Piles are caused by pressure in the veins around the anus. Common causes include chronic constipation, prolonged sitting, pregnancy, being overweight, and excessive straining during bowel movements.
Piles, Fissures, And Fistula: Common Problems People Suffer Silently With
Piles, fissures, and fistula are common but often ignored due to stigma. Learn their symptoms, causes, and why early treatment can prevent complications.

(By Dr. Manas Ranjan Tripathy)
A lot more people than they want to admit have pain, discomfort, or bleeding when they have a bowel movement. Millions of people have conditions like piles, fissures, and fistula, but many put off getting help because they are embarrassed or scared. This silence often lets small problems turn into big ones that are hard to deal with, even though there are safe and effective treatments available now.
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Understanding Piles (Haemorrhoids)
When pressure builds up in the veins around and in the anus, piles happen. Chronic constipation, sitting for long periods of time, being pregnant, being overweight, and pushing too hard are all common causes. Itching, pain, a feeling of heaviness, or bleeding during bowel movements are some of the signs. In the beginning, piles can often be managed with changes to your lifestyle, more fiber in your diet, and medications. Advanced piles may need minimally invasive procedures that give long-lasting relief with little recovery time.
What Are Anal Fissures?
Anal fissures are small tears in the lining of the anus, usually caused by passing hard or large stools. Despite their size, they can cause severe pain during and after bowel movements, often accompanied by bright red bleeding. The fear of pain can lead people to avoid using the toilet, worsening constipation and delaying healing. Acute fissures often heal with medical treatment and lifestyle modification, while chronic fissures may need surgical intervention.
Anal Fistula: A Condition That Needs Attention
An anal fistula is an unusual tunnel that forms between the anal canal and the skin around the anus. This usually occurs after an infection or abscess. There are some common signs for the same which include persistent discharge, pain, swelling, and infections and so on. Fistulas, on the other hand, almost never go away on their own. To stop infections from happening again and to avoid long-term problems, it is important to get a diagnosis and treatment as soon as possible.
Why People Suffer In Silence
The common thread across these conditions is stigma. Many people ignore symptoms like pain or bleeding, hoping they will go away. However, rectal bleeding should never be dismissed, as it may sometimes indicate more serious health issues. Delayed care often results in prolonged discomfort and more complex treatment.
The Importance Of Early Treatment
Modern medicine can help with anorectal problems in ways that are effective and don't require a lot of surgery. Seeing a specialist early can help you get the right diagnosis, get better faster, and greatly improve your quality of life. The first step toward feeling better is to talk about these problems openly. No one should have to suffer in silence when help is available.
Dr. Manas Ranjan Tripathy is Senior Consultant - General and Minimal Access Surgery at Manipal Hospital Sarjapur
[Disclaimer: The information provided in the article is shared by experts and is intended for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.]
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Frequently Asked Questions
What are common causes of piles?
What is an anal fissure?
An anal fissure is a small tear in the lining of the anus, typically caused by passing hard or large stools. They can cause severe pain and bright red bleeding during bowel movements.
What is an anal fistula and why is early treatment important?
An anal fistula is a tunnel that forms between the anal canal and the skin near the anus, usually due to infection. They rarely heal on their own, and prompt treatment is crucial to prevent recurring infections and long-term issues.
Why do people often delay seeking help for anorectal problems?
Stigma surrounding these conditions leads many to ignore symptoms like pain or bleeding. This silence can allow minor problems to worsen, making treatment more complex and prolonged.
























