Rectal Pain, bleeding, itching, or discomfort during bowel movements can have several underlying causes. What Is the Difference Between Piles, Fissure and Fistula? Piles refer to swollen anorectal blood vessels, fissures are lining tears caused by strain, while fistulas are infected tracts between the anal channel and external skin. Although https://medium.com/@rameshjain5454/what-is-the-difference-between-piles-fissure-and-fistula-26115ec1b9a6