Piles

Understanding the Differences between Piles, Fissure, and Fistula.

Apr 18, 2026

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All About Piles, Fissure, and Fistula: What You Need to Know

In today’s world, many individuals suffer in silence from anorectal conditions like piles, fissure, and fistula. They may often even mistake one for the other. These conditions may share some symptoms, but they are fundamentally different in their causes, effects, and treatment methods. Anorectal conditions are prevalent in India, affecting a significant portion of the population. A study conducted in Central India reported that hemorrhoids accounted for 35.59% of anorectal disease cases, while fissure-in-ano comprised 33.05%.

Anorectal health plays a vital role in overall well-being, yet conditions like piles, fissure, and fistula are often misunderstood. These ailments affect the anal and rectal regions, causing discomfort, pain, and other symptoms that can significantly impact quality of life.

At Healing Hands, we aim to provide a clear understanding of these conditions while offering effective, plant-based solutions to treat and manage them. In this blog, we will discuss the differences between Piles, Fissure, and Fistula and present treatment options devised to bring you relief and promote healing.

Understanding Piles, Fissure, and Fistula

Let's do a quick overview of each of these anorectal conditions:

1. What is Piles (Hemorrhoids)?

Piles or hemorrhoids are swollen and inflamed veins in the rectum or anus. They are categorized as internal (located inside the rectum) or external (around the anus).

Causes of piles: Chronic constipation, straining during bowel movements, prolonged sitting, pregnancy, obesity, and low-fiber diets.
Piles Symptoms: Bleeding during bowel movements, swelling or lump near the anus, itching, and pain.
Types of piles: Piles is classified as external and internal piles based on the location above and below the dentate line, a key differentiating location within the anal canal. Internal piles are generally not visible and may cause bleeding, while external piles can be felt as lumps around the anus and may cause pain, swelling, and discomfort.
Complications of piles: Severe cases may lead to prolapsed or thrombosed piles requiring surgical intervention.

Internal hemorrhoids (piles) are categorised into four grades:

Grade I: Hemorrhoids remain inside the anal canal and do not prolapse. They may cause occasional bleeding but are not visible externally.
Grade II:Hemorrhoids protrude during bowel movements but retract itself without the need for manual intervention and may bleed occasionally.
Grade III: Hemorrhoids protrude during bowel movements or physical activities and need to be manually pushed back to return to their original position, and they can bleed.
Grade IV: Hemorrhoids remain prolapsed permanently and cannot be retracted into the anal canal. They can lead to severe discomfort, bleeding, and complications such as thrombosis.

2. What is Fissure?

An anal fissure is a small tear in the thin, delicate lining of the anus. The tear often occurs due to trauma during bowel movements.

Causes of fissure: Passing hard stools, chronic diarrhea, childbirth, or anal infections.
Anal Fissure Symptoms: Sharp pain during and after defecation, visible tears, bright red blood, and occasional spasms in the anal region.
Types of fissure: Acute fissure symptoms last for less than 6 weeks, while a chronic fissure is categorized when the symptoms persist for more than 6 weeks.
Complications of fissure: Chronic fissure may develop scar tissue or sentinel piles (skin tags) near the tear.

3. What is Fistula?

An anal fistula is an abnormal infected tunnel-like connection that develops between the anal canal and the surrounding skin. It usually forms after an abscess in the anal glands fails to heal properly.

Causes of fistula: Chronic infections, Crohn’s disease, tuberculosis, or a history of anal abscesses.
Symptoms of fistula: Persistent pain, swelling, pus discharge, irritation, and fever in severe cases.
Complications of fistula: If untreated, fistulas can lead to infections that can affect the entire body and recurring abscesses.

The following are a few types of fistulas:

Intersphincteric Fistula: This is the most common type of anal fistula. It occurs between the internal and external anal sphincters, connecting the anal canal to the skin.
Transsphincteric Fistula: This type extends through both the internal and external anal sphincters. It is more complex and often involves a longer tract.
Suprasphincteric Fistula: This fistula passes above the sphincters and involves the tissue above the anorectal ring. It’s harder to treat and may require surgery.
Extrasphincteric Fistula: An extrasphincteric fistula extends outside the anal sphincters and may involve pelvic organs.
Female Fistuals: Female fistulas are abnormal connections that involve the reproductive organs, such as the vagina, bladder, or rectum.

