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.

What is the difference between piles and fissure?

Piles 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.

What is the difference in symptoms?

The predominant symptom of a fissure is intense pain while defecating. The magnitude of the pain is such that one fears going to the toilet.
Piles 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.

Which tests are needed for a diagnosis?

A 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.

Can these conditions be permanently treated?

Modern 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.

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Fisher Disease : A Painful Misnomer

Anal Fissure or Fissure-in-ano is a small crack or tear in the opening and lining of the anus. Written as ‘fisher’ by many because of an error in spelling, this rather painful condition has taken the name of ‘Fisher disease’ among many Indians.

An anal fissure occurs because of various reasons that include:

A) Passing hard stools – Lack of high-fibre diet , low water intake, constipation are the possible reasons that can cause hard stools.

B) Straining during childbirth – trauma to the skin between the posterior vagina and the anus medically known as perineum can potentially cause a tear in the delicate skin of the anus.

C) Repeated episodes of diarrhoea – Repeated perks of diarrhoea can also lead to anal fissure.

D) Due to medical procedures : The insertion or various medical devices for diagnosis eg: Endoscope, Rectal Thermometer, enema tip can result in a trauma causing fissure .

Types of Anal Fissure: There are two types of anal fissures

1. Acute Anal Fissure : Acute anal fissures occur suddenly and potentially heal within a time span of 2 weeks. They are associated with tremendous pain. These type of anal fissured can be treated with medicines and cream .

2. Chronic Anal Fissure : Chronic anal fissure generally fail to heal within the time span of 8 to 9 weeks and can worsen the case by reducing the diameter of the anal opening by half centimetre (½ cm) due to which there are chances of recurrence of the fissure every time the patient passes out the stools.

Signs and Symptoms of anal fissure :

Usually the diagnosis of anal fissure can be really easy just by asking your self few of the following questions –
1. Do I have a burning sensation or a sensation which makes me feel as if a sharp subject is pricking me ?
You will have burning pain when you pass stools because of the tear.

2. Am I bleeding from the bottom ? Is the blood bright red in colour?
The bleeding may be caused due to the tear in the anal canal due to which the blood may be fresh blood streak on the stools or on the tissue paper.

3. Do you feel like itching around the anus (medically termed as pruritus ani) ?
You may have an itchy feeling and this is one of the commonest symptoms associated with a fissure.

If you think you have a fissure you can try some of the following tips and preventive measures :

1. Use some Vaseline jelly or liquid paraffin before you go to pass your stools .

2. Try using some laxative.

3. Have a high fibre diet and increase you water intake to a min of 3 litres and reduce intake of spicy food.

4. You can use some stool softeners. I would recommend Constac powder which contains all natural laxatives which are digestive in nature with no side effects.

5. If you have a lot of itching, try Anoac cream which is very effective on fissures.

6. Ignore using tissue and replace it with a shower or gently dab with wet wipes. The reason we suggest not to use a tissue is because it is abrasive and rough on the skin.

7. When you are passing stools , take it easy and go slow , as in many situations letting it go fast can aggravate the fissure.

These above tips can help you in taking care of an acute fissure. However, in case of a chronic fissure or an acute fissure that shows no signs of healing, it is wise to visit a Proctologist and avail good treatment at the earliest.

For an appointment with leading Proctologist, Dr Ashwin Porwal click here .

For more information and treatment for fissures you can click here

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Piles and Anal Fissure: Awareness Is a Must!

Are you feeling pain in lower rectum and near the anus since a few days? If you see blood on your stool in addition to this pain, you might be suffering from haemorrhoids (piles) or an anal fissure. Although the symptoms may seem similar, there’s a difference between the two. While anal fissure is a tiny tear in the anus causing the formation of a linear ulcer at the boundary of the anus, piles involves swollen blood vessels near the anus, forming a protrusion to the outside.

Piles and fissure are those conditions wherein patients may have complaint of itching and bleeding. They have to suffer from a lot of pain, secretions and inability to sit down comfortably. Such lifestyle diseases affecting the anorectal health of individuals are usually intolerable. However, people take a lot of time before they finally open up before specialists about the intensity of the problem. Often traditional remedies are tried to relieve such conditions. If not diagnosed and treated in time, the ailments such as piles, fissures, and fistula may pose serious threat in the long run. Thus, it’s important to get such conditions diagnosed and initiate the possible treatments as soon as possible.

