A Complete Guide from Dr. Kamathe Piles Clinic
Many patients who visit Dr. Kamathe Piles Clinic come with complaints such as pain, bleeding, itching, irritation, or difficulty while passing stools, but most are unsure whether they are suffering from Piles, Fissure, or Fistula. Although these conditions occur in the same region of the body, they are completely different diseases with different symptoms, causes, and treatments. Understanding the difference is extremely important because proper diagnosis leads to proper treatment and faster relief.
Piles, also known as hemorrhoids, are swollen veins in and around the rectum and anus. They usually develop due to chronic constipation, straining during bowel movements, prolonged sitting, pregnancy, or a low-fiber diet. Patients with piles often experience painless or painful bleeding, a soft lump around the anus, itching, mucus discharge, or a feeling of incomplete evacuation. At Dr. Kamathe Piles Clinic, piles are treated through medications, minimally invasive therapies, and advanced laser hemorrhoidoplasty, which offers quicker recovery, minimal pain, and excellent results.
A Fissure is a small but extremely painful tear in the inner skin of the anus. It usually occurs when a person passes a hard stool or suffers from constipation for a long time. Patients with fissures experience sharp, burning pain during and after bowel movements, bright red bleeding, anal muscle spasms, and sometimes a fear of going to the toilet because of the pain. Dr. Kamathe’s approach to fissure treatment includes medicines that relax the anal muscles, pain-relief therapy, diet changes, sitz baths, and laser treatment for chronic cases. Most patients experience significant relief within a few days when treated promptly.
A Fistula, on the other hand, is a more serious condition. It is a tunnel-like tract that forms between the inside of the anal canal and the skin around the anus, usually due to infection or an untreated abscess. Symptoms include persistent pus discharge, foul smell, repeated swelling, pain, fever, and irritation. Unlike piles or fissure, a fistula almost never heals on its own. At Dr. Kamathe Piles Clinic, fistulas are treated using modern laser techniques such as FiLaC (Fistula Tract Laser Closure), which ensures deeper cleaning of the tract, reduced infection, minimal bleeding, and faster healing.
Although patients often try to guess their condition, the symptoms can overlap. A simple way to differentiate is this: if there is severe pain during stools, it is likely a fissure; if there is bleeding with little pain, it is usually piles; and if there is pus or smelly discharge, it is most likely a fistula. Still, the most reliable way to know is by getting a proper clinical examination done by a specialist.
At the end of the day, what matters most is accurate diagnosis and timely treatment. Dr. Kamathe Piles Clinic offers a complete range of treatment solutions for piles, fissure, and fistula—right from early-stage medical management to advanced, painless, laser-based procedures. With over 20 years of expertise and thousands of successful recoveries, Dr. Kamathe ensures that every patient receives personalized care, dietary guidance, and long-term prevention advice. Whether you are experiencing discomfort, bleeding, pain, or discharge, seeking help early can prevent complications and ensure a much smoother recovery. Dr. Kamathe and his team are committed to providing safe, effective, and quick treatment options that help patients return to normal life without fear or hesitation.