मूळव्याध, फिशर आणि भगंदर म्हणजे काय?Introduction to Piles Fissure Fistula in Marathi

Описание:    • Fissure in Ano (गुदमार्गातील फिशर) - परिकर...  


The common thing about these disorders is that they all are anal pathologies.
Piles
Also called haemorrhoids, anal piles are swollen veins in the terminal part of the anus.

Some quick facts:

They may affect 75% of the population by age 50.
Common in pregnancy.
They can be internal or external.
Presenting symptoms may be bleeding after passing stool or bloody stool.
Sometimes blood can clot surrounding the anus causing external haemorrhoids.
Mostly they cure by themselves even before symptoms begin to appear.
Caused due to chronic constipation, difficult bowel movements.

Fissure
What are fissures?

They are identified as a tear around the anus and are very painful.

Happens at times when a person stretches and pressurizes too much to defecate.
They may ooze blood or pus if infected.
They may occur due to constipation, diarrhea, and heavy exercising.
They mostly affect age groups above 50.
They may present in acute and chronic forms.
An acute fissure can be easily cured with a fiber-rich diet and medication.
Chronic is difficult to manage and can recur.
What are fistulas?

The anal glands in the middle portion of the anus may get infected and cause an anal abscess, which starts oozing pus. Fistulas are the passage connecting the infected gland to the abscess.

Some quick facts

They may be caused due to radiation, cancer, warts, trauma, Crohn’s disease, etc.
They may also be associated with obesity and prolonged hours of sitting.
They are presented as an opening oozing pus, swollen, painful, and red.
They can be treated with antibiotics.
What are anal fistulas caused by?

Anal fistulas occur when the fluid glands in your anus are blocked. This leads to a bacteria buildup that may create pockets abscesses. Unless treated, abscesses may grow, finally moving outside near the anus hole to drain out. In most cases, abscesses may turn into fistulas. They may also be a result of conditions such as tuberculosis and sexually transmitted diseases.

How to identify anal fistulas?

When you have anal fistulas, you may experience signs such as pain, redness, and swelling around the anus. There can also be bleeding, painful bowel movements, and fever. In such cases, it’s advisable to visit a doctor.

Is it possible to diagnose anal fistulas?

Your doctor may be able to diagnose your anal fistula after a physical exam. Some fistulas may be easy to diagnose, and some may not. Your doctor may check for oozing fluids or bleeding. They may also refer you to specialists in colon and rectal problems. You may have to conduct some other tests such as X-rays or CT scans.

How are they all different?

Piles are mainly the swollen blood vessels while fissures are kind of cracks and fistulas are an opening of a cavity.
Piles are mostly painless and unnoticeable. Fissures cause a lot of pain. In the case of fistulas, pus is discharged out of the anal area.
Apart from constipation, which is commonly associated with all three, piles are also associated with pregnancy and a constant cough. Fissures are associated with diarrhoea and pressurizing to defecate. Fistulas may commonly be a result of Crohn’s disease, obesity, and sitting in one place for prolonged hours.
All three can be prevented by a high fibre diet and more intake of fluid. In addition, fistula can be prevented by practising better hygiene practices involving defecation.
Piles are easily treated by over-the-counter medication and home remedies. But to treat fissures, medication and surgical procedures like lateral sphincterotomy may be required. Detection and treatment of fistula are all the more difficult and may require MRI or sonofistulagram to spot the passage of occurrence. They are treated through a procedure called video-assisted anal fistula treatment and other similar approaches.
Rectal bleeding in itself is a noticeable symptom and medical advice should be taken about it. All the above conditions have excellent outcomes once taken care of personally and medically. Ignoring the condition might lead to unexpected complications. As common as they are, a lot of people are facing similar problems as you are. It’s yet another disorder and it’s considered as one, don’t be embarrassed to ask for help, it’s just around the corner!