Piles vs Fissure vs Fistula – What’s the Difference?
By Vaidik Ayurveda
Pain in the anal region can be alarming — but not every issue is the same. Many people confuse Piles, Fissures, and Fistulas, yet these are three distinct conditions, each with different causes, symptoms, and treatments.
Let’s break it down simply: Piles vs Fissure vs Fistula – What’s the Difference?
This guide will help you understand and identify each condition so you can choose the right treatment — naturally and safely.
✅ What Are Piles (Hemorrhoids)?
Definition:
Piles are swollen and inflamed blood vessels in the rectum or anus, often caused by pressure during bowel movements.
Causes:
- Chronic constipation or straining
- Sitting for long hours
- Low-fiber diet
- Pregnancy
Symptoms:
- Painless bleeding during stools
- Itching or irritation near the anus
- Lump or swelling around the anus
- Discomfort while sitting
Ayurvedic View:
Known as Arsha, piles are caused by an imbalance of the Vata and Pitta doshas. Ayurveda aims to restore balance through herbs, diet, and detox.
🔥 What Is an Anal Fissure?
Definition:
An anal fissure is a small cut or tear in the skin lining the anus, usually due to trauma from hard stools.
Causes:
- Passing large or hard stools
- Constipation
- Chronic diarrhea
- Inflammatory bowel conditions
Symptoms:
- Sharp, burning pain during or after bowel movements
- Bright red bleeding on toilet paper
- Itching or irritation in the anal area
Ayurvedic View:
Called Parikartika in Ayurveda, fissures are caused by Pitta imbalance. Treatment focuses on healing the tear and softening stools naturally.
🕳️ What Is a Fistula in Ano?
Definition:
A fistula is an abnormal tunnel between the inside of the anal canal and the outer skin, usually due to infection or abscess.
Causes:
- Untreated anal abscess
- Chronic infection
- Crohn’s disease or TB (in rare cases)
Symptoms:
- Persistent pus or fluid discharge near the anus
- Pain and swelling
- Recurring abscess
- Fever (in severe cases)
Ayurvedic View:
Known as Bhagandara, a fistula is considered one of the most complex anal disorders. Ayurveda recommends Ksharasutra therapy (medicated thread treatment) along with internal detoxification.
🧾 Comparison Table: Piles vs Fissure vs Fistula
| Condition | Piles | Fissure | Fistula |
|---|---|---|---|
| Affected Area | Veins in rectum/anus | Anal skin | Tract between anal canal and skin |
| Pain | Mild or no pain | Sharp pain during/after stool | Continuous dull pain |
| Bleeding | Bright red, painless | Painful, small amount | Rare or with pus |
| Discharge | Rare | No discharge | Pus or fluid discharge |
| Common Cause | Constipation, pressure | Hard stool, trauma | Abscess or infection |
| Ayurvedic Name | Arsha | Parikartika | Bhagandara |
🌿 Vaidik Ayurveda’s Natural Treatments
We offer safe, effective, and side-effect-free Ayurvedic remedies for all three conditions.
🔹 For Piles:
Piycure Kit (Capsules + Oil) – Reduces swelling, bleeding, and improves digestion.
🔹 For Fissures:
Herbal Sitz Baths + Soothing Oil – Heals tears and relieves pain.
🔹 For Fistula:
Ksharasutra Therapy + Herbal Support – Treats the fistula tract from the root, naturally.
🥦 Diet & Lifestyle Tips for Anal Health
- Eat a high-fiber diet (fruits, veggies, whole grains)
- Drink plenty of water (2.5–3 L daily)
- Avoid spicy, oily, and junk food
- Don’t ignore the urge to pass stool
- Exercise regularly
- Practice Ayurvedic cleansing (Basti, Virechana if needed)
✨ Final Thoughts
While piles, fissures, and fistulas may seem similar, understanding the difference is key to choosing the right treatment. Ayurveda not only provides natural and long-lasting relief but also strengthens your digestive and anal health holistically.
👉 Facing any of these symptoms? Let Vaidik Ayurveda guide you to safe, natural healing.