Difference Between Piles, Fissures And Fistula

  • Aug 12, 2022
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Piles, fissures, and fistula are generally categorized as anorectal diseases. What makes these diseases similar to each other is that all three of them are related to the rectum area. Due to the lack of information about these topics not everyone knows the difference between them.

The anal region is mainly divided into three parts anus being the last orifice of 4 to 5 cm. It has a sensitive nerve ending lined by blood vessels. The major nerve glands are in the middle portion. Now that we are familiar with the anal anatomy it’s time that we understand the diseases briefly.



Hemorrhoids are commonly known as piles. Piles occur when the anal cushions are dislodged. It is a condition of the inflammation of the anal veins. By the age of 50, almost 75% of the population is affected by this disease. It is commonly faced by females during the time of pregnancy. Piles are majorly divided into two types external and internal.

Internal hemorrhoids are left unnoticed compared to external piles which leave lumps around the anus area. Itching and bleeding are two common symptoms present in both external and internal piles. Most of the time they cure themselves even after the symptoms start appearing.

Applying too much strain during the bowel moment, lifting heavy weights and weight gain could be major reasons behind piles. In the extreme case of piles, anal bleeding and anemia are the major symptoms which require professional help.

Even though piles cure themselves in most cases it’s important to include some basic lifestyle changes that can help the patient in the long run piles ayurvedic treatment is proven to be very effective as it targets the root cause of the disease without any pain or side effects. Arsh tablets are considered the best piles of ayurvedic tablets for fast recovery.



Fissures are caused by a small cut on the lining of the anus which causes bleeding and swelling. It occurs when the anal region is scratched or too much pressure is applied. In the situation of infarction, they may secrete blood or pus. Some of the common causes of fissures could be constipation, diarrhea, or heavy exercise. People above the age of 50 are prone to be most affected.

Fissures may be present in acute or chronic forms. Acute fissures can be cured easily with a high-fiber diet plan, on the other hand, a chronic fissure can reappear even after being cured.

Common symptoms of fissures could be severe pain during bowel moment. The pain might even last for several hours of bowel moment. Bright red blood after the bowel moment or skin tag near the anal region.

Passing large and hard stole during the bowel moment, applying too much strain during the bowel moment anal intercourse, and childbirth are the major reasons behind fissures. HIV and anal cancer are some of the rare reasons that can cause fissures.



The abnormal formation of a channel near the anal skin causes bleeding accompanied by discharge of pus known as a fistula. Radiation, cancer, warts, and trauma can be the main cause of this disease Obesity and prolonged hours of sitting can also be major reasons. Antibiotics can be a good solution.

The blockage in the anal flued gland leads to a bacteria buildup that may create pockets of abscesses. If not treated on time abscesses may grow ultimately moving outside near the anus hole.

Pain, redness, and swelling around the anus region are some of the common symptoms of fistula. Fever, bleeding during the bowel moment, fever can also be strong symptoms in situations like these it is recommended to consult a doctor.

It is always a good idea to consider ayurvedic fistula treatment to get a long-term solution. To get the best help it is always suggested to get X-rays and another digital test is done to understand the root cause of the disease.


How are they different?

Where piles are swollen anal veins, Fissures are cuts and bruises, and fistulas are opening of a cavity

Piles are generally left unnoticed unless and until it’s an extreme case, Fissures are extremely painful due to the nature of the wound, and the fistula secretes pus around the anal region.

Apart from the common factor that instigates these diseases piles are also associated with pregnancy and constant cough, fissures are associated with chronic diarrhea and cuts, and fistula is associated with blockage of the anal cavity.


Treatment for piles, fissures and fistula

Even though there are allopathic treatments such as laser surgery for piles which has a high risk, and overall it is a painful treatment when compared to ayurveda it seems ayurveda is more risk-free and pain-free.

Ayurvedic treatment for fissure are slow and steady allopathic treatments are considered temporary solutions since it is meant to deal with diseases but not the root cause that instigated the disease in the first place.

Ayurveda uses the study of doshas which are driven by years of data collected. It is majorly divided into vata, pitta, and kapha. Elements of all these doshas are as follow

Vata Pitta Kapha
Air+Ether Fire+Water Earth+Water

Ingredients for best ayurvedic medicine for piles and fissure are

  • Neem
  • Jamun
  • Kiker
  • Harad Choti
  • Nagkeshar

No matter if you are looking for ayurvedic treatment for fissure. Fistula ayurvedic herbal oil that contains all the above ingredients is the one-stop destination for all the diseases related to the rectum region. One such popular medicine that is been used worldwide as a piles tablet is the ayurvedic kshar sutra for fissure, piles, and fistula.

Apart from fistula ayurvedic medicine, there are ayurvedic home remedies for fissures, piles, and fistula that can be really helpful for someone who is looking for a safe and effective treatment but don’t really want to travel.

Attributes of Doshas

Vata Pitta Kapha
Dry Oily Heavy
Light Penetrating Slow
Cold Hot Cold
Rough Light Oily
Subtle Mobile Slimy
Mobile Liquid Dense
Clear Soft
Cloudy (Sticky)

Based on these attributes you can identify the nature of your disease and take the required ayurvedic precautions.


Even though all these diseases are related to the anal region it is important for the readers to understand their symptoms and causes as half information is more dangerous than having no information. People who are suffering from these diseases are recommended to consult doctors and do consider ayurvedic remedies as it is one of the safest and pain-free ways to deal with such devices. Stay tuned for more such informative blogs and make sure you share the information with the one whom it may help.

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