OK let me start by saying these are not problems that personally I am keen to discuss, but none the less they concern our anal system and are important to good health. After all, any problems in the rear side will sure put a lot of stress on the daily life. Besides here working on theory is way better than experiencing the practical.
Now the most commonly and dreaded in equal measures issue is piles. The moment you notice blood after visiting the loo, the big scream piles. However piles also known as Haemorrhoids is not the only cause for backside bleeding, so we are going to learn the difference between the two- Piles & Fissure!
Let's get Piles out of the way first, the common definition suffering from bleeding while or after clearing your bowels. True, but the detailed version is that our large intestine extends and makes the anal canal with the anus at the end. So the veins connected just above and around the rectum when become inflamed or swollen that is haemorrhoids. The effect of such swollen inflamed veins results in pain, blood dripping, even itchiness and general discomfort along with it. There are two types of Haemorrhoids – Internal and External. Internal is when the veins in the rectum are affected and external when it happens just above/under the anus skin. This may be visible externally in form of pink swollen skin.
Now let's discuss its doppelganger – Anal Fissure. Like the name suggests it is when a tear or crack appears around/on the butt area. This also leads to blood after or during the poop time and pain. Hence a lot of people confuse the two.
Now the most common causes for both these conditions are same:
Straining too long to clear bowels or Hard Stools
Pregnancy or childbirth
Suffering from Constipation or Diarrhoea for long periods
Some causes are specific to each of them like family history, lifting heavy objects or being part of too boring a job, just kidding, but when you sit or stand for longer hours, this may increase chances of piles
For fissure other causes are Anal sex, Chron's disease, decreased blood flow to the rectal area that'll cause stretching of the skin.
Like we discussed, the symptoms are also similar, hence it poses a problem for correct Diagnosis, which affects the treatment that one needs to undergo.
Generally, both Piles and Fissure are supposed to clear themselves on its own in their time, but in cases when it becomes an ongoing issue or there is severe pain or bleeding, a Doctor is who needs to be consulted. Generally for piles adding more fiber to your diet helps as it makes the motions easy, if not you may take laxatives. Also not straining on the toilet is advised and adding some exercise to your routine. In more severe cases and depending upon the cause, you may be prescribed medicines, ointments to ease the cushion. Furthermore surgeries like Banding, Photocoagulation, Haemorrhoidectomy and others.
The same fiber, laxatives, exercise inclusion, not straining apply to fissures as well. Painkillers ointments, soaking your anus in warm water to relax muscles. Surgery, Lateral Sphincterotomy, a new treatment Botox injections make up the treatment for the fissure.
Lastly, these problems are common and almost all adults would face one or other issue in their lifetime, even more than once. So proper diagnosis is the key and you may have to bend over backwards for a proper check-up. But having healthy habits will have a more lasting effect.
Stay well, stay learned!