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Compare · Piles · Fissure · Fistula
Piles, fissure or fistula? Here's how to tell.
Three different problems, one embarrassing place. They feel different, they're caused differently, and they're treated differently. This page puts them side by side.
હરસ, ફિશર કે ભગંદર? ત્રણેય અલગ છે — દુખાવો, લોહી અને સારવાર સરખાવો.
- Since 1999
- 44,000+ patients treated
- Male & female proctologists
- Cashless mediclaim
- Same-day discharge for most laser procedures
- OPD 9 AM–12 PM, 5–7 PM
Side by side
The quick comparison
| Piles (haemorrhoids) | Fissure | Fistula | |
|---|---|---|---|
| Pain | Usually little or none | Sharp, cutting, during and after stool | Throbbing; worse when an abscess forms |
| Bleeding | Bright red drops or splash | A small bright red streak | Blood-stained pus |
| Lump | Soft lump that may come out | Small skin tag at the edge | Pimple-like opening near the anus |
| Discharge | Mucus, itching | Rare | Pus or fluid that stains underwear |
| Usual cause | Straining, constipation, long sitting | Hard stool tearing the lining | An old anal abscess |
| First step | ANOcheck™ + SIT EASY™ Piles kit | ANOcheck™ + SIT EASY™ Fissure kit | ANOcheck™, then a doctor's examination |
| Needs surgery? | Only if it keeps bleeding or stays out | Only if chronic (beyond 6–8 weeks) | Usually yes: Ksharasutra or laser |
Can you have more than one?
Yes, and it's common
Many people have piles and a fissure together, because both come from hard stool and straining. A fistula can sit alongside piles too. That's why a short examination, or at least the free ANOcheck™, is better than guessing from a photo online.
Don't wait if you notice
Questions people ask
Piles vs fissure vs fistula: common questions
How do I know if it is piles or fissure?
Pain is the biggest clue. Piles usually bleed with little pain; a fissure causes sharp cutting pain during stool and burning afterwards.
Can piles turn into a fistula?
No. A fistula comes from an infected anal gland and abscess, not from piles. You can, however, have both at the same time.
Which is most serious?
A fistula needs a procedure, and any heavy bleeding, black stool or weight loss needs prompt examination whatever the cause.
Can the same kit treat all three?
No. SIT EASY™ kits are for piles, fissure and post-op care. Fistula is treated after a doctor's review, not with a kit alone.
Visit
Sushrut Piles Fistula Hospital
Block-D 301-306, 3rd Floor, Pramukh Anand Orbit Mall, Reliance Cross Road, Kudasan, Gandhinagar, Gujarat 382421
OPD: 9 AM–12 PM, 5–7 PM · Phone / WhatsApp: +91 81415 57474
Doctors: Dr. Sushrut Patel (Chief Proctologist, laser), Dr. Ekta Patel (Ayurvedic proctologist, Ksharasutra), Dr. Amit Patel (Surgeon).