What are the various reasons for these three conditions to occur?
In most cases, piles form as a result of applying excessive pressure or straining of the lower rectum. Frequent constipation, chronic diarrhea, lifting heavy weights, pregnancy, and straining while passing feces are all possible causes of piles. Symptoms which can help identify the presence of hemorrhoids include the presence of bright red blood in stool, itchy anus and pain around the anal region while passing stool.
Anal fissure is a tear in the thin tissue that lines the anal cavity. Common reason for anal fissures includes passing hard stools, constipation, childbirth, anal intercourse or chronic diarrhea. Fissures can also be caused by Crohn’s disease, HIV, Anal cancer, Tuberculosis, and Syphilis.
Fistulas form when the glands in the anus get blocked. Accumulation of bacteria can lead to pocket abscesses. Surgery is almost always necessary to cure an anal fistula. The surgery is performed by a colon and rectal surgeon. The goal of the surgery is a balance between getting rid of the fistula while protecting the anal sphincter muscles, which could cause incontinence if damaged.