How to differentiate a crack from hemorrhoids with fissures and anal fissure.
The anal fissure and hemorrhoids have a lot in common. They have the same symptoms as bleeding, itching or pain. They also have common causes, including constipation and childbirth. This is why many patients tend to confuse these two diseases. However, despite their similarities, it is possible to distinguish them. Here’s how to differentiate an anal fissure from hemorrhoids:
- The anal fissure is ulceration in the shape of a racquet camouflaged by a marisk (outgrowth or skin fold) or sentinel. It extends from the inside of the anal canal to the pectinate line. The wound formed varies between 1 to 2 cm and has a hypertrophied papilla. The tear has edges whose appearance varies depending on the stage of evolution of the crack. In the case of an infected fissure, for example, the wound takes the form of a fistula with an abscess.
- Hemorrhoids, meanwhile, come in the form of a ball palpable to the touch. The latter is formed as a result of the swelling of the veins of the anal canal. If the anal fissure is only external, the hemorrhoids can be internal or external. If it is an external type, it can be detected with the naked eye located under the anus. In short, it is hemorrhoid that comes out of the anus. This can be checked by hand via a digital rectal examination. Internal hemorrhoid, on the other hand, is only visible during anesthesia.
Bleeding in the anus
The anal fissure just like hemorrhoids causes bright red bleeding or rectorrhagia. The amount of blood and the time of onset of blood differ for these two diseases of the anal area. Hemorrhoids are accompanied by an abundant flow of blood. These bleeds occur during and after bowel movements. With the anal fissure, there is less blood flowing. The bleeding appears as a stain on the toilet paper and sometimes in the stool. The presence of black blood in the stool is no indication of these anal diseases. This type of darker blood emanates from the digestive tract. Hence the importance of differentiating the color of the blood in the stool, as it depends on the nature of the diseases.
Pain in the anus
The pain of the anal fissure is like a tear. The patient feels that he has a burn. These sensations appear during defecation, after evacuation of stool. They only fade after a few minutes. Pain in the anal area may appear again and persist for several hours following sphincter muscle spasm.
Unlike anal fissure, hemorrhoids are painful even in the absence of stool. The pains appear suddenly after taking, for example, a spicy dish, a drug or a strong push. These episodes take place even at night. The patient has trouble sitting so much the pain is intense. If hemorrhoids progress to thrombosis, they can cause an anal fissure. The latter is more painful than hemorrhoids.
Possible itching at the anus
In the case of an anal fissure, there is itching after the appearance of pain. Although they are not very serious, they can interfere with the patient. This itching usually disappears to complete healing of the tear. For hemorrhoids, itching occurs due to pressure, irritation or drying of the skin. In any case, avoid scratching the itchy part, to avoid complications.
To sum up, the differentiation of the anal fissure of hemorrhoids involves observing the appearance of the disease, the amount of bleeding and the period of manifestation of pain and itching.
Appropriate treatments to treat these uncomfortable ailments
In general, the anal fissure is easy to treat. Just change one’s lifestyle to cure hemorrhoidal seizures. So to soften the stool, you must drink plenty of water. It will also consume fiber-based foods including fruits and vegetables. This will prevent you from exerting too much pressure during defecation.
In case you are already suffering from any of these ailments, take a sitz bath with lukewarm water for about 15 minutes. This helps to relieve the pain because the hot water increases blood flow to this area. You can also use creams or products that contain witch hazel and or aloe vera.
Go to the next level
The tips above combine home and natural treatments. However, they are effective only in the early stages of hemorrhoids. It will, therefore, be necessary to use more aggressive and effective treatments in the long term, you will find them in the Complete Guide Against Hemorrhoids. Do not put that back to tomorrow and stop your pain today.