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What Causes of Piles and Fissures What Causes of Piles and Fissures

What Causes of Piles and Fissures

Surya Hospital

January 03, 2024 |
9 Min Read | 262

Anal fissures and piles are different medical diseases, however they both affect the anal and rectal regions. Piles are defined as either internal or exterior blood vessel inflammation and are impacted by a variety of factors, including lifestyle choices, pregnancy, and heredity. Anal fissures, on the other hand, cause pain and bleeding during bowel movements and appear as tears in the anal canal. We explore the complex interactions between genetic predisposition, lifestyle decisions, and other variables that contribute to the formation of piles and fissures in this investigation of the diverse origins of these disorders.

Piles: Understanding the Origins and Contributing Factors

Hemorrhoids, or piles, are a common medical ailment that is characterized by inflammation of the blood vessels in the anus and rectum. This section delves into the several aspects of piles, including their definition, kinds, and the complex network of forces that influence their formation.

Definition and Types:

The rectum and anus contain enlarged and inflammatory blood vessels, which are essentially known as piles. They are divided into two primary categories: external and internal. The rectum contains internal piles, which are located within, but external piles grow outside of it and frequently cause pain and discomfort.

For an appropriate diagnosis and successful treatment, it is essential to comprehend the distinctions between these categories. External piles can cause pain and irritation, whereas internal piles can show symptoms like blood during bowel movements. A medical professional's comprehensive examination is necessary to identify the exact type and severity of piles.

Contributing Factors to Piles

The process of pile growth is complex and diverse, with multiple elements contributing to the beginning and aggravation of the disorder.

Straining during bowel movements:

  1. One of the main causes of piles is constipation and the firm stools that result from it.
  2. Prolonged straining during bowel motions puts excessive tension on the blood vessels in the rectal region, which causes Swelling and irritation.

Genetic predisposition

  1. An individual's vulnerability to Piles may be increased by a family history of the disorder.
  2. Certain individuals may be predisposed to the formation of piles due to inherited defects in the construction of blood vessel walls.

Pregnancy and childbirth

  1. Pregnancy increase the pressure on the pelvic blood vessels, which promotes the growth of piles. 
  2. The formation of piles may result from straining during childbirth in addition to the physiological changes brought on by pregnancy.

Obesity and sedentary lifestyle

  1. Excessive body weight adds extra pressure on the rectal veins, increasing the likelihood of Piles development.
  2. Lack of physical activity and a sedentary lifestyle contribute to poor bowel function, exacerbating the risk of piles.


  1. The body naturally ages and experiences changes, such as the weakening of blood vessels and connective tissues. 
  2. Piles is more likely to develop in older people, which highlights the significance of preventive health management and lifestyle changes. 

Preventive actions and focused interventions are made possible by having a solid understanding of how these relevant elements interact. Essential elements of controlling and mitigating piles symptoms include dietary changes, lifestyle alterations, and prompt medical intervention. In addition, a thorough strategy that tackles the underlying problems guarantees a more efficient and long-lasting outcome for those struggling with piles.

Anal Fissures: The Cause and Influencing Factors

Anal fissures are a unique medical disorder with specific contributing causes. They are characterized by small tears or cracks in the lining of the anal canal. This section delves into the concept of anal fissures, their attributes, and the several factors that contribute to their formation.

Definition and Characteristics

Anal fissures manifest as small, painful tears in the lining of the anal canal, typically causing discomfort, bleeding, and pain during bowel movements. These fissures can vary in size and severity, with some cases healing spontaneously while others may become chronic disease, necessitating medical intervention.

Constipation and straining

  1. The most frequent reason for anal fissures is the passage of firm feces, which are frequently connected to constipation.
  2. Straining during bowel movements can cause minor tears and stress to the anal lining, especially if the feces are firm.


  1. Frequent episodes of diarrhea can also contribute to the development of anal fissures.
  2. Diarrhea's increased wetness and inflammation can irritate the anal region, increasing its vulnerability to cracks.

Anal trauma

  1. The sensitive anal tissues might get irritated and injured by rough or forceful wiping after bowel movements. 
  2. Intentional or unintentional insertion of foreign items into the anus may cause damage and fractures.


Inflammatory Bowel Disease (IBD)

  1. Anal fissures are more common in conditions like Crohn's disease and ulcerative colitis, which are marked by persistent inflammation in the gastrointestinal tract.
  2. The anal lining becomes less stable due to the ongoing inflammation, increasing the likelihood of fissures. 

For an appropriate diagnosis and focused therapy, it is essential to comprehend the features of anal fissures. Anal fissures may cause symptoms like bright red blood during bowel movements, severe pain, and discomfort, which should alert people to seek medical assistance for an appropriate diagnosis and correction.

Anal fissures are similar to piles but not the same in that they are related to bowel motions and lifestyle choices. Understanding the origins and symptoms of anal fissures highlights the need of a comprehensive approach to rectal health by enabling targeted preventive actions and well-informed medical interventions. For a precise diagnosis and suitable care, anyone exhibiting symptoms related to anal fissures are advised to consult a medical practitioner.


In conclusion, anal fissures and piles are two prevalent but different conditions that affect the anal and rectal regions. Each condition has its own specific causes and contributing factors. Pregnancy, inflammatory blood vessel inflammation, and genetic predisposition are some of the conditions that might cause piles. A thorough understanding of how these factors interact is essential for efficient management and prevention, with a focus on proactive health initiatives and lifestyle changes.

On the other side, conditions like diarrhea, constipation, anal trauma, and inflammatory bowel illnesses can cause anal fissures, which are characterized by tears in the anal lining. To customize effective therapies and interventions, such as dietary changes and focused medical care, it is imperative to identify these causal factors.

In both situations, a more thorough and long-lasting solution is ensured by a holistic strategy that tackles the underlying problems. In order to avoid and treat piles and anal fissures, lifestyle adjustments, dietary adjustments, and prompt medical care are essential. People can actively maintain their anal and rectal health and ultimately improve their general well-being by raising awareness and comprehension of these disorders.

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