Can Constipation Cause a Fissure to Return?
Constipation and fissure recurrence are directly linked. Hard stools re-tear healed anal mucosa with every bowel movement, which is why a fissure that closed completely can reopen weeks later without any other explanation. The fissure closes, constipation returns, the...
Rectal Prolapse or Piles: How to Tell?
Rectal prolapse and piles are not the same condition. Piles are swollen veins in the anal canal that prolapse outward in higher grades. Rectal prolapse is the full thickness of the rectal wall sliding through the anus, a structural failure of the pelvic floor rather...
Can Piles Cause Anaemia From Prolonged Bleeding?
Piles cause anaemia through attrition. Internal haemorrhoids bleed with every bowel movement small amounts each time, but relentless. Over weeks and months, iron stores deplete, red cell production falls, and iron deficiency anaemia takes hold. Patients rarely connect...