Here’s the basic information about anal fissures and piles to help you be aware of their causes, symptoms, diagnosis, treatment alternatives and preventive measures.

Common Causes
• Constipation
• Diarrhoea
• Wrong toilet habits
• Poor diet habits
• Physical inactivity
• Obesity
• Pregnancy
• Regular lifting of heavy loads
• Family history

Diagnostic Measures
• Symptomatic examination
• Rectal examination with the help of a gloved finger

Treatment Alternatives
Many people are nervous about traditional open surgery for curing a disease condition. However, surgery is not the only possible treatment for anorectal ailments. Dr. Ashwin Porwal’s Healing Hands Clinic follows a holistic line of treatment involving medication, herbal laxatives, diet & lifestyle modification, physiotherapy and Ayurveda. If none of these alternatives cures the disease effectively, surgery is the ultimate recommendation.

• For piles, HHC provides latest technology, least invasive Stapler Surgery, Laser Surgery and Laser Haemorrhoidoplasty
• For anal fissures, we offer an innovative Ayurvedic Therapy involving 5 – 6 Oil Therapy of short period of time (10 minutes for 5-7 days)

Preventive Awareness Regarding Piles and Anal Fissure
• Include whole grain breads, bran, lots of vegetables and fibrous foods in daily diet
• Snack often on fresh fruits and fruit juices
• Exercise regularly
• Avoid smoking and drinking alcohol

For more information on piles & fissure and other lifestyle diseases treatment, visit This Page. Healing Hands Clinic is a renowned piles hospital for highest quality piles, constipation, fistula, hernia, and fissure treatment.

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Anal Fissure Treatment: Myth Or Reality

Are you suffering from anal fissure and now are wondering if treating the ailment is a reality or a myth? Let’s have a quick below to find the solution to this worry.

Anal Fissure (Fissure-in-ano), one of the most common anorectal diseases, which are more or less concerned to an individual’s lifestyle practices. It’s more of a vicious cycle of painful constipation causing the anal sphincter muscles to go into spasms. This, in turn, leads to more pain and spasms. This cycle ultimately makes bowel movements extremely difficult and painful, worsening constipation. The treatment for curing anal fissure aims to break the same cycle of spasms of the anal sphincter and repeated tearing of the anoderms.

When it comes to treating anal fissure, various alternatives are recommended by fissure specialists. However, the initial treatments are often effective towards softening stools and preventing constipation. At Healing Hands Clinic, the best fissure clinic in Pune, we recommend a fissure patient to include fibre-rich foods in diet and increase the water & fluid intake. Moreover, This dietary modification is also supplemented by Constac – a herbal laxative prepared exclusively at HHC.

Another treatment approach for anal fissure is Sitz bath, simply sitting in warm water to allow your sphincter muscles relax. This procedure lessens the anal sphincter muscle spasms, if practiced regularly. Surgery is the ultimate treatment alternative recommended by most of fissure doctors, when fissure reaches a chronic stage.

Dr. Ashwin Porwal‘s Healing Hands Clinic provides novel fissure treatment in Pune, in contrast to conventional interventions. We offer an innovative Ayurvedic oil therapy in 5-6 sessions, continuing for 10-15 minutes. Subjecting a fissure to this treatment for about seven successive days can be an effective treatment to cure the ailment. If none of the treatment alternatives works out to be successful, HHC recommends a painless procedure – Laser (Radiofrquency) fissure surgery.

In a nutshell, treatment for anal fissure is not a myth; in fact, a range of treatments is available but 100% cure cannot be assured by all of them.

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Continuing to be the Pioneer

Continuing to be the Pioneer

We have always believed in the best and proved ourselves to be the best, helping you, guiding you,treating you in all the best ways and taking care of you like a family and to add on to your services we have come up with the Biofeedback facility, which will enable you to visualize the activities of your anal muscles,strengthen them and prevent anorectal ailments and let you know if you are following the exercises taught to you by our physiotherapist correctly or not.

Within Pune, the Healing Hands clinic and its clinical team under the leadership of Dr. Ashwin Porwal has come to establish itself as the pioneer center for care and cure of ano-rectal diseases. Dr. Ashwin Porwal has the privilege of having obtained training in Proctology (especially in Constipation & Piles) from the world renowned Colo- Procto Surgeon Dr. Longo at Elizabeth Hospital, Austria.

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