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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Dr. Ashwin Porwal to Present Extensive Research Work in ESCP’s 9th Scientific & Annual Meeting

European Society of Coloproctology (ESCP) is an organisation committedly serving for advancement & promotion of science, knowledge and coloproctology practice .

On September 24, 25 & 26, 2014, ESCP is organising its 9th Scientific & Annual Meeting in Barcelona. This meeting will focus on a new enhanced educational program for specialists and trainees.
Dr. Ashwin Porwal, a renowned colorectal surgeon across India and the founder of Healing Hands Clinic, Pune, will be one of the participants & presenters in the ESCP’s 9th Scientific & Annual Meeting. Based on his extensive research and professional experience, Dr. Porwal will present four research papers on September 24 & 26, 2014.

Improved Patient Satisfaction and Reduced Recurrences after STARR Surgery for Solitary Rectal Ulcer Syndrome (SRUS)
Dates of presentation: Wednesday, 24 to Friday, 26 September 2014

Stapled Hemorrhoidopexy – Successful Results from Case Series of 3000 Patients Treated at a Single Center in India
Date of presentation: Friday, 26 September 2014

Stapled Transanal Rectal Resection (STARR) for Management of Rectal prolapse Largest Case Series Published
Dates of presentation: Wednesday, 24 to Friday, 26 September 2014

STARR Surgery in ODS: a Comparative Analysis between Published Studies and the Case Series of 278 Patients Operated at India’s Largest Proctology Clinic
Date of presentation: Wednesday, 24 to Friday, 26 September 2014
Posters will be displayed for the duration of the meeting.
the link for ESCP –

http://escp.conference-services.net/programme.asp?conferenceID=3948&action=prog_presenters

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