bleeding pattern in piles fissure and fistula | differential diagnosis | vithaipileshospital
bleeding pattern in piles fissure and fistula
Piles, fissures, and fistulas are all common conditions that affect the anus and rectum. One of the primary symptoms of these conditions is bleeding. However, the bleeding pattern can vary depending on the specific condition, and it is important to be able to distinguish between them in order to receive the proper diagnosis and treatment. In this article, we will explore the bleeding pattern in piles, fissures, and fistulas, and discuss the differential diagnosis for each.
Piles
Piles, also known as hemorrhoids, are swollen veins in the anus and rectum. One of the primary symptoms of piles is bleeding. The bleeding in piles is typically bright red in color and is often seen in jet form, drop by drop or on the surface of the stool or toilet paper after wiping. Sometimes bleeding is too much as it is coming from veins, and it is described as ‘ splash in pan’ The bleeding is usually painless, and the amount of blood can vary from a few drops to a substantial amount.
In addition to bleeding, other symptoms of piles may include itching, pain, and discomfort in the anal area. Piles are often caused by constipation, straining during bowel movements, or sitting for long periods of time.
Fissures
An anal fissure is a tear in the lining of the anus. Fissures are often caused by constipation, passing large or hard stools, or trauma to the anal area. One of the primary symptoms of fissures is bleeding, which is typically bright red in color and may be seen on the surface of the stool or toilet paper after wiping. Patient may describe it as strick on stool, as it is from one side of anus. However, the bleeding in fissures is often accompanied by pain during and after bowel movements.
Other symptoms of fissures may include itching, burning, and discomfort in the anal area. Fissures can be treated with medication, lifestyle changes, or surgery, depending on the severity of the condition.
Fistulas
A fistula is an abnormal connection between two organs or tissues. In the case of anal fistulas, the connection is between the anal canal and the skin around the anus. Fistulas are often caused by an abscess, which is a collection of pus in the anal area.
One of the primary symptoms of fistulas is bleeding, which is typically accompanied by discharge from the opening in the skin around the anus. The bleeding in fistulas is often dark red or brown in color and may be mixed with pus or other fluids. Other symptoms of fistulas may include pain, discomfort, and swelling in the anal area.
Differential Diagnosis
The differential diagnosis for bleeding in the anal area includes piles, fissures, fistulas, and other conditions such as colon cancer or inflammatory bowel disease. To determine the cause of bleeding, a doctor may perform a physical exam, a rectal exam, or other tests such as a colonoscopy or biopsy.
In general, piles and fissures are more common causes of bleeding in the anal area than fistulas or other conditions. However, it is important to receive a proper diagnosis in order to receive the appropriate treatment.
Conclusion
In conclusion, piles, fissures, and fistulas are all common conditions that can cause bleeding in the anal area. The bleeding pattern can vary depending on the specific condition, and it is important to be able to distinguish between them in order to receive the proper diagnosis and treatment. If you are experiencing bleeding or other symptoms in the anal area, it is important to consult with a doctor to determine the cause and receive appropriate treatment.
Understand you disease first, then choose the right treatment. Hence at Vithai Piles Hospital patient education videos are demonstrated to update patient’s about their disease.
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