What Is the Difference Between Piles, Fissures and Fistula?

Conditions like piles, fissures, and fistula are common anorectal problems, yet many patients visiting Sarojay Clinic in Rahatani, Pune are unsure how they differ. While symptoms may overlap, each condition has a distinct cause, severity, and treatment approach.

Dr. Digvijay J. Jadhav, experienced General Surgeon in Rahatani, Pune, explains these conditions to help patients seek timely and correct treatment.

What Are Piles (Hemorrhoids)?

Piles, also called hemorrhoids, are swollen veins in the anal or rectal region. They are one of the most common reasons patients consult a piles doctor in Rahatani.

Common Causes:

• Chronic constipation

• Straining during bowel movements

• Prolonged sitting

• Pregnancy

• Low-fiber diet

Symptoms:

• Bright red bleeding during stools

• Itching or irritation around the anus

• Swelling or lump near the anus

• Pain in advanced stages

Types of Piles:

• Internal piles – inside the rectum, usually painless

• External piles – outside the anus, can be painful

What Is an Anal Fissure?

An anal fissure is a small tear in the anal lining, often caused by passing hard stools. It is a frequent cause of severe anal pain among patients visiting a fissure specialist in Pune.

Common Causes:

• Constipation

• Passing large or hard stools

• Chronic diarrhea

Symptoms:

• Sharp pain during or after bowel movements

• Fresh blood on toilet paper

• Burning sensation

• Anal muscle spasm

👉 Fissures are usually more painful than piles, especially during defecation.

What Is an Anal Fistula?

An anal fistula is an abnormal tunnel connecting the anal canal to the skin near the anus, commonly developing after an anal abscess.

Common Causes:

• Previous anal abscess

• Chronic infection

• Inflammatory bowel disease

Symptoms:

• Continuous or recurrent pus discharge

• Pain and swelling near the anus

• Fever in infected cases

• External opening near the anus

⚠️ Fistula does not heal on its own and usually requires surgical treatment by an experienced surgeon.

Diagnosis at Sarojay Clinic, Rahatani

At Sarojay Clinic, Rahatani, Pune, Dr. Digvijay J. Jadhav performs:

• Detailed medical evaluation

• Local and rectal examination

• Proctoscopy / anoscopy

• Advanced assessment for fistula if required

Accurate diagnosis ensures targeted and effective treatment.

Treatment Options Available in Rahatani, Pune

Piles Treatment:

• Diet and lifestyle modification

• Medications and ointments

• Minimally invasive procedures

• Surgical management for advanced cases

Fissure Treatment:

• Stool softeners and medications

• Sitz bath therapy

• Surgical treatment for chronic fissures

Fistula Treatment:

• Surgical procedures (including modern techniques)

• Infection control and follow-up care

Treatment is personalized based on the patient’s condition and severity.

When Should You Consult a Doctor in Rahatani, Pune?

Visit a General Surgeon or Piles Specialist in Rahatani if you experience:

• Persistent anal pain

• Bleeding during bowel movements

• Pus discharge near the anus

• Recurrent swelling or infection

Early consultation helps prevent complications and speeds recovery.

Conclusion

Though piles, fissures, and fistula affect the same area, they are completely different medical conditions. Proper diagnosis and expert treatment are essential for lasting relief.

For accurate diagnosis and advanced treatment, consult Dr. Digvijay J. Jadhav at Sarojay Clinic, Rahatani, Pune.