Rectal Prolapse, Anal Fissures vs Hemorrhoids

Hemorrhoids are not the only things that are a big pain in the buttocks – there are other conditions that can cause extreme discomfort as well. These include rectal prolapses and anal fissures. Their occurrences are not as common, but they can actually be confused for hemorrhoids, which is why it is important to learn the differences between the three. So, let’s take a look at the said ailments and learn their differences.


Anal fissure

Like its name suggests, anal fissures are like crevasses, but only found on the anus. Basically, anal fissures are a small tear on the anus, causing a small linear tear on the base of the anus. This condition can cause extreme pain and discomfort, especially since it is located in a sensitive area with numerous nerve endings. They can spread to the lower rectum and even downward, right on the anal linings.

This can be caused by constipation and diarrhea. Hard stools, when excreted forcefully, can tear the anal linings. Watery stools and diarrhea meanwhile, can make potty sessions frequent and irregular. This in turn causes the occurrences of wiping, which could cause open wounds – and anal fissures.

Why is it confused with hemorrhoids? Their symptoms are entirely the same: anal fissures are capable of the same degree of pain that hemorrhoids bring to the table. It can also cause a burning sensation and extreme itch. The treatment methods are also the same: time, witch hazel cream and preventive measures versus constipation.

If there’s pain in the anus and if there are no lumps or hard spots, it is definitely an anal fissure, not a hemorrhoid. Be sure to consult with your physician after which.

Rectal prolapse

The rectum is a part of the large intestine, and is about 12-15 centimeters long. It is attached to the pelvis not by bone, but by muscles and ligaments. These hold it in place and are the main reasons why there’s nothing protruding from your buttocks. If you know what prolapsed hemorrhoids are, you know where this is going: rectal prolapse is a condition wherein your rectum is protruding from your anus. You’re probably picturing something morbid and unimaginable in your mind right now.

This can be caused by the same factors that pave the way for hemorrhoid growth, like constipation, pregnancy and the stress caused by childbirth. It could also come with age. This happens when the ligaments and muscles in the pelvis weaken, thus eliminating their ability to hold the rectum in place. This of course causes EXTREME discomfort, pain during bowel movement, inability to control stool excretion and loss of the urge to defecate.

Why is it confused with hemorrhoids? Internal hemorrhoids, especially large ones, may prolapse and protrude from the anus. When they do, you basically have the swollen part of your rectum out of your body, not the whole rectum itself. The early stages of rectal prolapse, called mucosal prolapse, can be confused with large hemorrhoids. But in the later stages, you’ll basically have your rectum out of your anus.

If your prolapsed internal hemorrhoids are unnaturally large, then you have due cause to suspect that it’s a case of rectal prolapse. When the case is confirmed, immediately talk to a medical professional – you can’t cure it at home like hemorrhoids, as it may require surgical intervention.

Now that you know the differences between the three ailments, give your buttocks a second look if you’re experiencing some of the above mentioned symptoms! Immediately seek medical treatment if you suspect that it’s something too severe.

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