Let’s not confuse haemorrhoids with fissure

Let’s not confuse haemorrhoids with fissure as they are not the same thing? There are actually a lot of differences and not just in how they present themselves but also in how they should be treated. The sooner the problem is recognized, the easier it will be to intervene concretely and recover a perfect health condition as quickly as possible

Haemorrhoids with fissure symptoms

At first glance, the fissures appear as small flaps or folds of skin of the same color, the hemorrhoids instead appear as lumps and are dark blue or purple due to the underlying swollen veins. The fissures appear in the points where there is friction caused by the rubbing of the skin, in fact they frequently occur in the neck, armpits, eyelids, groin and, indeed, in the anus.

On the other hand, hemorrhoids are caused by increased pressure on the rectum or anus, which occurs whenever there is excessive effort or too long a stay on the toilet.

So if haemorrhoids with fissure share some similarities, their symptoms differ in many ways.

Cracks are commonly flesh-colored or light brown and are smooth or wrinkled. These formations can vary in any size, from a small protuberance to the size of a grape. Although the lesions can cause them to bleed, these growths typically don’t require immediate medical attention.

Unlike fissures, hemorrhoids are often painful and both internal and external hemorrhoids can cause bleeding during bowel movements, itching in the area and rectal pain.

Hemorrhoids with fissures together

Haemorrhoids with fissure can occur separately or together. Since they both cause similar symptoms, they are often confused by patients trying to self-diagnose.

Both cause painful bowel movements, itching and burning, and can cause bright red blood in the stool. They also share some of the same causes, so it’s very common for people to develop both at the same time.

Haemorrhoid with fissure cure

The fissures do not go away on their own but because they are harmless, treatment is not necessary until they become itchy and unsightly. However, they shouldn’t be ignored completely either, they always pose a health risk so it’s best to monitor them closely and see a doctor to make sure they’re not cancerous.

Should they become very painful and chronic, the only effective treatment remains surgical. It should be borne in mind that traditional treatments carry a high risk of stenosis or incontinence, while in laser surgery these risks become considerably lower.

Hemorrhoids are treated using topical creams to treat pain and all related symptoms, removing them is a completely different decision and will require a proctologist’s diagnosis.

Natural remedies for fissures with hemorrhoids

Like a cut on the skin, the anal fissure takes time to heal. The first home remedy to put into practice is to prevent constipation and difficult bowel movements that would put a strain on the fissures, relaxing the anal sphincter will facilitate healing. Then some common sense tips:

  • Drink more water. Drinking plenty of water will make the stool softer and easier to pass.
  • Eat more fiber. Fiber is a bulking laxative that promotes regular bowel movements.
  • Use stool softeners or osmotic laxatives. Both stool softeners and laxatives increase the water content of the stool, making it softer and facilitating transit that will not strain the sphincter.
  • Take hot baths. A 10-15 minute hot bath or a sitz bath three times a day relaxes the anal sphincter and increases blood flow to the anus, accelerating healing.
haemorrhoids with fissure


Best ointment for hemorrhoids and fissures

The best anal fissure medication depends on the severity of the condition and the patient’s tolerance for side effects. For acute anal fissure, a fiber supplement and an over-the-counter topical anesthetic are usually sufficient to speed up the healing process.

For chronic anal fissures, the goal of the drug is to relax the anal sphincter so that the wound can heal. The most effective drug, nitroglycerin, can cause severe headaches, but the good news is that most anal fissure drug therapies are very effective.

An over-the-counter hemorrhoid cream typically solves immediate problems caused by inflamed tissue and swollen blood vessels around the anus. A topical anesthetic dulls the pain, while an ointment or cream formula soothes the skin. Other ingredients help reduce swelling or reduce the chance of infection.

Hemorrhoid creams are often used in combination with medicated wipes to keep the area clean and hydrated. Some severe cases of hemorrhoids, however, may require professional medical attention or even a surgical procedure.

Difference between hemorrhoids and tumor

Hemorrhoids are swollen veins inside the rectum and anus, they can become irritated and bleed or itch.

Cancer develops because cells grow out of control. Anal cancer can cause a growth or a lump in the rectum or anus, while colon cancer does not cause lumps or bumps that a person can feel with their hand. It is not always possible to distinguish between cancer and hemorrhoids. Symptoms are more likely to be due to hemorrhoids if:

  • the person has risk factors for hemorrhoids, such as an ongoing pregnancy, constipation, a history of straining to have bowel movements, or a history of hemorrhoids
  • symptoms improve with home treatment, eating more fiber, or applying hemorrhoid creams
  • the person may feel a swollen lump or a bump near the anus or see a swollen vein with a mirror
  • symptoms come and go but do not progressively get worse or cause other symptoms, such as weight loss.
  • It is important to speak to a doctor about any changes in health as it is much easier to treat cancer in its early stages.

Some factors that increase cancer risk include:

  • be over 50 years old
  • have a family history of cancer
  • to smoke

Difference between hemorrhoids and fistulas

The anal glands in the central part of the anus can be infected and cause an anal abscess that begins to produce pus, the abscesses can increase moving outwards near the anus hole to drain. In most cases, abscesses can turn into fistulas that should not be underestimated because they can lead to major complications involving the entire perineum area.

By intervening as soon as possible with minimally invasive techniques and advanced tools such as the use of lasers, surgical treatment with personalized local anesthesia will give guaranteed results.

Fistulas can also be the result of sexually transmitted diseases, or other more serious health conditions:

  • They can be caused by radiation, cancer, warts, trauma, Crohn’s disease, etc.
  • They can be associated with obesity and prolonged sitting hours on the toilet.
  • Treatment should be with antibiotics.


Symptoms are pain, redness and swelling around the anus, you may also have bleeding, painful bowel movements and fever. In such cases, it is advisable to see a doctor.

Haemorrhoids with fissures foods to avoid

Low-fiber foods can cause or worsen constipation (and therefore hemorrhoids), white bread, milk, cheese and other dairy products, meat, fast food and finally salt that dehydrates the body should be limited .

Beware of iron supplements that can cause constipation and other digestive problems, so talk to your doctor before taking them.

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