Jab bawaseer ka masla itna bura nahi hota ke laser ya surgery zaroori ho — aur medicine se kaam nahi chal raha — toh band ligation woh beech wali option hai jo main aksar recommend karta hun. Is article mein mein band ligation ko seedha, honestly explain karunga — kya hota hai, kaun ke liye sahi hai, aur kya expect karna chahiye.
Pehle yeh check karen: bawaseer ki grade aur causes — kyunki band ligation sirf specific grades mein kaam karta hai.
📌 Medical Point
Band ligation (rubber band ligation) bawaseer ke Grade 1 aur Grade 2 ke liye ek effective office procedure hai. Isme koi cut, koi anesthesia, koi hospital admission nahi hota. Lekin Grade 3 aur Grade 4 mein yeh akela kaafi nahi hota — wahan laser ya surgery better option hai.
Band Ligation Kya Hota Hai — Procedure Mein Kya Kya Hota Hai?
Ek chota rubber band hemorrhoid ki base pe laga diya jata hai. Yeh band khoon ki supply rok deta hai. 5 se 7 din mein hemorrhoid sukh ke apne aap gir jata hai. Koi cut nahi lagta, koi stitches nahi, koi general anesthesia nahi. Procedure 5 se 10 minute ka hota hai, clinic mein hi.
Thoda discomfort hota hai — pressure feel hota hai band lagne ke baad. Dard aam taur par mild hota hai aur paracetamol se manage ho jata hai. Kuch patients usi din ghar ja ke normal kaam karte hain.
Band Ligation Aur Laser Mein Kya Farq Hai — Kaun Sa Behtar Hai?
Yeh comparison bahut patients poochte hain. Mein honestly batata hun:
| Factor | Band Ligation | Laser Treatment |
|---|---|---|
| Grade | Grade 1, 2 — ideal | Grade 2, 3 — ideal |
| Procedure time | 5–10 minutes | 20–40 minutes |
| Anesthesia | None | Local or spinal |
| Cost (approx) | PKR 15,000–25,000 | PKR 100,000–150,000 |
| Pain after | Mild discomfort, 1–2 days | Mild soreness, 1–2 days |
| Recurrence | Moderate — lifestyle key | Lower — lifestyle still needed |
| Hospital admission | No | No (day care) |
Summary: Band ligation is a great budget-friendly option for Grade 1–2. Laser is better for Grade 2–3 or when band ligation has failed. See full comparison: 9 treatment options compared.
Kaun Se Patients Ke Liye Band Ligation Sahi Hai — Aur Kab Nahi?
| Condition | Band Ligation? |
|---|---|
| Grade 1 — bleeding, no prolapse | Yes — very effective |
| Grade 2 — prolapse that goes back | Yes — good option |
| Grade 3 — needs manual push back | Possible but laser usually better |
| Grade 4 — permanently prolapsed | Not suitable alone |
| External hemorrhoids | No — band ligation only for internal |
| Blood thinners / clotting issues | Discuss with doctor first |
Procedure Ke Baad Kya Expect Karein — Recovery Kaisi Hoti Hai?
Band lagne ke baad kuch ghante fullness ya pressure feel ho sakta hai — yeh normal hai. Day 5–7 mein hemorrhoid gir jata hai. Kuch spots of blood ho sakte hain — yeh bhi normal hai. Fiber-rich diet aur pani zyada pina is period mein must hai.
Aik session mein ek ya do bands lagaye jate hain. Multiple hemorrhoids hain toh multiple sessions lag sakte hain, 4–6 weeks ke gap pe. Diet ke baare mein full guide: bawaseer mein kya nahi khana chahiye. Recovery aur care ke details: piles procedure ke baad care guide.
🩺 Dr. Abdullah Iqbal Ki Rai
Band ligation mein cost kam hai — aur yeh ek bada factor hai mere Karachi ke patients ke liye. Lekin mein yeh bhi kehta hun ke agar pehle band ligation hua tha aur piles wapas aye hain, ya Grade 3 hai, toh laser better investment hai long term mein. Pehle proper examination zaroori hai — phir decide karte hain.
Frequently Asked Questions
Q: Band ligation mein dard hota hai kya?
Procedure ke doran pressure feel hota hai — sharp dard nahi. Baad mein 1–2 din mild discomfort hota hai. Most patients paracetamol se manage karte hain.
Q: Ek session mein kitne bands lage sakte hain?
Usually 1 ya 2 bands per session. Agar zyada hemorrhoids hain toh 2–3 sessions lagenge, 4 se 6 hafte ke gap mein.
Q: Band ligation ke baad piles wapas aa sakte hain?
Haan, agar diet aur lifestyle same rahe. Recurrence rate band ligation mein laser se thoda zyada hai. Read: piles surgery ke baad wapas kyun aati hain.
Q: Karachi mein band ligation ka kharcha kya hai?
Approximately PKR 15,000 to 25,000 per session at Karachi Piles Clinic. Consultation is PKR 1,500. Multiple sessions needed toh total cost badhti hai.
Agar aap band ligation ke baare mein sochh rahe hain — ya yeh confirm karna chahte hain ke kya yeh aapke liye sahi hai — Karachi Piles Clinic mein ek consultation book karein. Mein examine kar ke sahi guidance dunga.
Written by Dr. Abdullah Iqbal – MBBS, FCPS (Surgery). General Surgeon and Laser Proctologist. Karachi Piles Clinic, Karachi, Pakistan.
