Often the bright red bleeding during bowel movement is considered to be some type of hemorrhoids. But not all types of bleeding might be a result of piles. It could be also due to fissures in you anal column.
Essentially an anal fissure is a tear in your anus lining. This crack causes severe pain and inevitably results in bleeding before or after a bowel movement. There are times when this cut can be rather deep. It could even expose tissues or muscles within, further increasing the pain and suffering as a result of it.
Surprising there is no age bar or other similar precondition for this disease. It can affect people of all age and gender. In fact, it is also commonly seen in infants and very young kids too.
Most times these fissures are not permanent in nature. They heal on their own in 4-6 weeks but there could be some instances when this condition continues for a stretched period. That could make the condition a lot more severe and the pain excruciating.
There are many healing methodologies including stool softeners, pain relievers and the like. But if all of these don’t help, you might have to seek medical help and undergo surgery to remedy the condition or the underlying fault which caused the fissure.
At any case, you should not ignore a fissure for too long. It is best to seek medical help and understand how the problem can be rectified in a permanent manner. Stop gap solutions can only worsen the pain for the patient over the longer term.
Causes & Symptoms
Most times this tear in the anus lining or what we call fissure could result due to -Prolonged instances of diarrhea
-Strained bowel movement.
At other times this could be the direct fall out of many other deep set problems as well like cancer, infection or other inflammatory bowel diseases. Only a thorough a detailed medical checkup can identify the problem for you.
In some very rare instances, fissures could result due to HIV, tuberculosis or even syphilis. You must understand that these are all underlying medical conditions which might manifest in varied ways through the body. The Anal fissure is one such sign.
Most times, these anal fissures are caused by a specialized set of tissue in your anus. This is known as the anoderm. Quite unlike the skin on the rest of your body, the anoderm does not have any hair or sebaceous glands. On the contrary, it has a rather large amount of sensory nerves.
The result is that this hairless area is very sensitive to pain and touch and continues to remain this way until the end of the anal canal. This often explains the reason why anal fissures are so painful and susceptible to even a minor trigger.
But of course, you must understand the tell tale symptoms to understand the problem.
-A distinctive tear near your anus. It is quite clear and rather hard to miss
-Constant burning or itching sensation in the anus area, especial during or after bowel movement
-Bleeding during or after a bowel movement. It is generally bright red in color. It could be in the stool or on the tissue paper after wiping
-A pronounced skin tag next to the tea in your anus
-Severe pain in your anus during the passage of stool
Overall bowel movement becomes extremely painful and if a patient is prone to constipation, it can even worsen. The hard stool further worsens the pain.
How Are Fissures Different From Piles?
But the question that many people ask is how can you differentiate between piles and fissures? Both are extremely painful conditions, both ends in bleeding and both make bowel movements extremely difficult. But the point is that the similarity between the two conditions pretty much ends at this point. Apart from certain similarities in the symptoms, the cause for the both is entirely different. As a result, the treatment and the whole course of resolving the problem also vary to a large extent.
Piles is a direct fallout of hemorrhoids. You have to understand that this is an inflammatory condition. This is caused when the cushioning impact of the tissues in the lower rectum weaken. As a result, you see inflammation that is filled with blood. These hemorrhoids can be both external as well as internal depending on the triggers and the severity of the condition.
While it is possible that hemorrhoids might be accompanied by fissures, the fact remains that anal fissures are nothing but a deep or a minor tear around the anus area. The lack of the sebaceous or the oil glands and the multitude of sensory nerves in the area makes this cut rather painful. Anal fissures are one of the direct outcome of sustained trauma in the anal region.
While in Piles, there are streaks of blood in the stool, in the case of fissures, patients can see drops of bright red blood separate from the stool as well. This is because the bleeding is due to the pain and pressure felt at the point where the skin has torn.
Most times Piles can be cured with home remedies and a distinct improvement in your lifestyle. However, it might not be the case in anal fissures. There are instances when it can be cured only through surgery.
Therefore, we can conclude that anal fissures and hemorrhoids are two different types of anal trauma that can cause extreme pain. Often constipation and hard stool can significantly increase a patient’s suffering in both cases. However, the remedy for the two is entirely different. It is best to seek medical assistance and take a physician’s view on the course of the treatment. Leaving this condition unattended can lead to serious complications later on. Therefore, if you are experiencing any kind of a pain in your anal region, it is best to look out for the symptoms and speak to your doctor immediately.