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? In simple terms, piles involve inflamed veins, a fissure is a painful crack or tear in the lining, and a fistula https://www.diigo.com/item/note/b1gr9/904v?k=189a4a670bd157d65665e9f8e74ef95e