Cause of Piles

1. Chronic constipation: If you can’t poop regularly and have to push hard, it can cause piles.
2. Straining during bowel movements: Pushing too hard when you poop can cause piles.
3. Prolonged sitting on the toilet: Spending a lot of time on the toilet can cause piles.
4. Obesity: If you’re very overweight, it can cause piles.
5. Pregnancy: Being pregnant can put pressure on your bum and cause piles.
6. Low-fiber diet: Not eating enough fiber can make you constipated, which can cause piles.
7. Aging: As you get older, your bum can get weak and cause piles.
8. Hereditary factors: If your family gets piles, you might get them too.
9. Chronic diarrhea: If you have diarrhea a lot, it can cause piles.
10. Anal intercourse: This can put pressure on your bum and cause piles.

Cause of Fissure

1. Constipation and Straining during bowel movements: If you’re constipated or pushing too hard to poop, you can get a tear in your bottom.
2. Passage of hard or large stools: Big or hard poop can also cause a tear.
3. Anal trauma or injury: Any hurt to the bottom can cause a tear.
4. Inflammatory bowel disease (IBD) and Crohn’s disease: These diseases can make your bottom more likely to tear.
5. Prolonged diarrhea: If you have diarrhea for a long time, you can get a tear.
6. Low-fiber diet: Eating less fiber can make your poop hard, which can cause a tear.
7. Dehydration: Not drinking enough water can make your poop hard and cause a tear.
8. Spasm of the anal sphincter muscles: Sometimes, the muscle under a tear can tighten up and cause a lot of pain.

Cause of Fistula

1. Infection in the anal glands: If the glands in your bottom get infected, it can cause a fistula.
2. Abscess near the anus: An abscess is a pocket of pus. If you have one near your bottom, it can create a fistula.
3. Crohn’s disease: This disease can cause sores in your gut that can turn into a fistula.
4. Injury or trauma to the anal area: Any hurt to the bottom can cause a fistula.
5. Sexually transmitted infections (STIs): Some STIs can cause a fistula, but this is not common.
6. Tuberculosis affecting the anus: Tuberculosis can sometimes cause a fistula in the bottom, but this is rare.
7. Radiation therapy in the pelvic region: If you have radiation therapy in your pelvic area, it can sometimes cause a fistula.
8. Inflammatory bowel disease (IBD): IBD can cause sores in your gut that can turn into a fistula.

• Bleeding: You might see a little blood when you poop.
• Protrusion: Sometimes, a bit of flesh might stick out from your bottom when you poop. It might go back in on its own or you might need to push it back in.
• Discomfort: Your bottom might feel uncomfortable or sore.

Symptoms of Fisher (Anal Fissure)

• Pain: It might hurt when you poop. The pain can last for a few hours.
• Bleeding: You might see a little blood when you poop.
• Visible Crack or Lump: You might see a small tear or a lump near your bottom.

Symptoms of Fistula

• Pain: Your bottom might hurt, especially when you sit or poop.
• Abnormal Opening: You might see a small hole or a red, sore spot near your bottom.
• Discharge: You might see some pus or blood coming out from the small hole near your bottom.