Comparison Between Piles, Fissure, and Fistula

Though piles, anal fissure, and anal fistula are distinct conditions, they share a common link: their impact on the anal region, is often aggravated by chronic constipation and straining during bowel movements. The table below highlights the key differences between these three conditions:

Feature	Piles	Fissure	Fistula
Cause	Swollen veins in the anal canal	Tear or cut in the anal lining	Abnormal connection between the anal canal and surrounding skin
Symptoms	Swelling, itching, pain, bleeding around the anus	Sharp pain during or after motion, bleeding	Persistent drainage, pain, recurrent infections
Location	Rectal veins (internal or external)	Anal canal lining	Anal canal to surrounding skin
Treatment Options	PiloKit Complete Piles Treatment Kit medical treatment, Laser surgery, Stapler surgery	FissureKit Complete Fissure Treatment Kit medical treatment, surgery (LIS)	FistulaKit Post-Surgery Anal Fistula Care Kit for post-surgery healing or when delay in surgery, fistulotomy, DLPL
Common Risk Factors	Constipation, pregnancy, obesity	Constipation, diarrhea, trauma	Infections, Crohn's disease, abscesses
Severity	Varies from mild to severe	Acute to chronic	Chronic, requires fistula surgery

While these conditions share some similarities, they differ in their causes, symptoms, and treatment approaches. Piles are mainly caused by swollen blood vessels, anal fissures usually result from injury due to passing hard stools or frequent straining, and anal fistulas often develop as a result of infection.

Treatment Solutions by Healing Hands

At Healing Hands, we have created medicines and Kits that address these conditions at their core. Formulated with natural plant-based ingredients, our solutions provide relief, promote healing, and help prevent recurrence.

1. PiloKit: Complete Piles Treatment Kit

Piles treatment ranges from treatment with piles medicines to advanced surgical procedures. In initial stages, medications can help reduce piles symptoms such as pain, swelling, and discomfort. PiloKit Complete Piles Treatment Kit is often recommended for symptom relief and management. Each PiloKit contains:

PiloSpray: India's first patented and molecularly validated plant-based piles spray for external application to relieve pain, itching, and swelling.
PiloTab: Molecularly validated and patented plant-based piles tablets for internal piles healing, bleeding and inflammation control
ConsteTab: Patented laxative tablets to relieve constipation, minimising strain during bowel movements for effective piles healing.

How to Use PiloKit?

PiloSpray:

1. Shake the can well before use.

2. Spray on the affected piles mass or in the anal region for 2-4 seconds from a distance of 5-8 cms.

3. Apply 2-3 times a day or as needed, based on the severity of piles symptoms, preferably before and after bowel movements and at bedtime.

Application Methods:

Spray externally on the affected area in the anal region in any of the following positions:

Squatting: Squat, spread the buttock and spray.
Standing: Stand on one leg, lift the other leg with a support, spread the buttock, and spray.
Lying Down: Lie on your side, lift one leg, spread the buttock, and spray.

PiloTab Tablets:

Dose: Take 1 tablet with water after meals, once in the morning and once at night.

ConsteTab Tablets:

Dose: Take 1 or 2 tablets with water after dinner, depending on the severity of constipation.

PiloKit Course:

A 30-day course is recommended for optimal results. The PiloKit course can be repeated for up to three months, depending on the severity of piles symptoms.

PiloKit is recommended by several top Indian Proctologists for the treatment of piles and has been trusted by lakhs of patients in their journey from piles to smiles. In addition to medications, dietary modifications such as including fiber-rich foods, maintaining adequate hydration, and regular exercise play a vital role in managing piles.

2. FissureKit: Complete Fissure Treatment Kit

Effective fissure treatment focuses on promoting healing and preventing recurrence. Early treatment with fissure medicines is often recommended to ensure faster recovery and fissure symptom relief. FissureKit Complete Fissure Treatment Kit, India's first patented plant-based treatment kit, offers a holistic solution for managing fissure effectively.It combines the power of three patented medicines for comprehensive care:

PiloSpray: PiloSpray is a patented, molecularly validated, plant-based external spray designed to soothe painful fissure cuts and provide effective relief. People with fissures often experience intense pain and discomfort, especially after bowel movements. Regular use of PiloSpray helps ease pain, reduce discomfort, and support faster external healing.
Anoac Cream: A clinically trusted, patented plant-based topical cream for external management of anal fissures and perianal wounds. It helps reduce pain, swelling, itching and burning while supporting natural healing. Regular use soothes the area, improves blood flow, and eases discomfort during and after bowel movements.
PiloTab: Molecularly validated, plant-based, patented and clinically proven to promote 3X faster internal healing in fissure.
ConsteTab: Plant-based patented laxative tablet relieves constipation to minimise discomfort during bowel movements and prevents straining for effective healing of anal fissure.

How to Use FissureKit?

PiloSpray:

1. Shake well before use.

2. Spray on the affected fissure cut in the anal region for 2-4 seconds from a distance of 5-8 cms.

3. Use 3-4 times a day or as needed, based on the severity of fissure symptoms, preferably before and after bowel movements and at bedtime.

Application Methods:

Spray externally on the affected area in the anal region in any of the following positions:

Squatting: Squat, spread the buttock and spray.
Standing: Stand on one leg, lift the other leg with a supprot, spread the buttock, and spray.
Lying Down: Lie on your side, lift one leg, spread the buttock, and spray.

