Fistula is a tubular ulcer whose one end opens to the mucosa or perenial skin and other with the rectum or surface.Where as the fissure is the painful linear ulcer of the lower part of anal canal. It occurs due rupture of anal valves by hard faecal matter or by a foreign body during defaecation.It is such a painful condition which cause cracking in the overlying mucosa and does not heal. It starts as acute and becomes chronic
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