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Difference Between Piles, Fissures and Fistula

Main Difference

The main difference between Piles, Fissures, and Fistula is that Piles are known as the inflamed veins in the inferior portion of the anus or anal canal. They are relatively pain-free, whereas Fissures are more painful because they are produced as a result of the tear or cut in the skin around the anus, while Fistula is known as the slight opening that occurs in the skin near the anus, and have pus in it.

Piles vs. Fissures vs. Fistula

Piles are considered as the swollen blood vessels in the anal canal, which produce because of long-lasting constipation. On the other hand, the fissure is regarded as the kind of cracks present in the skin of the anal canal, whereas fistula is considered as the small opening around the anal canal. It is the type of cavity that is filled with pus.

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The symptoms of piles are that they are firstly not observed because they are not very painless, but after in their later phases, swelling happens around the anal area, and when felt, it causes pain. In contrast, symptoms of fissures are, they create a lot of pain in the anal area, in which a sufferer starts to avoid the use of the toilet. Still, bleeding is irregular in it, while in fistula, its symptoms are that it is the worst condition of above two, because, in fistula, the pus frequently releases from the anal area.

The leading causes of piles are long-lasting constipation, pregnancy, a chronic cough. While the various causes of fissures are pregnancy, Crohn’s disease, constipation, cluttering, and giving pressure to the anus, while some causes of fistula are that people who are suffering from Chron’s disease, obesity, continuously sitting in one place, and constipation.

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The piles can be prevented by intake of more liquids and have a diet with high fiber for a better result, whereas fissures can also be prevented by taking proper liquid diet and a high fiber diet, while fistula can be prevented by adapting the hygiene habits while using the toilet.

Comparison Chart

PilesFissuresFistula
Piles are also known as Hemorrhoids, and these are the swollen veins in the lower part of the anal canal.Fissures are recognized as a cut or tear near the anal canal, and it causes much pain.Fistula is known as the passage which connects the infected anal gland to the anal abscess, and this passage is created when the anal gland gets infected and causes the formation of an anal abscess, which starts discharging pus.
Considered As
It considered as the swollen blood vessels in the anal canal, which produce because of long-lasting constipation.It considered the kind of cracks present in the skin of the anal canal.It considered as the small opening around the anal canal, and it is a type of cavity that is filled with pus.
Symptoms
The symptoms are that they are firstly not observed because they are not very painless, but after in their later phases, swelling happens around the anal area, and when felt, they cause pain.The symptoms are that they cause a lot of pain in the anal area, in which a sufferer starts to avoid the use of the toilet, but bleeding is irregular in it.It is the worst condition of two because, in fistula, the pus regularly releases from the anal area.
Causes
The main causes are long-lasting constipation, pregnancy, a chronic cough.Various causes of fissures are pregnancy, Crohn’s disease, constipation, cluttering, and giving pressure to the anus.Some reasons are that people who are suffering from Crohn’s disease, obesity, continuously sitting in one place, and constipation.
Prevention
Can be prevented by the intake of more liquids and have a diet with high fiber for a better resultCan also be prevented by taking appropriate liquid diet and a high fiber dietCan be prevented by adapting the hygiene habits while using the toilet
Treatment
During the early stages, it is treated only with medications.The treatment available for fissure is the lateral sphincterotomy, which provides immediate relief.The proper treatment is done by the MRI or ultrasound scan.
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What is Piles?

Piles or Hemorrhoids are known as the inflammation in blood vessels of the anal tract, which occurs due to obesity, constipation, pregnancy, weakening of the rectus muscles, sitting in the toilet for a long time, lack of fibrous diet and liquid intake, diarrhea, etc.

The external or internal hemorrhoids are considered as two types of piles. These types are present in the body or every person, but when they get enlarged, they are referred to as abnormal. Internal hemorrhoids are less painful because they belong to the intestines nerve fibers. But the external hemorrhoid is painful because they extend beyond the anus, and bleeding occurs during solid stools.

What is Fissure?

The fissure is known as the tear or cuts in the anal area, which causes more pain. The fissure is recognized when the stool does not pass quickly, and chronic constipation happens, and the patient tries to stretch and puts pressure on its sphincter muscles.

If proper medication is given with liquid and diet rich fibers, the fissure can be curable within weeks. But if more stress and pressure is put on the sphincter muscles, it can become more miserable and may cause bleeding and release of the pus.

What is Fistula?

Fistula is known as the passage between the infected anal gland and the anal abscess. The anal gland is the middle portion of the anus that gets infected and produce the anal abscess, which then begins the discharging of the pus.

The fistula can be caused by cancer, radiations, warts, Crohn’s disease, trauma, and many other diseases that are related to the bowel. The fistula mostly occurs in people with obesity, and for a long time, always sitting in one place.

The symptoms of fistula are redness and irritation near the anus or anal canal, swelling, pain, and discharge of pus through the passage. It can be treated and diagnosed; however, antibiotics are also given for the top cure for fistula.

Key Differences

  1. The occurrence of swollen blood vessels in the anal area due to long-lasting constipation, which results in the bleeding is known as piles. Conversely, the type of cracks or tear happens around the skin of the anal canal or near the anus, resulting in severe pain is known as anal fissure or fissure. However the small opening in the anal area and a kind of tubular organ or passageway between two infected tissues is known as anal fistula or fistula. The fistula is a cavity that is occupied with pus.
  2. The pile’s symptoms are not noticed in their early stages, but after some time, swelling happens and becomes more painful when felt. Whereas fissure, in contrast, cause more pain, and the sufferer avoids the use of the toilet, while fistula is more severe, and pus is discharged from the anus.

Conclusion

The above discussion concludes that the piles are swollen veins that occur due to constipation, while fissure is the crack or tear in the anus causing more pain, whereas fistula is the opening in the anal area filled with pus.

Janet White

Janet White is a writer and blogger for Difference Wiki since 2015. She has a master's degree in science and medical journalism from Boston University. Apart from work, she enjoys exercising, reading, and spending time with her friends and family. Connect with her on Twitter @Janet__White