How do hemorrhoids, anal warts and anal fistulas differ?

Anal warts, anal fistulas, and haemorrhoids are all related disorders in which growths form in and around the anus skin. These are illnesses that make sitting, standing, and the act of excreting painful and uncomfortable. Anal fistulas and haemorrhoids are a very common issue that many individuals are already aware of. However, it is something that requires attention when it comes to anal warts and anal wart treatment


The anal warts form around the anus or genitals similarly to haemorrhoids and anal fistulas. Depending on the degree of the disease, these may be painful. Anal warts are primarily caused by the HPV sexually transmitted infection. 


This is simply a quick summary of the three different growths that can occur inside and around the anus. This page will provide you with all the knowledge you need on haemorrhoids, anal warts, and anal fistulas if you are unfamiliar with the three.



First off, haemorrhoids or piles are a disorder where the veins in the anus expand and hurt when you urinate. You may experience excruciating agony and discomfort as a result of this illness, which can develop in the rectum or close to the anus. Haemorrhoids are typically an issue for those who spend a lot of time sitting down.

Primarily, hemorrhoids are the cause of constipation and long sitting hours. These develop as minor swelling which you will not even feel for a long time. However, they often worsen when you don’t eat a diet strong in fibre, drink enough water, or engage in any physical activity. Haemorrhoids can become very uncomfortable and even start to bleed when they reach a severe stage. 

There are both surgical and non-surgical options for haemorrhoid treatment. Your colorectal surgeon will determine whether or not you require surgery, though. Your doctor will physically inspect the region in and around the anus to determine the severity level when you visit. 

So, if hemorrhoids are at a starting stage then you will only need some over-the-counter painkillers and ointments as a treatment. Warm baths, timely medication and dietary changes can easily treat initial hemorrhoids. But when they grow to bleed, you will surely need to undergo a surgical procedure in order to cure the condition. 


Anal warts

Second comes the anal warts condition in which warts or bumps grow in and around the anus. The main cause of anal warts is infections transmitted sexually. Usually, anal warts do not cause major pain and discomfort but leaving them untreated is not an option. Basically, anal warts are small bumps growing on the wall of the anus which are very small in size initially. The starting stage does not give any discomfort and people don’t realize they are suffering from this condition.

As the bumps grow in size, you will start noticing symptoms like pain, bleeding and itching. You may also feel lumps around the anus and discharge from the anus. These are symptoms that will show your problem of anal warts is intensifying.

Commonly, people who have sex without protection and have multiple sexual partners are prone to anal warts. To identify whether you are suffering from anal warts or not, your doctor will visually examine the anus and your genital area. He or she may apply acetic acid on the region to help turn the bumps into white color for better visibility. 

Now, treatment of anal warts varies from non-surgical to surgical methods depending on the severity level. If the warts are relatively small in size, then topical medicines can prove to be effective. But when warts grow bigger, surgical removal is the only choice. Your doctor may also suggest cryotherapy and laser treatments for curing anal warts.


Anal fistulas:

Last comes anal fistula which is the condition slightly different from hemorrhoids and warts. In this the development of a tunnel takes place between the end of bowel and the skin nearing the opening of the anus. This tunnel has an abscess and can be a very painful condition. Usually, people with anal fistula face problems like bleeding, pus drainage and extreme pain during bowel movement. 

The anal fistula can arise due to clogging of glands in the anal region, radiation during cancer treatment, inflammation in the intestine, etc. Now, to diagnose anal fistula, your doctor will examine the area around the anus. Anoscopy, ultrasound and MRI may be necessary to have a better understanding of the depth of the anal fistula. 

Once your doctor diagnoses anal fistula, then they will suggest a surgical procedure to treat the anal fistula. This procedure can be fistulotomy, advancement flap procedure or lift procedure.


Bottom line:

Attention is needed in the end for these painful disorders such as anal fistulas, warts and hemorrhoids. Visit the doctor if you are notificing or feeling such symptoms. Not diagnosing these conditions at an early stage leads to surgical treatments which then take days for recovery. So, if you are facing any of these conditions, make amends in your diet and lifestyle and follow the suggestions that your doctor prescribes.

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