What is the Difference Between Piles and Fistula?

Piles and fistula are two distinct medical conditions that affect the anal region. Here are the main differences between the two:

Piles:

Piles, also known as hemorrhoids, are swollen blood vessels in the anus. They can be internal (inside the anal canal) or external (on the skin surrounding the anus).
Piles are mostly painless and unnoticeable, but they can cause bleeding, itching, and discomfort.
Common causes of piles include constipation, obesity, pregnancy, and excessive straining during bowel movements.
Treatment for piles often involves over-the-counter medications and home remedies, but in some cases, surgical procedures may be necessary.

Fistula:

A fistula is an abnormal tunnel that develops from the anus to surrounding skin.
Fistulas are typically painful and can discharge pus from the anal area.
Fistulas are commonly caused by inflammation, infection, or injury in the anal region, such as from Crohn's disease, obesity, or sitting in one place for prolonged periods.
Treatment for fistulas can be more challenging and may require surgical procedures, such as video-assisted anal fistula treatment.

In summary, piles are swollen blood vessels in the anus, while fistulas are abnormal tunnels that develop from the anus to surrounding skin. Piles are often painless and unnoticeable, whereas fistulas are painful and can discharge pus. Treatment for piles usually involves medications and home remedies, whereas fistula treatment may require surgical procedures.