Piles, Fissure, or Fistula? Understanding the Difference and Ayurvedic Solutions
In the realm of anorectal disorders, three terms often cause confusion: Piles, Fissure, and Fistula. Though they may present similar symptoms like pain or discomfort during bowel movements, they are distinctly different conditions — each requiring specific attention and treatment.
At The Natural Ayurved, we believe that clear understanding is the first step toward healing. Let’s explore what sets these conditions apart and how Ayurveda offers lasting, natural relief.
🔍 What Are Piles (Hemorrhoids)?
Piles are swollen veins in the rectal or anal region, similar to varicose veins. They can be internal (inside the rectum) or external (under the skin around the anus).
Common Symptoms of Piles:
- Painless rectal bleeding during bowel movements
- Itching or irritation in the anal area
- Lumps or swelling near the anus
- Discomfort while sitting
Causes:
- Chronic constipation
- Sitting for prolonged periods
- Pregnancy
- Low-fiber diet
Ayurvedic View:
In Ayurveda, piles are called "Arsha". They are caused by an imbalance in Vata and Pitta doshas, leading to poor digestion (Agni) and accumulation of toxins (Ama).
Ayurvedic View:
- Triphala Churna: A gentle laxative to ease constipation
- Arshoghni Vati: Herbal formulation to shrink piles
- Sitz bath with Triphala decoction
- Ksharasutra therapy (for advanced cases)
- Diet: Fiber-rich foods, ghee, warm water
🔍 What Is an Anal Fissure?
A fissure is a small tear in the skin of the anal canal, usually caused by passing hard or large stools.
Common Symptoms of Fissure:
- Sharp pain during or after bowel movements
- Visible tear or crack in the anal skin
- Blood on toilet paper
- Burning sensation or itching
Causes:
- Hard stools
- Straining during defecation
- Inflammatory bowel disease
Ayurvedic View:
Known as "Parikartika" in Ayurveda, fissures are considered a result of Pitta imbalance, leading to inflammation and sensitivity of the anal region.
Ayurvedic Treatment for Fissure:
- Jatyadi Oil or Guggulu oil for topical healing
- Abhyanga (oil massage) to improve circulation
- Triphala and Isabgol husk to soften stool
- Sitz baths with neem water
- Diet: Warm, oily, easy-to-digest food
🔍 What Is a Fistula?
A fistula-in-ano is an abnormal tunnel between the anal canal and the skin near the anus. It often develops after an anal abscess that didn’t heal properly.
Common Symptoms of Fistula:
- Persistent discharge of pus or blood
- Recurrent pain and swelling
- Skin irritation near the anus
- Foul-smelling fluid
Causes:
- Abscess formation
- Infections (especially bacterial)
- Crohn’s disease
Ayurvedic View:
Fistula is termed "Bhagandara" in Ayurveda. It's considered a serious condition linked with chronic inflammation and imbalance of all three doshas.
Ayurvedic Treatment for Fistula:
- Ksharasutra Therapy: A medicated thread therapy to gradually cut and heal the fistula tract
- Herbal formulations like Triphala Guggulu
- Turmeric & Neem decoctions to control infection
- Panchakarma therapies (in chronic cases)
✅ How to Identify Which Condition You Might Have
Symptom | Piles | Fissure | Fistula |
|---|---|---|---|
Bleeding | Bright red, painless | Painful with blood | Rare, usually pus |
Pain | Mild to none | Sharp, burning pain | Chronic discomfort |
Discharge | No | No | Yes (pus or blood) |
Lump near anus | Yes | No | Yes (with opening) |
Main cause | Swollen veins | Skin tear | Infected abscess |
🌿 Why Choose Ayurveda at The Natural Ayurved?
Common Symptoms of Fistula:
- Non-surgical treatment options
- Personalized dosha-based approach
- Permanent solutions with detox and lifestyle changes
- 8+ years of experience in treating anorectal disorders naturally
🌱 Final Thoughts
Understanding the difference between piles, fissure, and fistula is crucial for proper treatment. Ayurveda doesn’t just treat symptoms — it addresses the root cause by balancing your doshas and rejuvenating your digestive fire.
If you're facing symptoms or have been struggling with any of these conditions, The Natural Ayurved is here to guide you on the path to natural healing.