No: Hemorrhoids are enlarged veins at the anal opening. A fissure is a tear in the lining of the skin of the anal canal. A hemorrhoid does not cause a fissure, but straining to have hard constipated bowel movements can cause both hemorrhoids or fissure. You cannot tell yourself on self-examination what you may have, and it needs a physical examination with a physician to tell.
Answered 3/25/2014
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