It is important to distinguish between hemorrhoids and anal fissures because they require different treatments. Hemorrhoids are swollen blood vessels in the rectum that can cause pain and bleeding, while anal fissures are small tears in the skin around the anus that can also cause pain and bleeding. Treatment for hemorrhoids may include over-the-counter creams, stool softeners, and increasing fiber intake, while treatment for anal fissures may include topical ointments, sitz baths, and lifestyle changes to promote softer stools. If symptoms persist or worsen, it is always best to consult with a healthcare professional for proper diagnosis and treatment.