DEFINITIONS

Piles

is generally used as a loose common term to include piles, hemorrhoids, fistulas and fissures with skin tags. True piles are those that present with PAINLESS BLEEDING due to swelling up of blood vessels in the anal canal.

Fissure

with skin tags lead to painful bleeding due to a small cut at the anal margin. It is usually associated with skin tags that are mistakenly called piles. This condition resolves in majority of the patients by use of creams and medicines to treat constipation. Skin tags can sometimes be a source of great irritation due to micro-incontinence. Rarely the patient needs surgery.

Fistulas

are an abnormal small opening next to the anus from where discharge keeps occurring. This is due to a tunnel like tract between the anal canal and the skin. This condition always requires surgery for cure.

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