Understanding the Three Conditions: Key Differences
1. Piles (Hemorrhoids)
What they are: Swollen veins in the rectum and anus
Common Symptoms:
- Painless bleeding during bowel movements
- Itching or irritation in anal region
- Swelling around the anus
- Discomfort while sitting
- Feeling of incomplete evacuation
2. Fissure
What it is: A small tear in the thin, moist tissue that lines the anus
Common Symptoms:
- Sharp, severe pain during and after bowel movements
- Bright red blood on stool or toilet paper
- Visible tear in the skin around anus
- Burning sensation that lasts several hours
3. Fistula
What it is: An abnormal tunnel between the anal canal and skin near the anus
Common Symptoms:
- Persistent drainage of pus or blood
- Skin irritation around the anus
- Pain that comes and goes
- Fever and general malaise (if infected)
- Recurrent anal abscesses

Why Proper Diagnosis Matters
The Risks of Self-Misdiagnosis
- Delayed proper treatment
- Worsening of the condition
- Unnecessary suffering
- Development of complications
The Ayurvedic Diagnostic Approach
Ayurveda considers not just the symptoms but also:
- Your digestive health
- Lifestyle factors
- Body type (Dosha)
- Overall constitution
5 Key Factors to Help Identify Your Condition
1. Pain Pattern
- Piles: Dull ache or discomfort
- Fissure: Sharp, tearing pain during bowel movements
- Fistula: Throbbing pain that comes and goes
2. Bleeding Characteristics
- Piles: Bright red blood, usually painless
- Fissure: Bright red blood with intense pain
- Fistula: Blood mixed with pus
3. Discharge Type
- Piles: Usually no discharge
- Fissure: Minimal discharge
- Fistula: Constant pus or bloody discharge
4. Swelling Presence
- Piles: Visible swelling or lumps
- Fissure: Rarely visible swelling
- Fistula: Opening with swelling around it
5. Duration of Symptoms
- Piles: Chronic, comes and goes
- Fissure: Acute, intense but shorter duration
- Fistula: Chronic with periodic flare-ups
The Ayurvedic Solution: PILL4 AKWAM Capsule
Whether you’re dealing with piles, fissure, or early-stage fistula, PILL4 AKWAM Capsule offers comprehensive relief by:
Multi-Action Benefits
- Reduces inflammation in anal region
- Promotes healing of damaged tissues
- Improves digestion to prevent recurrence
- Strengthens blood vessels
- Provides natural pain relief
Why It Works for All Three Conditions
- Addresses underlying digestive issues
- Reduces inflammation systemically
- Promotes tissue regeneration
- Prevents infection naturally
When to Seek Immediate Medical Help
When to Seek Immediate Medical Help
- Heavy bleeding
- Severe pain affecting daily life
- Fever with anal symptoms
- Symptoms lasting more than 2 weeks
- Difficulty controlling bowel movements
Final Thought
Remember, while these conditions are uncomfortable and often embarrassing, they’re also very treatable. The key is proper identification and consistent, natural treatment.
Choose PILL4 AKWAM Capsule – Your comprehensive Ayurvedic solution for piles, fissure, and fistula management.

