Hi Sir, What's the difference between fistula and fissure, which one is more harmful what are the causes and treatment for both and the dietary precautions we need to take, how to recognize whether one is having fistula or a fissure problem.
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Fistula is An infected tunnel between the skin and the anus. And fissure is A small tear in the lining of the anus.in fissure and fistula avoid spicy, and oily food, for diagnosis you should checkup with physician or surgeon.
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Fissure is cracking down of skin at external anal orifice whereas Fistula is bling tubular structure opening externally in Peri anal region and traversing through wall of analcanal which may or may not open in anal canal cavity. Fistula is more harmful. Commonest dietary precautions is to avoid frequent constipation and staring while passing stool. Only surgeon or proctologist can diagnose by rectal digital examination and if required by doing proctoscopy.
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Fissure will have generally pain in Perianal area along with an occasional bleed. Fistula will have a Perianal discharge of either blood or pus. Both have their problems. Treatment for fissure is generally medical while fistula is surgical. Avoid constipation is the most important factor.
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Agree.
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