If You are experiencing rectal pain, bleeding, itching, or painful bowel movements, it is important to understand the exact cause. How do you distinguish between piles, fissures, and fistulas? Piles are swollen blood vessels around the anus, fissures are small tears in the anal lining, and fistulas are abnormal tunnels https://sites.google.com/view/drsunilbangera77/blog/what-is-the-difference-between-piles-fissure-and-fistula