“Piles” is a term commonly used to refer to hemorrhoids, which are swollen veins in the lower rectum and anus. Hemorrhoids can develop internally (inside the rectum) or externally (under the skin around the anus) and may cause symptoms such as rectal bleeding, itching, pain, and discomfort during bowel movements.

“Fissure” refers to an anal fissure, which is a small tear or crack in the lining of the anus. Anal fissures can cause pain, bleeding, and discomfort during bowel movements.

It’s important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment if you suspect you have hemorrhoids, an anal fissure, or any other rectal or anal condition. Prompt treatment can help relieve symptoms, promote healing, and prevent complications.

A fistula is an abnormal connection between two hollow spaces in the body, such as blood vessels, intestine or other organs, that can cause abnormal fluid flow. Fistulas can develop between different organs, such as the esophagus and windpipeor the bowel and vagina.An anal abscess is an infected cavity filled with pus near the anus or rectum. 

An anal fistula (also called fistula-in-ano) is a small tunnel that tracks from an opening inside the anal canal to an outside opening in the skin near the anus.

Homoepathic Role:

there are lots cases which are really got benefited by homoeoathic medicine like nitric acid ,thuja ,silicea ,hepar sulph ,peonia etc