Hi dear piles is a bulging vein and can be felt as a soft mass Fissure is a tear or a crack in anal region ,generally fissure is painful during defaecation A homoeopathic constitutional treatment will give you a permanent cure naturally You can easily take an online consultation for further treatment guidance and permanent cure without any side effects Medicines will reach you via courier services

I agree with Dr Pallavi, Piles may be internal or external, bleeding or non bleeding and Fissure are multiple cuts around anus....

Piles will be a mass attached to anus inside or outside Fissure will be one or more cuts around anus