How to Know If It’s Piles or Fissure?

Are you suffering from unbearable pain or seeing blood in the toilet bowl? You are probably worried and asking yourself: “Is this piles or a fissure?” Rectal problems are common, but they are often misunderstood. Many people in India use the word “piles” for any discomfort in the anal region. However, piles (hemorrhoids) and anal fissures are two completely different conditions that require different treatments.

If you are looking for the Best Piles Surgeon in Hyderabad or want to know the difference between hemorrhoids or a fissure, this guide is for you.

Dr. N. Subrahmaneswara Babu, a leading Surgical Gastroenterologist at Apollo Hospital and founder of Hills Gastro & Onco Care, explains the clear signs so you can stop guessing and start healing.

Piles, also called hemorrhoids, are swollen blood vessels in or around the anus and rectum. Many people search “piles what is” or “piles means what” because it is a very common problem in India.

Common causes of piles:

• Chronic constipation
• Straining during bowel movements
• Sitting for long hours
• Pregnancy
• Low-fibre diet

Symptoms of piles:

• Painless bleeding while passing stools
• Blood drops in toilet or on tissue
• Itching or irritation around the anus
• A soft lump coming out during stools (in later stages)
• Discomfort while sitting

In stage 1 piles, bleeding may be the only sign, without pain.

An anal fissure is a small cut or tear in the anal lining. Many people search “what is fissure”, “define fissure”, or “fissure in ano meaning”.

A fissure usually happens due to passing hard stools or repeated constipation.

Symptoms of fissure:

• Severe pain during and after bowel movement
• Burning or tearing sensation
• Bright red blood on toilet paper
• Pain lasting for hours after stools
• Fear of using the toilet due to pain

A fissure is usually very painful, unlike piles.

The confusion happens because both conditions cause bleeding and pain. However, the type of pain and timing differ.

This is why patients often search “hemorrhoids vs anal fissures” or “piles vs anal fissures”.

You may likely have piles if:

• There is bleeding without pain
• You feel a soft mass near the anus
• Discomfort increases after sitting long hours

You may likely have a fissure if:

• You feel sharp pain while passing stools
• Pain continues for hours
• You fear going to the toilet
• Still confused? Only a doctor can confirm if it is piles or fissure.

Yes. It is possible to have both piles and fissures at the same time. Chronic constipation is the root cause for both. Hard stool can tear the anal lining (fissure) and the straining pushes the veins out (piles). This is why searching for “hemorrhoids and fissure treatment” together is very common.

Self-diagnosis using Google images or searching “fissure kya hota hai” can be dangerous. Other serious conditions like fistulas or even rectal cancer can mimic these symptoms.

Dr. N. Subrahmaneswara Babu performs a gentle examination:

• Physical Inspection: Checking for visible external piles or skin tags.
• Digital Rectal Exam (DRE): To feel for internal abnormalities.
• Proctoscopy: A small tube with a light is used to see inside the anal canal. This confirms if it is stage 1 piles, a deep fissure, or something else.

Dr. N. Subrahmaneswara Babu, an experienced Fissure Specialist in Hyderabad, ensures diagnosis is done gently and with privacy.

Whether you need Anal Fissure Treatment in Hyderabad or Piles Treatment in Hyderabad, Dr. N. S. Babu offers advanced, minimally invasive solutions.

1. Acute Fissures: 90% heal with medicines. We prescribe stool softeners, ointments (like Nifedipine/Diltiazem), and warm sitz baths.

2. Chronic Fissure Treatment: If the cut is deep and old, surgery may be needed.

1. • LIS (Lateral Internal Sphincterotomy): A minor cut to relax the tight muscle.
   • Laser Treatment for Anal Fissure: Uses laser energy to heal the fissure without cutting.

1. Early Stages (Grade 1-2): Lifestyle changes, fiber diet, and medications.

2. Advanced Stages (Grade 3-4):

1. • Laser Piles Surgery in Hyderabad: The most popular painless piles treatment. A laser beam shrinks the hemorrhoid instantly. No cuts, no stitches, discharge in 24 hours.
   • Stapler Surgery: For large prolapsed piles.

Do not let embarrassment stop you. Visit a Fissure Specialist in Hyderabad if:

• You have bleeding during bowel movements.
• The pain is so bad you are afraid to go to the toilet.
• You feel a lump that doesn’t go back in.
• You have been using over-the-counter creams for 2 weeks with no relief.

Searching for “Best doctor for Fissure treatment in Hyderabad” early can save you from surgery.

• Untreated Fissure: Can become a Chronic Fissure (deep ulcer) or lead to an Anal Fistula (an infected tunnel), which is much harder to treat.
• Untreated Piles: Can lead to severe anemia (blood loss), strangulation (blood supply cut off), or gangrene.

Prevention is always better than cure. To avoid fisher problem and piles:

• Eat Fiber: Add fruits, vegetables, and leafy greens to soften stools.
• Hydrate: Drink 3-4 liters of water daily.
• Don’t Strain: Avoid sitting on the toilet for long periods (no phone scrolling!).
• Treat Constipation: If you are constipated, take a laxative prescribed by your doctor.

Knowing the difference between piles or fissure is the first step toward relief. While piles are “swollen veins” and fissures are “painful cuts,” both need expert care to heal permanently.

Stop suffering in silence. Dr. N. Subrahmaneswara Babu is a trusted Gastroenterologist in Hyderabad known for his compassionate care and high success rates with Laser Piles Treatment.

Ready to live pain-free? Don’t guess if it’s fishers in piles or something else. Get a confirmed diagnosis today. Book a hemorrhoids or a fissure Appointment in Hyderabad Dr. N. Subrahmaneswara Babu(Expert Proctologist & Laser Surgeon) call us at 94908 08080 Hills Gastro & Onco Care, Hyderabad, Telangana.