Is it Piles or Fissure?

Piles or Fissure?. Facts you should know!

A common complaint that warrant a gastro consult is blood in stool. Sometimes there may be pain and many a time itching in the anus. When a medical article appears either online or in the papers about blood in stool, the general consensus is to call it an article about piles. It is important to differentiate between these two conditions as the management may be different.

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In piles or hemorrhoids, blood may be present in stool without any pain.

Piles are just congested blood vessels and often bleed when there is pressure on it as in constipation. Sometimes an external piles mass may have a mass outside the anus. Very rarely there is pain in these areas unless there is an irreducible pile mass which refuses to go back inside. Itching may be present.

Anal fissure, though is something that is slightly different in its presentation.

In anal fissure, there is a crack in the mucosa of the anus which widens with time to become a fissure. As the fissure is in direct path of the stool that the patient evacuates daily, there is bleeding accompanied by intense pain.

The pain is so severe that the anal muscle (sphincter) cramps up and refuses to relax. Subsequent bowel movements become very painful.

Treatment of piles may involve watchful waiting and a course of medicines before laser treatment. However, often times a deep fissure may warrant immediate laser treatment.

As these are day care procedures with minimal pain, it is always wise to get them done at the earliest rather than suffering.

Remember to visit a good piles specialist or piles doctor in chennai for a proper cure or solution to the problem. Either way, both piles or fissure both require an active medical management at the earliest, so do not ever delay a treatment.



Dr. Karthik Gunasekaran

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