Piles, fissures and fistulas are very common, yet many people suffer in silence because of embarrassment and half-truths. Waiting, or trying the wrong remedy, often makes things worse. Here are the most common myths, and what is actually true.
First, what are they?
- Piles (haemorrhoids) are swollen cushions of tissue and veins in the anal canal. They can cause bleeding, itching, a lump or discomfort.
- Fissure is a small tear in the lining of the anus. It causes sharp pain during and after passing stool, sometimes with a little bright red blood.
- Fistula is an abnormal small tunnel between the inside of the anus and the skin around it, usually after an abscess. It causes pain, swelling and repeated discharge of pus.
Myths vs. facts
Myth 1: “They are all the same problem.”
Fact They look alike from the outside, but each has a different cause and needs a different treatment. Only an examination can tell which one you have.
Myth 2: “Spicy food causes piles.”
Fact The real causes are constipation, straining, sitting for long on the toilet, low fibre and too little water. Pregnancy, obesity and long hours of sitting also play a part. Spicy food may irritate the area, but it is not the root cause.
Myth 3: “Piles or fissure always mean surgery.”
Fact Many early piles and fresh fissures settle with more fibre and water, better toilet habits and prescribed creams or medicines. Procedures or surgery are advised when symptoms persist or the problem is advanced.
Myth 4: “Bleeding from the bottom is always just piles.”
Fact Piles are a common cause, but bleeding can also come from other conditions, including problems in the colon or rectum. Do not self-diagnose. See a doctor if bleeding keeps happening, if your bowel habits change, or if you are over 40.
Myth 5: “A fistula will heal on its own or with ointments.”
Fact An established anal fistula rarely heals by itself, and creams only ease symptoms. It usually needs surgical treatment. A painful swelling near the anus may be an abscess that needs prompt drainage.
Myth 6: “Treatment is painful and means a long hospital stay.”
Fact Modern methods, including laser treatment, are often done as day-care procedures with less discomfort and a quicker return to routine. Your surgeon will explain what suits your case.
Simple habits that help
- Eat plenty of fibre: vegetables, fruit, whole grains and pulses.
- Drink enough water through the day.
- Do not strain, and avoid sitting on the toilet for long.
- Stay active, and do not ignore the urge to go.
See a surgeon if you have bleeding, ongoing pain, a lump, swelling, or pus or discharge near the anus. Examinations are private and respectful, and early treatment is simpler.
Don’t suffer in silence
Book a free consultation with Dr. S. Ravi Kumar for private, expert advice on piles, fistula and fissure.
Book Free ConsultationThis article is for general information only and is not a substitute for medical advice. Please consult a doctor about your own condition. Read more about our piles, fistula and fissure treatment.