Difference Between Anal Fissures and Haemorrhoids/Piles
An anal fissure is a cut or tear occurring in the anus (the opening through which stool passes out of the body) that extends upwards into the anal canal. Fissures are a common condition of the anus and anal canal.
Hemorrhoids are swollen veins located around the anus or in the lower rectum. Hemorrhoids can either be internal or external. Internal hemorrhoids develop within the anus or rectum. External hemorrhoids develop outside of the anus. Hemorrhoids are also known as piles. Of the two forms of hemorrhoids, external hemorrhoids are the most common and the most troublesome. Hemorrhoids cause pain, severe itching, and difficulty sitting. The good news is that they’re treatable.
Extreme itching around the anus
Irritation and pain around the anus
An itchy or painful lump or swelling near your anus
A painful bowel movement
Blood on your tissue after having a bowel movement
Standing or sitting for a long time
Straining during bowel movements
Treatment for Piles & Fissures
Treatment for piles, haemorrhoids and fissure are done through medical managment and dietary changes. In case they do not work a surgery is advised for the treatment. At GNH Hospital our piles specialists work on the same principle. The root cause for fissure, piles and haemorrhoids in most of the cases is constipatiion which is due to bad eating habits. Our piles specialist at GNH Hospital Gurgaon first counsel the patient to improve the dietary habits and prescribe certain medications which will relieve patient of pain and discomfort. In case patient continues to have pain then the piles specialist at GNH Hospital Gurgaon may advise surgery for treatment.
The surgery for fissure is called fissurectomy and in medical terminology it is called lateral internal sphincterotomy. It reduces pain and pressure, allowing the fissure to heal. The pain from this surgery is usually mild. It hurts less than the fissure itself. Hospital stay is for about 1-2 days and patient usually return to work in couple of days after discharge.
Haemorrohoidectomy & Stapler Piles Surgery or Stapler Haemorrhoidectomy
A haemorrhoidectomy is an operation to remove haemorrhoids. It's usually carried out under general anaesthesia or spinal anaesthesia. The surgery is done either through a small incision or through Minimally Invasive Procedure for Haemorrhoids also called Stapler Piles Surgery or Stapler Haemorrhoidectomy. Decision of whether a conventional method of surgery is needed or stapler surgery is needed depends upon the grades of haemorrhoids i.e grade 1, 2, 3 or 4.
A Conventional Haemorrhoidectomy involves gently opening the anus so the haemorrhoids can be cut out. It needs a stay of 2 days in hospital and you can resume your office in another 4 days of rest. After having a haemorrhoidectomy, there's around a 1 in 20 chance of the haemorrhoids returning, which is lower than with non-surgical treatments. Adopting or continuing a high-fibre diet after surgery is recommended to reduce this risk.
Stapling, also known as Stapler Haemorrhoidectomy, is an alternative to a conventional haemorrhoidectomy. It's sometimes used to treat prolapsed haemorrhoids and is carried out under general anaesthesia. During the operation, part of the anorectum (the last section of the large intestine), is stapled. This means the haemorrhoids are less likely to prolapse and it reduces the supply of blood to the haemorrhoids, which causes them to gradually shrink. Stapling has a shorter recovery time than a traditional haemorrhoidectomy and you just need to stay for a day in hospital and can resume your work 2 days after. It also tends to be a less painful procedure.