Hemorrhoids vs Fissure: How do we identify the difference?

Have you ever felt a sharp pain while using the bathroom? Or did you notice blood on the toilet paper and panic? Suddenly, numerous questions arise in your mind. Is everything okay, or is something serious? Do I have a hemorrhoid or fissure? If you have faced this, you are not alone. Both conditions share common symptoms, making them hard to understand. 

Approximately 50% to 85% of people experience hemorrhoids at some point in their lives, with a global prevalence of symptomatic hemorrhoids estimated at 4.4% in the general population. Let's break down this difference so you can understand what's happening to you and how to treat it effectively. 

What are Hemorrhoids and fissures?

In the human body, there is a vascular structure in the anal canal that helps with stool control. However, when they become inflamed or swollen, this can lead to discomfort and may cause bleeding. This disease is referred to as hemorrhoids. On the other hand, Anal fissures are cracks around the anus usually caused by passing large or complex stools. 

Different types of hemorrhoids and fissures

Hemorrhoids have two main types: internal & external hemorrhoids. Internal Hemorrhoids are inside your rectum. As no nerve feels pain in your rectum, there is a chance you may not notice it. In contrast, the external hemorrhoids occur around your anus and can be painful. During bowel movements and physical activities, it causes pain, itching, and discomfort. 

What are the different symptoms for hemorrhoids vs fissures?

Hemorrhoids and fissures differ, but their common symptoms often confuse people. The common symptoms are

• Bleeding
• Discomfort or pain
• Itching

However, the main distinct symptom of the fissure is visible cracks or tears in the skin around the anus and a skin tag or lump around the tear. In contrast, hemorrhoids cause muscle discharge or lumps and swelling.

How do you spot the main difference between hemorrhoids and fissures?

Both conditions cause pain and rectal bleeding. If you feel mild pain, itching, swelling, and painless bleeding, it is more likely hemorrhoids. Otherwise, if you feel sharp pain, a visible tear, and pain lasting hours after bowel movements, then it is an anal fissure, and you have to consult a doctor.

How do they link with each other?

They are both linked due to their shared symptoms, primarily pain and rectal bleeding. Both conditions cause red blood after bowel movement. For instance, if someone has an anal fissure and experiences pain while passing stools, they may strain more, which increases pressure on the rectal veins, leading to the development of hemorrhoids. Similarly, if someone has hemorrhoids and strains excessively, they may develop a fissure due to the repeated trauma to the anal skin. Additionally, certain factors like chronic constipation or straining can worsen both conditions.

Can fissures turn into hemorrhoids? 

Anal fissures and hemorrhoids are two different conditions and affect various parts of the anal region. In contrast, a fissure itself won’t turn into a hemorrhoid. Chronic constipation, straining, or other underlying causes can lead to the co-occurrence of both conditions.

What are the root causes of hemorrhoids vs fissures?

Hemorrhoids are mainly caused by high pressure in the rectal veins. In contrast, Anal fissures are caused due to anal trauma or other illnesses like diarrhea. 

Can constipation lead to both fissures and hemorrhoids?

Yes, chronic constipation leads to both fissures and hemorrhoids. However, this chronic constipation worsens both conditions over time. 

FAQ

Do I have a hemorrhoid or fissure?

To determine whether you have hemorrhoids or fissures. Firstly, you have to check the symptoms. If you see visible cracks or tears in the skin around the anus and a skin tag or lump around the tear, then it's most likely you have an anal fissure. However, if you experience swelling, lumps, or muscle discharge, this is most likely a hemorrhoid. 

What is the best solution for fissures?

Consuming approximately 25 to 35g of fiber daily can help heal a person with fissures and keep stools smooth. Fiber-rich foods include Nuts, whole grains, nut butter, and soups. Additionally, herbal supplements that can help mitigate this effect are considered one of the safest and best solutions.

How do we differentiate between fissures and piles?

Hemorrhoids frequently occur and typically last for a few days. On the other hand, Anal fissures often cause pain during and after a bowel movement and induce intense pain for several hours. 

How do you confirm a fissure?

The patient's noted symptoms often follow a visible tear or crack, intense pain during bowel movements, and bright red blood on the stool.