Piles, also known as hemorrhoids, are swollen blood vessels in the rectum or anus, causing pain and discomfort. Fissures are small tears or cracks in the anal lining, leading to pain and bleeding during bowel movements. While both involve discomfort in the anal region, piles are swollen blood vessels, while fissures are tears in the tissue. https://gastroliverindia.com/piles-fissures/