What is the Difference Between Hemorrhoids and Fissures?

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Hemorrhoids and anal fissures are both anorectal disorders with some similar causes, but they are distinct conditions that require different modes of treatment. Here are the main differences between the two:

Hemorrhoids:

  • Swollen veins in the rectum or anus.
  • Caused by repeated pressure in the anal and rectal veins.
  • May be internal (inside the anal canal) or external (surrounding the anal opening).
  • Can cause rectal bleeding, itching, or mucus discharge.
  • Often last several days and may recur.
  • May require noninvasive procedures, injection, cautery, or surgery in stubborn cases.

Anal Fissures:

  • Tears or cracks in the sensitive mucosal lining of the anus.
  • Caused by trauma to the anal canal, usually during bowel movements.
  • Can be painful, causing severe pain during a bowel movement that may last several minutes or hours.
  • Bleeding may occur, causing bright red blood in the stool or toilet bowl.
  • Tend to only show symptoms during bowel movements, while hemorrhoids tend to be painful throughout the day.
  • Generally do not require surgery and can be treated with conservative measures.

It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan, as the symptoms of these conditions can be similar. Delaying treatment can lead to more severe symptoms and may increase the risk of infection.

Comparative Table: Hemorrhoids vs Fissures

Here is a table comparing the differences between hemorrhoids and anal fissures:

Feature Hemorrhoids Anal Fissures
Symptoms Bleeding during or after bowel movements, itching and discomfort (external piles), swelling around the anus Pain during and after bowel movements, bleeding during or after bowel movements, visible tear or cuts in the anal region
Causes Pressure in the veins of the anus, causing them to bulge and expand Trauma to the tissue, such as passing hard, dry stool or having chronic diarrhea
Pain Pressure, pulsating, or aching pain Sharp, tearing, or cutting pain
Treatment May require noninvasive procedures Majority of anal fissures do not require surgery and can heal on their own
Appearance Swollen veins in the lower part of the rectum and anus Visible tear or crack in the anus