Anoac Cream:

How to apply:

1. Wash and dry your hands.

2. Gently clean the external anal area with water and pat dry

3. Apply a thin layer of Anoac Cream to the affected external area.

4. Recommended frequency: Apply daily at night before bedtime.

PiloTab Tablets:

Dose: Take 1 tablet with water after meals, once in the morning and at night.

ConsteTab Tablets:

Dose: Take 1-2 tablets with water after dinner, depending on constipation severity.

FissureKit Course:

A 30-day course is recommended for optimal results. The FissureKit course can be repeated for up to three months, depending on the severity of anal fissure symptoms.

Our FissureKit is recommended by top Indian doctors and trusted by lakhs of happy patients for its effectiveness. A good diet rich in fiber, adequate water intake, and regular exercise helps in recovery along with medications.

3. FistulaKit: Anal Fistula Care Kit

Anal fistula treatment often requires surgery, including fistulotomy or more advanced procedures for complex or complicated cases. FistulaKit Post-Surgery Anal Fistula Care Kit plays a crucial role in post-surgery care, helping in quick recovery and reducing the risk of complications. It integrates four key components:

AnoSpray: A plant-based patented and molecularly validated anorectal spray formulated to alleviate pain, reduce swelling, and promote wound healing.
Turmocin Plus: A molecularly validated curcumin tablet known for its anti-inflammatory properties, which support tissue repair and infection control.
Anoac-H: It is a plant-based patented and molecularly validated anorectal tablet developed to manage pain and swelling and support overall healing.
ConstacTab: A plant-based patented laxative ConstacTab is aimed at regulating bowel movements, preventing constipation, and reducing strain during defecation.

How to Use FistulaKit ?

AnoSpray:

1. Shake the can well before use.

2. Spray on the affected area for 2-4 seconds from 5-8 cms distance.

3. Apply 2-3 times a day or as needed, based on the severity of symptoms, preferably before and after bowel movements and at bedtime.

Application Methods:

Spray externally on the affected area in the anal region in any of the following positions:

Squatting: Squat, spread the buttock and spray.
Standing: Stand on one leg, lift the other leg with a supprot, spread the buttock, and spray.
Lying Down: Lie on your side, lift one leg, spread the buttock, and spray.

Turmocin Plus Tablets:

Dose: Take 1 tablet with water after meals, once in the morning and once at night.

Anoac-H Tablets:

Dose: Take 1 tablet with water after meals, once in the morning and once at night.

ConstacTab Tablets:

Dose: Take 1-2 tablets with water after dinner, based on constipation severity.

In cases where surgery is not immediately possible, FistulaKit can be used to manage symptoms effectively.

Lifestyle Tips for Prevention and Recovery

Combining a few lifestyle changes with our products can improve your healing speed and prevent recurrence:

Diet and Hydration: Eat high-fiber foods like fruits, vegetables, and whole grains. Drink at least 8-10 glasses of water daily to prevent hard stools.
Hygiene: Maintain proper anal hygiene to prevent infections, especially in cases of anal fistula. Avoid using harsh soaps that can irritate the skin.
Exercise: Incorporate light exercises like walking or yoga to improve bowel regularity. Avoid heavy lifting, which can worsen piles.
Avoid Straining: Use a stool softener if necessary. Don’t spend too much time on the toilet, as it can worsen hemorrhoids.

Why Choose Healing Hands?

While piles, fissure, and fistula can be uncomfortable and sometimes debilitating, they are manageable with the right treatment and preventive measures. Our products at Healing Hands are meticulously developed to address your unique health needs, ensuring effective and scientifically validated anorectal care. At Healing Hands, we are committed to providing effective and natural solutions for anorectal health. Here’s why you can trust us:

Natural Formulations: All products are crafted from plant-based ingredients, free of harmful chemicals.
Comprehensive Approach: We address the root causes of the conditions like piles, fissure and fistula for long-term relief in the form of kits like PiloKit, FissureKit and FistulaKit.
Clinically Validated and Patented Solutions: Our medicines and kits have been devised after thorough clinical research and are India's 1st Patented & Molecularly Validated anorectal solutions.
Patient-First Philosophy: Our medicines are developed for easy use and fast results.
Developed in Collaboration with Doctors: The medicines are developed in collaboration with India's top proctology and GI hospital chain, Healing Hands Clinic, in partnership with leading doctors.
Doctor-Recommended Solutions: Trusted by medical professionals for effectiveness and safety.

Final Words

Piles, Fissure, and Fistula may seem daunting, but they can be managed effectively with the right care at the right time and treatment with our proven Kits - PiloKit, FissureKit and FistulaKit. At Healing Hands, we offer safe, plant-based and effective solutions tailored to your needs.

Stop suffering in silence and take the first step toward a healthier, pain-free life. Explore our range of products and learn more about our holistic and advanced treatment options for piles, anal fissure, and anal fistula. Order now and feel the difference!