Piles vs Fissure vs Fistula: Know the Difference

January 28, 2026

🔹 What Are Piles?

Swollen blood vessels

Commonly cause bleeding

May or may not be painful

Often linked to constipation

🔹 What Is Anal Fissure?

An anal fissure is a small tear in the anal lining.

Common symptoms:

Severe pain during passing stool

Burning sensation

Small amount of bleeding

Fissures are often caused by hard stools.

🔹 What Is Anal Fistula?

An anal fistula is an abnormal tunnel between the anal canal and the skin near the anus.

Symptoms include:

Continuous discharge

Swelling or pus

Recurrent pain

History of abscess

Fistula usually requires surgical or laser treatment.

🔹 Comparison Table
Condition Main Symptom Pain Treatment
Piles Bleeding Mild–Moderate Laser / Medication
Fissure Sharp pain Severe Medicine / Laser
Fistula Discharge Moderate Laser Surgery

🔹 Why Early Diagnosis Is Important

Delaying treatment can lead to:

Increased pain

Infection

Complications

Longer recovery

A proper examination by a proctologist is essential.

🔹 Best Proctology Clinic in Damak

At S&P Procto Laser Clinic, Damak, we specialize in:

Laser piles treatment

Laser fissure treatment

Laser fistula surgery

Treatment is provided by Dr. Sujan Shrestha using modern laser technology.

📍 Consult a Proctologist in Damak
If you have symptoms related to piles, fissure, or fistula, do not ignore them. Early treatment ensures faster recovery.

“Remember, your health is your wealth — small steps every day lead to big changes.”