Are you suffering from rectal pain, bleeding during bowel movements, or discomfort while sitting? You could be dealing with piles (hemorrhoids) or an anal fissure — two of the most common anorectal conditions affecting people in Agra, Mathura, Etah, Aligarh, and nearby regions. Though they may feel similar, they are very different in cause, symptoms, and treatment.
In this blog, Dr. Karan R. Rawat, a renowned piles, fissure, and laser surgeon in Agra, explains the real causes of piles, how they differ from fissures, and what treatment options are available.
Piles are swollen and inflamed veins in the rectum and anus, similar to varicose veins. They can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids).
✅ Top Causes of Piles:
Chronic constipation or straining during bowel movements
Sitting on the toilet for long periods
Pregnancy (due to increased pressure)
Obesity
Low-fiber diet
Sedentary lifestyle
Heavy lifting
“People in urban areas like Agra and Mathura are seeing a rise in piles cases due to poor diets and long sitting hours,” says Dr. Karan R. Rawat.
Painless bright red bleeding during bowel movements
Itching or irritation in the anal region
Pain or discomfort while sitting
A lump or swelling near the anus
Leakage of feces (in severe cases)
An anal fissure is a small tear or crack in the lining of the anus, usually caused by passing hard stools or frequent diarrhea. Unlike piles, fissures are extremely painful.
🔥 Symptoms of Anal Fissure:
Severe pain during and after bowel movement
Burning or sharp tearing sensation
Visible crack or tear in the anal skin
Minor bleeding (usually seen as blood streaks on toilet paper)
Spasm of the anal muscles
“Many patients come thinking they have piles, but after examination, it turns out to be a fissure — and that’s why diagnosis by a proctologist is critical,” Dr. Rawat explains.
| Feature | Hemorrhoids (Piles) | Anal Fissure |
|---|---|---|
| Pain | Mild to moderate (except thrombosed) | Sharp, intense pain |
| Bleeding | Bright red, painless | Painful, may see streaks |
| Swelling or lump | Common, especially in external piles | Rare |
| Cause | Swollen veins due to pressure | Tear in anal lining due to hard stool |
| Treatment | Diet, lifestyle, creams, laser | Stool softeners, creams, laser |
| Chronic cases | May require surgery | May require lateral internal sphincterotomy (LIS) |
| Common in | Pregnant women, obese, sedentary | Constipated individuals, children |
Dr. Rawat specializes in laser treatment for both piles and fissures — a modern, minimally invasive procedure with:
No cuts or stitches
Same-day discharge
Faster healing
Minimal pain
✅ Piles Treatment Options:
Dietary modification & fiber supplements
Sitz baths & topical ointments
Laser hemorrhoidoplasty (non-surgical and advanced)
Rubber band ligation (in selected cases)
Surgical hemorrhoidectomy (for severe cases)
✅ Fissure Treatment Options:
High-fiber diet & stool softeners
Topical nitroglycerin or diltiazem
Botox injection (in selected cases)
Laser sphincterotomy or LIS surgery (for chronic fissures)
Patients from Agra, Mathura, Mainpuri, Hathras, Etawah, Sadabad, and even Morena and Dholpur travel to consult Dr. Karan R. Rawat for:
✅ Accurate diagnosis with anoscopy & digital rectal exam
✅ Expertise in both medical and laser surgical treatments
✅ Patient-friendly care with same-day discharge
✅ Affordable and effective care for both urban and rural patients
Don’t ignore rectal pain or bleeding — it could be something simple or a sign of something more serious. If you’re suffering from symptoms of piles or fissures, consult Dr. Karan R. Rawat, Agra’s trusted piles and fissure doctor with years of experience in laser proctology.
📞 Call now to book your appointment.
📍 Clinic Location: Agra | Serving nearby: Mathura, Etah, Kasganj, Aligarh, Mainpuri, Firozabad, and beyond
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| Tags: | #piles doctor , #proctologist , # fissure doctor , #laser treatment |
