Fistula vs Cyst

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Ok, Im a little concerned about something. First whats the difference between a Fistula and Cyst. Along my crack I have 2 sinus holes, one about size of a pencil eraser, and a smaller one above it. I can feel something move through them occasionaly. I really never have too much pain like alot of people do. Mine just constantly drains 24x7. Ok I would say along my crack theres minimal bleeding or draining, theres some because I can feel it but not like a stream of it. My problem is this thing on my left cheek, its the thing that bleeds all the time and whenever sitting on the toilet and using the bathroom sometimes theres a tremendous amount of blood in the toilet and in the shower when i get in it, and then it just stops. It turns to a purple color sometimes, it gets very big sometimes, and other times i can feel like 3 or 4 small little lumps and its small. I cant tell if tunnels to the sinus track in my crack. I have what i think is a external hemmroid. Now im starting to wonder if its possible that maybe its not a hemmroid. Is it possible whatever it is is something that could be tunneling up to my cyst or whatever it is on my cheek. Basically, is it possible that the blood could tunnel upwards from that to whats on my cheek? Im trying to decide what to do with surgery on the pilonidal cyst by my tailbone that dont cause pain and not alot of drainage. My surgeon thinks the cyst on my cheek is part of it but I have my doubts for some reason. Maybe I have two problems, i dont know. Just wondered what a fistual is
 
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