Bawaseer ki alamat pehchanna mushkil nahi — lekin bahut log inhe ignore kar dete hain ya sharm ki wajah se doctor ke paas nahi jaate. Is article mein main aapko clearly bata raha hun ke bawaseer ki kya kya nishaniyan hoti hain, kab serious ho jaati hain, aur kab doctor ke paas jaana zaroori hai.
📌 Yaad Rakhein
Bawaseer ki alamat aur fissure (shaqqash) ki alamat aksar milti julti hoti hain. Isliye self-diagnosis se bachein — ek baar proper examination zaroori hai taake sahi masla pata chale. Alag alag conditions ka ilaj alag hota hai.
Bawaseer Ki 7 Ahem Alamat — Kya Aap Mein Se Koi Hai?
| Alamat | Detail | Kab Serious Hai? |
|---|---|---|
| Khoon aana | Stool ke waqt bright red khoon — toilet paper ya commode mein | Agar regularly ho ya zyada ho |
| Dard ya jalan | Stool ke waqt ya baad mein sharp ya burning sensation | Agar dard badh raha ho |
| Khujli | Maqad ke aas paas khujli ya irritation | Zyada tar mild hoti hai |
| Sujan ya lump | Maqad ke bahar ubhra hua mass | Grade decide karta hai severity |
| Incomplete evacuation | Stool ke baad lagta hai ke abhi bhi hai | Internal hemorrhoid ki nishani |
| Mucus discharge | Stool ke saath ya baad mein | Doctor se confirm karwayein |
| Constipation | Bar bar qabz | Bawaseer ka zariya bhi, natija bhi |
Bawaseer Aur Fissure Ki Alamat Mein Kya Farq Hai?
Yeh farq karna zaroori hai kyunki ilaj alag hota hai:
| Feature | Bawaseer (Hemorrhoids) | Fissure (Shaqqash) |
|---|---|---|
| Dard | Mild — ya bilkul nahi (internal) | Tez, sharp dard stool ke waqt |
| Khoon | Bright red, stool ke baad | Bright red, dard ke saath |
| Lump | Ho sakta hai (external) | Aam nahi |
| Khujli | Common | Less common |
| Location | Maqad ke andar ya bahar | Maqad ki skin ka cut |
Full causes guide: bawaseer kyun hoti hai — grades aur causes.
Bawaseer Se Bachne Ke Tarike — Kya Karna Chahiye?
1. Fiber zyada lein — Daal, sabziyan, papita, ispaghol, oats. Yeh stool ko soft rakhta hai. Full diet guide: bawaseer mein kya khayein aur kya nahi.
2. Pani — minimum 10–12 glass roz — Pani constipation ka sabse aasan aur sasta ilaj hai.
3. Toilet mein zyada waqt na lagayein — Phone ya book lekar baithna bawaseer ko worse karta hai. 5 minute se zyada nahi.
4. Zyada der tak na baithein — Office mein ghante mein ek baar uthein. Maqad pe pressure constant rehna bawaseer ka ek wajah hai.
5. Bhari cheezein uthane se bachein — Heavy lifting se abdominal pressure badhta hai jo bawaseer ko trigger karta hai.
6. Sitz bath — Dard ya khujli mein garam pani se sitz bath fori aaram deta hai. Post-surgery care: laser ke baad recovery guide.
7. Jaldi treatment karwayein — Grade 1–2 mein ilaj simple aur cheap hai. Grade 4 mein surgery lagti hai. Deri karna masla badhaata hai.
🩺 Dr. Abdullah Iqbal Ki Rai
Mujhe har hafte aise patients milte hain jinhe 2–3 saal se symptoms hain lekin aaye nahi — sharm ki wajah se. Is masle mein sharm ki koi cheez nahi hai — yeh ek medical condition hai bilkul jaise diabetes ya BP. Jitna jaldi aayein, utna asaan ilaj. Khoon aana kabhi normal nahi hota — isko ignore mat karein.
Frequently Asked Questions
Q: Kya bawaseer mein hamesha khoon aata hai?
Nahi — internal hemorrhoids mein khoon hota hai lekin dard nahi. External mein dard zyada hota hai, khoon kam. Har case alag hota hai.
Q: Kya yeh alamat cancer bhi ho sakti hain?
Rectal bleeding colon cancer mein bhi hoti hai. Isliye agar 35+ umar hai aur bleeding hai toh examination zaroori hai — sirf assume mat karein ke bawaseer hai.
Q: Bawaseer ki alamat kitne din mein theek hoti hain?
Grade 1 mein diet change se 2–4 hafte mein improvement. Grade 2–3 mein laser ya band ligation ke baad 1–2 hafte. Grade 4 surgery ke baad 4–6 hafte. Recurrence prevention: surgery ke baad wapas kyun aati hain.
Q: Pregnancy mein bawaseer ki alamat kyun zyada hoti hain?
Baby ka weight rectal veins pe pressure dalta hai, aur constipation bhi common hai. Post-delivery mein aksar symptoms improve ho jaate hain. Lekin persistent symptoms mein doctor se milein.
Agar aap mein se koi bhi alamat hai — chahe mild ho — ek baar examination karwana sahi decision hai. Treatment options ki full picture: 9 treatment options.
Written by Dr. Abdullah Iqbal – MBBS, FCPS (Surgery). General Surgeon and Laser Proctologist. Karachi Piles Clinic, Karachi, Pakistan.
