piles and fissure treatment with dr karan r rawat
Bleeding in Piles vs Bleeding in Fissure: Causes, Differences & Best Treatment Options
Bleeding from the anus is one of the most alarming symptoms for patients. Many people in Agra, Mathura, Firozabad, Etawah, Hathras, and nearby towns often ask:
👉 “Doctor, bleeding piles ki wajah se ho rahi hai ya fissure ki?”
👉 “Kya bina operation ke theek ho sakta hai?”
Understanding the difference between bleeding in piles and bleeding in fissure is the first step toward correct and timely treatment.
What Does Bleeding in Piles Look Like?
Bleeding in piles (haemorrhoids) occurs due to swollen blood vessels inside or outside the anal canal.
Common Features of Piles Bleeding:
- Bright red blood
- Blood seen during or after motion
- Usually painless bleeding
- Blood may drip into the toilet pan
- Associated with constipation, prolonged sitting, pregnancy
👉 Many patients ignore this thinking it is “normal piles,” but chronic bleeding can cause anemia.
What Does Bleeding in Anal Fissure Look Like?
Anal fissure is a small tear in the anal lining, usually caused by hard stools.
Common Features of Fissure Bleeding:
- Bright red blood along with severe pain
- Burning or cutting pain during and after motion
- Fear of passing stool
- Spasm or tightness of anal muscles
- Blood usually seen on toilet paper or stool surface
👉 Fissure bleeding is less in quantity but pain is intense.
Key Differences: Bleeding in Piles vs Fissure
| Feature | Piles | Fissure |
|---|---|---|
| Pain | Usually painless | Severe pain |
| Bleeding | More, dripping | Less, streaks |
| Cause | Swollen veins | Tear in anal skin |
| Chronic risk | Anemia, prolapse | Non-healing fissure |
Correct diagnosis is essential because treatment differs completely.
Why You Should Not Ignore Rectal Bleeding
Ignoring bleeding per anum may lead to:
- Iron deficiency anemia
- Chronic piles or fissure
- Infection or abscess
- Missed diagnosis of serious colorectal disease
⚠️ Every rectal bleed needs proper evaluation by a specialist.
How Is Bleeding in Piles Treated?
1️⃣ Early-Stage Piles (Grade 1–2)
- Stool softeners
- High-fiber diet
- Warm sitz bath
- Medical management under gastro supervision
2️⃣ Advanced Piles (Grade 3–4)
- Laser piles treatment
- Stapler hemorrhoidectomy (MIPH)
- Minimally invasive procedures with quick recovery
How Is Bleeding in Fissure Treated?
Acute Fissure:
- Medicines to relax anal muscles
- Local ointments
- Diet correction
- Constipation control
Chronic Fissure:
- Laser fissure surgery
- Lateral internal sphincterotomy (when required)
- Fast relief from pain and bleeding
👉 Delaying treatment converts acute fissure into chronic fissure, making surgery inevitable.
Can Piles and Fissure Occur Together?
Yes. Many patients suffer from piles and fissure simultaneously, especially due to long-standing constipation.
This condition requires expert anorectal evaluation and customized treatment.
Why Choose Dr. Karan R. Rawat for Bleeding Piles & Fissure Treatment in Agra?
Dr. Karan R. Rawat is a renowned Gastroenterologist, Proctologist, Laser Surgeon, and Laparoscopic Surgeon in Agra.
✔️ Expert in anorectal disorders
✔️ Advanced laser treatment for piles & fissure
✔️ Focus on non-surgical options whenever possible
✔️ Safe, ethical & patient-friendly approach
✔️ Trusted by patients across UP, Rajasthan & Haryana
📍 Safe Gastro & Surgery Center, Agra
When Should You See a Doctor Immediately?
- Bleeding lasting more than 3–4 days
- Bleeding with weakness or dizziness
- Severe anal pain
- Recurrent bleeding episodes
- Bleeding with weight loss or bowel habit change
Final Words from a Gastro & Anorectal Specialist
Bleeding in piles and fissure may look similar, but treatment is completely different. Self-medication and delay only worsen the condition.
👉 Consult Dr. Karan R. Rawat, one of the best doctors for piles, fissure & rectal bleeding in Agra, for accurate diagnosis and long-term relief.
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