So let us first try to understand what are fissures and piles. The lowermost part of your digestive system is known as the rectum or anal canal. Just above 3cm above there is something called anal cushions.
What is Hemorrhoids(Piles, Fistula, Fissure)!
when you suffer from hard stool, constipation, consume fewer salads, vegetables, water, and fiber in your diet and consume more oily and spicy foods and consume alcohol or do smoke or work stress and heavy weight lifting.
Due to all these things, anal cushions get pressure from the upper side of the cushions and due to this pressure, the cushions do swell up. This swelling is what we call piles, Bawasir, or hemorrhoids.
What is Fissure?
For example, this is the way to Motion, right here something like a tight rubber band, elastic type muscle is present. Normally what happens is, a normal motion passes through the muscle, the muscle stretches and then shrinks.
But in some cases, this muscle is too tight and is not able to relax properly. This is because of the factors that I told you about earlier.
The motion already gets hard and the hard motion hits the muscle and the muscle is not able to relax and gets a cut here, that cut is known as a fissure. so now we understand what are fissures and piles.
The symptoms of fissures and piles are mainly pain, swelling, bleeding, burning, and itching. So what happens in hemorrhoids is swelling and bleeding occur the most and what happens in the fissure is pain and discomfort occur the most.
The issue is how to get relief from it? so, before getting relief from it, we have to get away from the stigma associated with it. The problems of fissures and piles are very common issues in many individuals.
Let us assume that you are suffering from grade 1 fissures or piles. maybe at that time home remedies may work. But when your fissures turn a little larger or the anal cushions get narrow or the size of your piles increases to grade 2 or grade 3. Then we cannot manage it with just home remedies. So we will have to come out and seek treatment.
Today we are going to discuss 'Hemorrhoids', which are popularly also known as Piles, Fissures, and Fistula.
What is piles in construction:
Basically, Piles are a disease of our lower GI system. In this, the blood vessels form masses and those masses bleed and also they start coming out when they bleed.
Different types of piles:
Depending on the size of the piles, we divide them into 4 grades.
In Grade 1- the swelling is very small and may or may not be visible to our naked eyes.
In Grade 2- the size of the piles increases but it does not come out.
In Grade 3- the size of the mass increases even more but if you push it it will go inside and only pop out when it gets pressurized.
Grade 4 is the most advanced stage of piles. In this, the mass of piles enlarges and cannot be pushed inside again.
What is Fissure mean:
Now, we will talk about Fissures. it occurs when we pass hard stool and due to this, the inner line of the anus gets torn. The main cause of Fissures is a hard stool and applying more pressure.
The main difference between Piles and Fissures is that in Piles the bleeding occurs more. But the pain is less and occurs in the late stage. In Fissures pain is the main problem. The pain would be too much, but the bleeding is less and occurs in the late stage.
What is Fistula in ano:
Now, we will be talking about Fistula. A fistula is basically an abscess that occurred a long time ago. If an abscess occurs near the area of motion and later it pops.
It usually pops on the 2 ends. One is outside the motion area on the skin, and another is inside the way of motion. When the clotting dries it makes a tunnel which is called Fistula.
There are 2 openings of the tunnel. one is internal, and the other is external. internal opening is not visible and it will only be examined by the doctors.
The external opening can be situated at any place outside the way of motion. The main problems of external opening are a continuous flow of water and pus from it and getting frequent infections.
Piles, Fissures, and Fistulas are very common in India. Almost 10 million people suffer from these diseases every year. These diseases mostly occur in the young age group and the ratio is slightly more in men as compared to women.
What is the Cause of Hemorrhoids(Piles, Fistula And Fissure)
Now, let's talk about the causes of these three major problems. Constipation, exerting a lot of pressure during defecation, poor hygiene, and repeated infection in this area.
Diagnosis of all three problems is clinical. So, contact Doctors for checkups as soon as possible. The diagnosis is possible in OPD for all three of them and in starting stages it does not need much investigation.
Just in the case of Fistula MRI is needed before the operation to know the type of Fistula.
When is surgery required for Piles and Fissures?
piles and fishers are not very dangerous diseases though they cause part of pain are bleeding. They are not life-threatening are harmful diseases and there is a notion that only surgery is required for all that.
Very few cases require surgical interventions. Most of them can be treated with the medical line of management and some changes in our life state.
So if the patients come at an early stage most of them can be managed without surgery. And surgery is also not that sort of very painful procedure which we are doing in the past. Now very high-end high technology procedures are available, wherein we can treat even the last stages of piles in a very simple way. And without much pain and death.
They'll be able to go back to the work very next day and hardly about half a day's admission may be required. But most of them can be managed even without surgery and patients should visit the doctor at the earliest. So that we can avoid the surgery.
Surgery is required only in the third and four stages of hemorrhoids and chronic wishes, which are not responding to the medical line of management.
