions are preventable with the right lifestyle and timely medical help, such as piles treatment in Bangalore.

In many cases, mild forms of hemorrhoids and anal fissures can be treated with home remedies and lifestyle changes. Increasing fiber intake, drinking more water, taking sitz baths, and avoiding straining can help reduce symptoms. Over-the-counter creams and ointments may also provide relief.

However, for chronic or severe cases, medical or surgical treatment may be required. At our clinic, we offer advanced piles and fissure treatment in Bangalore. For hemorrhoids, treatment options include rubber band ligation, sclerotherapy, and laser surgery. For chronic anal fissures, a minor surgery called lateral internal sphincterotomy (LIS) may be recommended. As a skilled GI cancer surgeon in Bangalore, Dr. Bhushan Chittawadagi also specializes in advanced laparoscopic procedures for complex gastrointestinal conditions.

There are certain habits you should avoid to prevent worsening of these conditions. Avoid straining while passing stools, sitting on the toilet for too long, and eating foods low in fiber. Cut down on spicy, oily, and processed foods that can irritate the bowel. Stay hydrated and maintain regular bowel habits.

You should also avoid lifting heavy objects, especially if you already suffer from piles or fissures. Simple daily changes like exercising regularly and eating a balanced diet can go a long way in preventing recurrence. For people with repeated episodes, visiting the best gastroenterologist in Bangalore can provide long-term solutions.

Dr. Bhushan Chittawadagi is one of the most experienced and trusted names in gastrointestinal care. He is currently practicing at HOSMAT Hospital, located at No. 2, Hennur Cross, Grace Town, Kalyan Nagar, Bengaluru, Karnataka 560043. With over 18 years of experience in treating gastrointestinal and liver diseases, he is recognised as the best laparoscopic surgeon in Bangalore.

He holds expertise in laparoscopic gastrointestinal surgery, hernia surgery, gallbladder surgery, and GI cancer treatment. His specialization in piles and fissure treatment in Bangalore is known for offering fast recovery, minimal pain, and long-term relief. Patients from all over Karnataka trust Dr. Bhushan for his caring approach and accurate diagnosis.

Anal fissures and hemorrhoids are common conditions but need correct diagnosis and timely treatment.Ignoring the symptoms can cause severe pain and lead to serious complications if left untreated. If you or your loved one is suffering from anal discomfort, Consult Dr. Bhushan Chittawadagi, one of the best gastroenterologists in Bangalore, for expert care and lasting solutions. Book your appointment now and move towards a pain-free life.