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DIFFERENCE BETWEEN PILES AND FISSURES Unlike piles, anal fissures can be very painful right from the beginning. The light tear on the moist tissue of the anal region can cause painful itching and spams in the anal sphincter. Depending on the severity of the condition, fissures can be categorized as: Acute Fissures Acute fissures are freshly developed and thus, can be treated easily. One can encourage the self-healing of these fissures with simple home remedies. If left untreated, however, they can manifest as chronic fissures in the future. Chronic Fissures These are fissures that last for more than 8-12 weeks and need medical assistance to heal. Along with the anal tear, chronic fissures also involve as swelling, commonly known as a skin tag, and extra tissue growth, known as hypertrophied papilla. Symptoms of Fissure Usually, anal fissures entail a searing pain at the bottom. However, other fissure symptoms that you may experience are: Occasional bleeding, especially while defecating Tightening of the anus accompanied by a sharp spasm Painful boils which may be filled with pus Mucus-like smelly discharge