Hemorrhoids vs Anal Fissures: How to Spot the Difference and Get Proper Treatment

Hemorrhoids vs Anal Fissures: How to Spot the Difference and Get Proper Treatment

Dr. Rishu Baweja

06 Sep 2025

Call +91 80788 80788 to request an appointment.

Introduction

Being informed about your health is crucial to making the right decisions and seeking appropriate treatments. Two prevalent anorectal conditions, hemorrhoids and anal fissures, often cause discomfort, pain, and confusion due to their similar symptoms. Yet, knowing the exact diagnosis and how to distinguish between them is essential for effective treatment. This blog aims to delineate the differences between these conditions and guide you on how and where to seek the best care, especially in Punjab. Livasa Hospitals, with its branches at Livasa Nawanshar, Livasa Mohali, Livasa Khanna, Livasa Hoshiarpur, and Livasa Amritsar, stands as a beacon for healthcare excellence, especially in dealing with such anal conditions.

What Are Hemorrhoids?

Hemorrhoids, commonly referred to as piles, are swollen veins located around the anus or in the lower rectum. They are comparable to varicose veins you might find in the legs. These veins become swollen because of increased pressure in the lower rectum, often resulting from factors like straining during bowel movements, prolonged sitting, obesity, and pregnancy. Hemorrhoids can be classified as either internal (located inside the rectum) or external (developed under the skin around the anus). Both types can cause bleeding, itching, discomfort, and significant pain, particularly when thrombosed or prolapsed.

Global data suggests that hemorrhoids affect about 10 million people annually, with a significant proportion seeking medical treatment due to severe discomfort. In Punjab, hemorrhoids are similarly prevalent, prompting individuals to seek specialized care from clinics like the Livasa Hospitals.

Understanding Anal Fissures

An anal fissure is a small tear in the lining of the anal canal. It usually occurs when passing large or hard stools, which stretch the anal tissue beyond its capacity. Fissures can cause severe pain and bleeding during and after a bowel movement. They are often confused with hemorrhoids due to overlapping symptoms like pain and bleeding, but they are fundamentally different in nature.

Anal fissures can happen at any age but are common among young infants and adults, especially those with chronic constipation. In Punjab, as in other regions, lifestyle and diet play critical roles in the incidence of anal fissures. As a result, dietary adjustments and consultation with an anal fissures expert in Punjab, such as those at Livasa Hospitals, can be beneficial in managing and preventing this condition.

Causes of Hemorrhoids and Anal Fissures

Though hemorrhoids and anal fissures occur due to pressure or injury to the anal region, their specific causes can differ:

Condition Common Causes
Hemorrhoids
  • Straining during bowel movements
  • Prolonged sitting, especially on the toilet
  • Obesity and weight issues
  • Pregnancy and childbirth
  • Low-fiber diet
Anal Fissures
  • Passing large or hard stools
  • Chronic diarrhea or constipation
  • Anal trauma or injury
  • Muscle spasms in the anal sphincter
  • Inflammatory bowel diseases

Spotting the Symptoms

Although the symptoms of hemorrhoids and anal fissures can overlap, recognizing subtle differences is key in securing the correct diagnosis. Here's how they typically present:

Symptom Hemorrhoids Anal Fissures
Bleeding Bright red blood on stool or toilet paper Bright red blood usually after bowel movement
Pain Mild discomfort to severe pain, especially during bowel movements Sharp, severe pain during bowel movement
Itching/Irritation Common, especially if external Less common, more related to the fissure not healing

Diagnosis and Treatment

A proper diagnosis of whether you're dealing with hemorrhoids or anal fissures usually requires a clinical examination by a fissure specialist in Punjab. At Livasa Hospitals, equipped with general and laparoscopic surgery facilities, our specialists offer detailed assessments and personalized treatment plans.

Treatments may vary:

  • For Hemorrhoids: Options range from lifestyle modifications and topical treatments to minimally invasive procedures and, in severe cases, surgical interventions such as hemorrhoidectomy.
  • For Anal Fissures: Treatments typically begin with dietary adjustments and topical applications. In chronic cases, surgical solutions like lateral internal sphincterotomy might be recommended.

Prevention Tips

Prevention is always better than cure. Here are some tips to help prevent hemorrhoids and anal fissures:

  • Maintain a high-fiber diet to soften stools and facilitate easier bowel movements.
  • Ensure adequate water intake daily to help in digestion and stool passage.
  • Avoid straining during bowel movements and do not sit for prolonged periods on the toilet.
  • Exercise regularly to maintain good bowel health and circulation.

Why Choose Livasa Hospitals?

At Livasa Hospitals, we prioritize patient care and comfort. Our teams across Livasa Nawanshar, Livasa Mohali, and other centers offer state-of-the-art facilities and compassionate care with specialized proctology services. Our approach involves a thorough diagnosis followed by an individualized treatment plan, ensuring that you receive the best attention.

Reach out to us at +91 80788 80788 or book an appointment online to consult with our proctology experts and receive the care you deserve.

Take the First Step Towards Recovery

If you're experiencing symptoms, don't delay seeking help. Our Livasa Hospitals' anal conditions experts are here to guide and support you through your recovery journey. Schedule a consultation today.

Need Help?

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+91 80788 80788

Address

Livasa Healthcare Group Corporate Office,Phase-8, Industrial Area, Sector 73, Sahibzada Ajit Singh Nagar, Punjab 160071

Email

digital@livasahospitals.com