what is the difference between a hemorrhoid and an anal fissure?
It would be great if you can give me some specific details, and possibly a picture also. Thanks
how can you tell them apart? Even after reading all this, I don’t know which one is which.

September 21st, 2009 at 4:08 am
An anal fissure is an unnatural crack or tear in the skin of the anus, usually extending from the anal opening.An anal fissure is most often found right on the midline of the anus, following the natural cracks in the area, as this part of the anal wall is relatively unsupported by either muscle or tendon.
Symptoms of an anal fissure are bright red blood on underwear, in toilet water, or on toilet paper, and severe sharp pain in the area when any kind of pressure is applied.A fissure is a cut in the body, but they do not generally have the distinctively lumpy feel of a hemorrhoid, mostly an anal fissure is a tear in the anus, while a Hemorrhoid is a lump in the anus.
However, as fissures and hemorrhoids share quite a few causes in common, they are frequently found together.
If you experience any bleeding from the anus or rectum, you always need to see a doctor as there are several life-threatening conditions that also result in anal bleeding.
I found a resourceful site for Hemorrhoid which seems to me quite helpful.I am giving the link here. You can also check this out:
http://www.hemorrhoidshemroids.com/anal-fissure-and-hemroids-hemorrhoids.html
September 21st, 2009 at 4:08 am
a hemorrhoid is an engorged blood vessel. its kinda like a bump filled with blood. where an anal fissure is more like a tear
September 21st, 2009 at 4:08 am
The difference between hemorrhoids and fissures, is a the hemorrhoid is actually a blood vessel that has become irritated and enlarged and will cause discomfort and bleeding. You can get them externally and internally. If they are external, you can feel them and when they are really inflamed they will look like a large purplish lump around the rectum. Internal ones can be found with an exam.
Fissures are actually small tears in the mucosa in and around the rectum and also cause discomfort and bleeding.
Both can be treated conservatively with warm sitz baths, anucort suppositories (prescription) or over the counter creams/suppositories like Anusol.
You also need to make sure your diet includes lots of water, lots of fiber and green vegies. It helps digestion if the vegies are warm/steamed. This helps them to break down more easily, thus helps with softer/more regular bowel movements. You can also add something like Fiber Con or Metamusil to your diet every day.
I know this isn’t a very pleasant thing to deal with. My doctor also prescribes some Lidocaine cream to put on the area to help numb it when I am having a flare up. It helps ease the pain of the bowel movements.
You can also use the cottenelle unscented moist wipes after a bowel movement to make sure things are extra clean in the area. I wouldn’t recommend having the hemorrhoids removed unless they are creating major problems. I had mine done and it was the worst pain in the world for over a week straight, and then still major discomfort for another 3 weeks after that. I wouldn’t wish it on my worst enemy. It was about 1,000 times worse than even natural child birth!
September 21st, 2009 at 4:08 am
Hemorrhoid is a vein enlargement of the rectal venous package. It will protrude from your anal verge and sometimes bleed ot get thromboses and painful. The main cause is straining after constipation, obesity, pregnancy and portal vein obstruction. the treatment involve local anesthetics, pramosome cream, tucks, sits baths, treatment of constipation and sometime surgery or ligation of the hemorrhoids.
Anal fissure is a mucosa tear cause by trauma or straining during bowel movement. It is painful and may get infected and it may cause local bleeding. The treatment is local ointments to protect mucosa, treatment for constipation and if necessary antibiotics. It always need a good medical evaluation to exclude any other cause of this symptoms. Always get medical advise.