Piles are mainly the swollen blood vessels while fissures are kind of cracks or small tear or ulcer in the skin just inside anus. Anal fistula is an infected tunnel between the skin and the anus, the muscular opening at the end of the digestive tract. Investigation suggested are to be done. It is important for the diagnosis. So go for investigation and start treatment whatever you want either allopathy or homeopathy. In homeopathy piles, fissure and fistula all are curable without any surgery.

You can find the answer on internet research with photos. For treatment you can consult.

Hi dear there is fissure with skin tag and perianal abscess A homoeopathic constitutional treatment will give you a permanent cure naturally You can easily take an online consultation for further treatment guidance Medicines will reach you via courier services

You can go for seize bath or hip bath  Also take homeopathic remedy ratahnia 30 twice daily for 10 days