Differences between hemorrhoids and anal fissures

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The difference between a hemorrhoid and a fissure, it is often difficult to discern. A hemorrhoid is a bulge, while the fissure has lesion shape or crack in the anal area.


1. Overview
2. Hemorrhoids
3. Anal fissure
4. Anal fissures versus hemorrhoids


Hemorrhoids are like varicose veins of the legs. Veins of the rectum are located deep, but near the surface and therefore may be pressed or irritated quite easily. Any pressure that slows blood flow through these veins can cause hemorrhoids.

Anal fissure

An anal fissure is a painful tear or cut in the anal canal or rectum. Anal fissures occur in sensitive tissue of the anal canal striations called anodermal, which is crossed by numerous nerves (this is the explanation for anal fissures specific pain). Causes of anal fissures can be extreme constipation, dry hard stools, diarrhea or rectal introduction of a thermometer.

Anal fissures versus hemorrhoids

Hemorrhoids and anal fissures are the most commonly encountered problems. Many people have difficulty talking about these conditions, even with medical staff. Although there are many similarities between these two conditions, there are some notable differences.

The similarities include that both hemorrhoids and anal fissures can cause pain and rectal bleeding. Treatment options are essentially the same for both hemorrhoids, as well as anal fissures. Some of these treatments involve the use of drugs without a prescription (creams, ointments, suppositories, etc.). Prescription medicines can be used to reduce discomfort caused by hemorrhoids and anal fissures. Also, straining during elimination of feces is the most common cause of these two conditions.

The main difference between hemorrhoids and anal fissures is that hemorrhoids are actually swollen veins in the anal region (due to pressure on veins in the pelvic and anal area), while the fissure is a crack occurring near anal opening. The result can be inflammation, intense itching, pain or bleeding. However, intense itching isn’t a common symptom of anal fissures.

Since it is difficult for a person to observe and see this area of the body, it is best that the correct diagnosis to be made by a physician. In some cases home treatment may be sufficient for anal fissures and hemorrhoids, but there are situations in which surgery is recommended during treatment. Type of surgery depends on the condition and the severity of each case.

In some cases hemorrhoids requires surgical removal. In this situation, swollen veins are primarily bounded to prevent excessive bleeding. The surgeon will remove hemorrhoids and apply a bandage over the wound. This procedure is performed, usually outpatient.

Another surgical procedure in which recovery will be much faster and is much less painful is stapled hemorrhoidectomy or mechanical stapling hemorrhoidectomy. In its case the hemorrhoid recurrence is much lower.



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