Differences Between Hemorrhoids and Fissures (With Table)

The human body goes through a lot of transitions during its lifetime that also kinds of injuries, among which are Hemorrhoids and Fissures, but they are different from each other. Fissure damage is also called Anal Fissures, and Hemorrhoids often come across as tiny and nothing but can take a major turn if not taken care of completely. Sometimes, for many people, it feels like a sensation of pain or a tickle of an itch, especially in their bathroom. The differences between Hemorrhoids and Fissures give the detail of such injuries and many other associated subjects.

Hemorrhoids vs Fissures

The difference between Hemorrhoids and Fissures is that they are both different kinds of injuries that are mostly internally, especially in the tissues. As said by the scientific terms, fissures, or annual fissures, means when there is an internal tissue tear, whereas hemorrhoids mean tissue cushions weaken in the lower rectum of the human body. The injuries are very serious as they can make the ski there blow up in the way of a tiny balloon and are said to causes blood oozing.

Hemorrhoids accompany fissures with more distinct effects and show many symptoms in the body. The pain that is caused in the rectum is usually associated with external hemorrhoids, which lead to blood oozing blood. People suffering from hemorrhoids often see blood in their toilet paper. However, if the bleeding is internal, it is mostly rectal bleeding, which makes blood pass out with urine and stool.

Fissures or anal fissures usually happen when the tissues tear up and show fewer symptoms, which can be known easily by the patient suffering it. Fissures cause a fair pain that is hard to avoid as fissures are usually a cut or tear near the anus. They are meant to be very painful as they occur in the endoderm, which is a kind of skin. When one is suffering from anal fissures, they will often see drops of bright red blood in the toilet water that is separated from their stool.

Comparison Table Between Hemorrhoids and Fissures

Parameters of Comparison HemorrhoidsFissures
DefinitionHemorrhoids are swollen or dilated veins in a body’s rectum or anus. Fissures or anal fissures are tearing of tissue or a cut in the anus skin. 
Causes Repetitive pressure in the rectum or anus veins.Anal canal injury during defecation.
Pain LevelModerate pain with the passing of blood.Severe pain along with the passing of blood. 
Symptoms In internal hemorrhoids, symptoms are rectal bleeding and a lump in the anus. Symptoms of anal fissures severe pain during bowel movements with itching and blood on toilet paper. 
TreatmentThere are various ways to deal with hemorrhoids including sitting in warm water. Injections or surgery are suggested based on the complications or severity. 

What are Hemorrhoids?

Hemorrhoids are also referred to as piles that cause swelling or dilation of the rectum or anus veins in a human body. When hemorrhoids occur, they are usually located inside the anal canal in the body but can also be found near the anal opening. Hemorrhoids can be further distinguished into internal hemorrhoids and external hemorrhoids, which are the two types of hemorrhoids that are caused to people. These indicate the location and position of the hemorrhoids in the rectum area, which can be an anal canal if it is internal, and the anal opening if it is external.

Hemorrhoids tend to be present for years without any symptoms, and any detect until it starts to bleed. It is said that hemorrhoids tend to cause due to severe and repeated pressures in the rectum area or anus skin level, which makes the tissue in that area tear up in the form of a cut. The bleeding will become regular until it is correctly diagnosed and treated. If the hemorrhoids are causing pain, it is mostly related to external hemorrhoids. As for internal hemorrhoids, it is commonly rectal bleeding.

Treatments for hemorrhoids include various methods that help to ease the pain, bleeding and avoid any further complications. It is suggested to sit in 10 inches of warm water to relieve the pain for 15 to 20 mins every day for several days. It is also suggested to apply ice packs to the specified anal areas that are affected for few minutes to reduce pain and swelling of a blood clot or any protruding hemorrhoid.

What are Fissures?

Fissures or Anal fissures are the kind of hemorrhoids with severe pain that can get unbearable, which is the oozing blood in the rectum area or anus skin. An anal fissure is usually a cat or a tear occurring in the skin of the rectum or anus, which causes unbearable pain. Doctors said that an anal fissure in the body occurs when one passes hard or large stools during a bowel movement. This event is why fissures cause pain that leads to bleeding with bowel movements.

Some people experience spasms in the ring of their muscle at the end of their anus, which is also called an anal sphincter. It is said that anal fissures tend to be very common in young children or infants, but they can also affect people of any age group. However, most people suffering from anal fissures get better with simple treatments that include increasing fiber intake in the body or even sitz baths. Whereas, for some people, they need medication or, at times, surgery based on the complications and severity.

Some of the symptoms that people suffer when anal fissures are pain that sometimes can go severe, especially during bowel movements and a visible crack in the skin around the anus or rectum. There are chances that a small lump or also known as a skin tag, can also be seen on the skin near the anal fissure of the people suffering from anal fissures.

Main Differences Between Hemorrhoids and Fissures

  1. Hemorrhoids are swollen veins in the rectum, while fissures are cuts or tears in the skin of the anus.
  2. Hemorrhoids are caused after repeated pressure on the rectum, whereas fissures are caused by trauma on the anal canal.
  3. Hemorrhoids cause a moderate level of pain compared to fissures or anal fissures.
  4. Hemorrhoids cause symptoms like rectal bleeding and a lump in the anus, whereas fissures cause symptoms like severe pain during bowel movements with itching.
  5. Hemorrhoids can be treated in many ways, such as sitting in warm water, and cracks can be treated by injection or surgery.


Hemorrhoids and fissures are both kinds of anal skin injury that leads to bleeding and other anal canal problems. With proper measures and doctor’s treatment, they can be easily treated, but if not handled properly, they can also develop into severe pain and problems. Hemorrhoids are part of anal fissures, and they can be called subjective basis before they become major problems. However, hemorrhoids and fissures are different types of problems in the rectus and hence are treated differently.


  1. https://www.sciencedirect.com/science/article/pii/0002961077904457
  2. https://link.springer.com/article/10.1007/BF02554551

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