Re: Difference between Anal Fissures and Hemmoroids?
I'm so sorry you are having pain and bleeding. I've suffered from this for most of my life. Chronic constipation and bleeding with bowel movements.(also mixed w/the total oppsite- explosive runny bowels!!urgh)
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!
Last edited by ozzybug; 07-16-2006 at 05:44 AM.