Hmm well the pain from my hem was no where near as bad as the one from my anal fissure. I hung onto the toilet walls screeching in pain with the anal fissure - just the pain from it coming down and out was horrible, felt like I was pooing razor blades.

My hemo on the other hand, that hurt more once the poo was actually coming out and then hurt a bit afterwards.

Both made me bleed though.