Dr. Mohammed Hatem AlsubaihWhich one causes pain?
A fissure is a tear that often hurts sharply during and after stool. Internal hemorrhoids may bleed or prolapse without severe pain, while a thrombosed external hemorrhoid can be very painful. Conditions can coexist.
Does blood colour distinguish them?
Both may cause bright blood. Pain timing, prolapse and examination matter more than colour. Persistent bleeding, anemia or bowel change requires appropriate evaluation.
Why does the diagnosis change treatment?
Stool regulation may help both, but fissure muscle-relaxing treatment differs from hemorrhoid banding or excision. Ask which diagnosis explains the main symptom before agreeing to a procedure.
Sources and preparation
References support general information; preparation examples and questions do not select an individual treatment plan.
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