Anal pain and discomfort are often misunderstood conditions. Two commonly confused anorectal problems are anal fissure and anal fistula. While both affect the anal region and may cause pain, they are very different conditions requiring specific treatments.
If you are searching for Fistula & Fissures Laser Surgery in Pune, Dr. Ashish Rasik Kale is a trusted and highly skilled GI and laser surgeon offering advanced anorectal care with modern and minimally invasive techniques.
Let’s understand the difference between fissure and fistula in detail.
What Is an Anal Fissure?
An anal fissure is a small tear or cut in the lining of the anus. It usually develops due to:
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Chronic constipation
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Passing hard stools
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Severe straining
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Childbirth
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Repeated diarrhea
Common Symptoms of Fissure:
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Sharp pain during and after passing stool
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Burning sensation
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Bright red bleeding
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Spasm in the anal muscles
Fissures are often extremely painful but are generally simpler to treat, especially when diagnosed early.
What Is an Anal Fistula?
An anal fistula is an abnormal tunnel or tract that forms between the anal canal and the skin near the anus. It usually develops due to:
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Infection in anal glands
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Untreated anal abscess
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Crohn’s disease
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Recurrent infections
Common Symptoms of Fistula:
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Persistent pain
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Swelling near the anus
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Pus or foul-smelling discharge
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Recurrent boils
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Fever in some cases
Unlike fissures, fistulas rarely heal on their own and typically require surgical treatment.
Key Differences Between Fissure and Fistula
| Aspect | Anal Fissure | Anal Fistula |
|---|---|---|
| Nature | Tear in anal lining | Abnormal tunnel |
| Cause | Hard stools/straining | Infection/abscess |
| Pain | Severe during bowel movement | Continuous throbbing pain |
| Discharge | Usually no pus | Pus discharge common |
| Treatment | Medicines or minor surgery | Surgical treatment required |
Understanding these differences helps in seeking the right treatment at the right time.
How Are They Treated?
Treatment for Anal Fissure
In early stages, fissures can often be managed with:
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High-fiber diet
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Stool softeners
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Warm sitz baths
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Topical medications
For chronic fissures that do not heal, laser surgery or minor surgical procedures may be recommended for permanent relief.
Treatment for Anal Fistula
Fistula usually requires surgical intervention because the infected tract must be removed or closed properly.
Modern laser fistula surgery offers:
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Minimal pain
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Less bleeding
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Faster healing
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Short hospital stay
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Lower recurrence rates
Why Choose Dr. Ashish Rasik Kale?
If you are looking for Fistula & Fissures Laser Surgery in Pune, Dr. Ashish Rasik Kale is widely recognized for delivering advanced anorectal care.
Why Patients Choose Dr. Ashish Rasik Kale:
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Expert General and GI Surgeon with advanced laparoscopic and laser surgery expertise
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13+ years of experience in gastrointestinal and anorectal procedures
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Known for painless and fast-recovery laser treatments
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Skilled in handling simple to complex fistula and fissure cases
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Patient-focused approach with complete pre- and post-operative care
His precision and experience ensure outstanding treatment outcomes with minimal discomfort and faster recovery.
When Should You Consult a Specialist?
Do not ignore symptoms such as:
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Severe anal pain
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Repeated boils or discharge
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Bleeding during bowel movements
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Pain that does not improve with medication
Early diagnosis prevents complications and ensures better treatment outcomes.
Final Thoughts
Although fissure and fistula may sound similar, they are different conditions requiring specific treatment approaches. With advancements in laser surgery, treatment has become safer, less painful, and more effective.
If you are experiencing symptoms and searching for expert care, consult Dr. Ashish Rasik Kale for advanced and reliable anorectal treatment in Pune.
Early care leads to faster recovery and long-term relief.