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Piles / Fissure / Fistula

Diagnosis and treatment of common anal problems — piles (haemorrhoids), fissures and fistula.

Reviewed by our doctors 4 questions answered

What is Piles / Fissure / Fistula?

Piles (haemorrhoids) are swollen blood vessels in and around the anus. A fissure is a small tear in the skin of the anus, usually caused by passing hard stools. A fistula is an abnormal tunnel between the inside of the anal canal and the skin, often after an abscess.
These conditions are common and treatable. Please do not feel embarrassed to see a doctor — an examination is needed to know the exact problem.

Common signs and symptoms

  • Bleeding during or after passing stools
  • Pain or burning while passing stools
  • A lump or swelling near the anus
  • Pus or fluid discharge, or a boil near the anus
  • Itching or irritation

Having one of these does not always mean you have this condition. Only a doctor can tell after an examination.

How it is treated

Early piles and fissures often improve with a high-fibre diet, plenty of water, warm sitz baths and medicines. If these do not help, a procedure or surgery may be advised, depending on the condition.
A fistula usually needs surgery. The doctor will explain the suitable options after examining you.

Recovery

Recovery depends on the problem and the procedure. Most people return to routine work within a few days to a couple of weeks. Keeping stools soft, drinking enough water and keeping the area clean help healing and lower the chance of the problem returning.

Cost

The cost depends on your condition, the type of procedure, the tests needed and the length of any hospital stay. It can only be estimated after the doctor has examined you. Please contact the clinic for details.

Frequently asked questions

No. Bleeding can have other causes, some of them serious. Always get it checked by a doctor rather than treating it yourself.

No. Many patients improve with diet changes and medicines. A procedure or surgery is considered when symptoms continue or are severe.

The doctor examines gently and explains each step. If there is a painful fissure, the examination is kept as comfortable as possible.

They can. Avoiding constipation, eating fibre, drinking enough water and not straining for long on the toilet lower the risk.

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