Don’t Confuse Fissure with Piles

For most of us any problem in the anal region is either piles or fissure, the self-diagnosis usually depending upon which of the two words is ingrained in our vocabulary. However, a goofed-up diagnosis not only adds to the misery but makes a simple problem complex. I have tried to explain the difference between the two in simple words here. When it comes to one’s health, its best to be well-informed and aware of the condition one is faced with.rnWhat is the difference between piles and fissure?rnPiles or hemorrhoids are swollen blood vessels near the anal opening whereas fissure is a tear in the delicate skin of the anal opening. Depending upon the severity of the disease, piles are graded from 1 to 4, grade 1 having just swollen vessels while grade 4 has a mass comes out of the opening.rnWhat is the difference in symptoms?rnThe predominant symptom of a fissure is intense pain while defecating. The magnitude of the pain is such that one fears going to the toilet.rnPiles are usually characterized by bleeding after passing stools. The blood is fresh and there is no pain. Sometimes one may feel a mass at the anal opening.rnWhich tests are needed for a diagnosis?rnA history of symptoms and visual examination is enough to diagnose fissure. In addition to above, a simple painless technique called Proctoscopy is done in case of hemorrhoids, for a more accurate diagnosis and grading.rnCan these conditions be permanently treated?rnModern medicine assures a reliable, quick and effective cure of anorectal problems. Medicines, dietary modifications and lifestyle changes (MCDPA) are enough to treat early piles and acute fissure. In case of chronic cases of fissure, Laser Sphincterotomy provides excellent results. Similarly, for higher grades of piles, Laser Hemorrhoidoplasty (LHP) or Stapler surgery (MIPH) provide a safe, minimally painful and efficient modality of treatment. The earlier techniques weren’t as developed and recurrences were a problem. But with these advanced procedures hemorrhoids can be cured for good. For appointments at Healing Hands Clinic Pune Station/Tilak Rd: 8888288884 Salunkhe Vihar: 8888522226 Baner: 8888622221 Chinchwad: 8888200004 Chakan: 8888296666 Navi Mumbai: 8888166667 Kemps Corner – Mumbai: 888826664 Nashik: 8888366662. Jaipur:9024490244. Bengaluru:8888133338.