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The Difference of Anal Fissures and Hemorrhoids

Updated on June 29, 2010

Anal Fissures Defined

If you are feeling pain in the lower extremities of your rectum and surrounding your anus or better yet, is there blood on your stool or in the toilet bowl right after doing a bowel movement. If this is the case, then, you may be having either an anal fissure or hemorrhoids.

There is a difference between the two. An anal fissure is a tiny tear in the anus causing a linear ulcer to form at the boundary of the anus. Anal fissures causes itching, pain as well as bleeding. They can spread up into the lower rectal mucosa or may spread downward resulting to a swollen lump at the anal verge.

More on Anal Fissures

Anal fissures cause pain during bowel movements that can last for hours on end. Anal fissures are caused sometimes by extreme constipation as well as diarrhea. If onstipated, an anal fissure is often caused by the passage of hardened and dry stool that causes some tearing on the anal lining. if affected with diarrhea, anal fissures are then often caused by frequent wiping of the inflamed or swollen area of the anal canal.

Almost 50% of all anal fissures heal by themselves, without help from anything. Cleaning softly, gently and thoroughly after every bowel movement with wipes or cotton pads that has witch hazel can help immensely with the healing process. Diets rich in high fiber and drinking 8-10 glasses of water everyday can help in promoting healthier bowel movements and avoid more damage and further fissures.

Hemorrhoids Defined

Like anal fissures, hemorrhoids can also pain, itching, burning as well as bleeding. Hemorrhoids are usually swollen veins found in the lower rectum and around the anal canal. Hemorrhoids are usually classified as internal or external. The usual causes of hemorrhoids can be constipation or diarrhea. This is so because each causes excessive straining during bowel movements, if not excessive wiping.

Hemorrhoid treatment usually includes over the counter ointments, creams as well as suppositories. One can also use natural remedies that can come in oral and ointment forms which when used together can prove to be very effective and efficient in alleviating hemorrhoid symptoms.

If your anal fissures or hemorrhoid pain or symptoms fail to go away or if you experience severe pain, itching, or burning, it is best to look for medical attention. Professional doctors will give you a thorough exam to know what the problem really is and then give you the appropriate and proper treatment.


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      George J. 4 years ago

      Useful information on your hub eliminated the doubt that I might be suffering from anal fissure. Now I am trying to understand the difference between external and internal hemorrhoids, but sadly according to this site (, I am suffering from internal hemorrhoids.


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