Jo patients mere paas laser surgery ke baad aate hain, unka sabse pehla sawal yahi hota hai — ab ghar pe kya karna hai? Yeh guide usi sawaal ka jawab hai. Aap ne bawaseer, fissure, ya fistula ka laser treatment karaya ho — yeh sab ke liye applicable hai.
Simple language mein, week by week — mein aapko bata raha hun ke kya karna hai, kya normal hai, aur kab ghabrana chahiye.
📌 Yaad Rakhein
Laser surgery ke baad pehle 2 hafte sabse important hote hain. Is waqt diet, sitz bath, aur toilet habits ko theek rakhna zaroori hai. Agar inhe seriously nahi liya toh healing slow ho sakti hai ya infection ka risk badh sakta hai.
Surgery Ke Baad Pehle 6 Hafte — Week By Week Kya Karna Hai?
| Week | Key Instructions |
|---|---|
| Week 1 | Sitz bath 3–4 times daily. Paracetamol for pain. Numbing gel before passing stool. Stool softeners. Liquid + soft fiber diet. English commode only. |
| Week 2 | Sitz bath 2–3 times daily. Light activity okay. Avoid squatting. Continue fiber diet and water (12 glasses/day). No spicy food. |
| Week 3–4 | Sitz bath twice daily. Can resume desk work. Namaz (sitting positions) usually okay with minor adjustment. Increase activity gradually. |
| Week 5–6 | Sitz bath after each bowel movement only. Near-normal activity. Follow-up visit with Dr. Abdullah recommended. |
10 Zaruri احتیاطی Tadabeer — Jo Har Patient Ko Follow Karni Hain
1. Sitz Bath — Garam pani aur povidone-iodine se sitz bath. Week 1 mein 3–4 baar roz, week 3 se 2 baar, aur week 5 ke baad har stool ke baad ek baar.
2. Pani Zyada Piyein — Minimum 12 glass roz. Yeh stool ko soft rakhta hai aur constipation prevent karta hai — jo recovery ka sabse bada dushman hai.
3. English Commode Use Karein — Pehle 2–3 hafte Indian style bilkul nahi. Squatting se pressure badhta hai rectal area pe. Detail: recurrence prevention guide.
4. Zameen Pe Na Baithein — Pehle 2 hafte sirf kursi ya bed. Namaz mein bhi chair use karein jab tak doctor clearance na de.
5. Area Ko Saaf Rakhein — Har stool ke baad povidone-iodine aur sterile gauze se clean karein. Yeh infection ka main prevention hai.
6. High Fiber Diet — Pehle 2 hafte: daal, sabziyan, papita, guava, oats, porridge. No tikha, no tala hua. Full guide: laser ke baad kya khayein.
7. Stool Softeners — Week 1 mein zaroor use karein. Ispaghol continue kar sakte hain week 2–3 mein bhi.
8. Numbing Gel — Pehle hafte stool se pehle laga lein. Fissure patients ke liye yeh especially important hai.
9. Zyada Khare Ya Baithe Na Rahein — Rectal area mein pressure badhta hai. Donut pillow use kar sakte hain. Office mein ghante mein uthein.
10. Painkillers Regularly Lein — Pehle 3 din doctor ki prescribed dawa time pe lein. Zarurat feel na ho toh band kar sakte hain — lekin irregularly nahi.
Surgery Ke Baad Kya Normal Hai — Aur Kab Doctor Ko Call Karein?
| Jo Normal Hai | Jo Normal Nahi — Turant Doctor Se Milein |
|---|---|
| Mild soreness day 1–3 | Tez dard jo waqt ke sath badh raha ho |
| Stool ke sath thoda khoon week 1–2 | Heavy bleeding, clots |
| Fistula ke baad pink discharge 1 week | Bukhaar 38°C se upar |
| Pehla stool 2–3 din delay | 7 din mein koi stool nahi |
| Mild swelling/puffiness | Abscess, pus, severe swelling |
| Bawaseer mein 50–60% relief immediately | Complete blockage ya inability to urinate |
🩺 Dr. Abdullah Iqbal Ki Rai
Mere clinic ke patients mein jo sabse zyada problem aate hain woh yeh hain — pehle 3–4 din theek feel hua toh sitz bath band kar diya, ya tez khana kha liya. Aur phir week 2 mein problem wapas. Please — bhale hi aap achha mehsoos kar rahe hon, 2 hafte ke instructions poore karein. Body ke andar healing hoti rehti hai chahe symptoms na hon.
Frequently Asked Questions
Q: Laser ke baad kitne din tak dard rehta hai?
Zyada tar patients mein 1–3 din mild dard ya discomfort hota hai. Fissure patients mein thoda zyada — 1 hafte tak. Paracetamol se easily manage hota hai.
Q: Pehli baar stool kitne din mein aata hai?
Anesthesia ke effect se 2–3 din delay ho sakta hai. Stool softeners aur pani se natural movement aati hai. 3 din ke baad bhi nahi aaya toh doctor se poochhein.
Q: Namaz kitne din baad normal ho sakti hai?
Khade hokar namaz aam taur par day 2–3 se mumkin hai. Baithne wali positions (jaise tashahhud) week 3–5 tak minor adjustment ke sath. Chair pe baith ke namaz pehle 2 hafte best option hai.
Q: Office kaam kitne din baad shuru ho sakta hai?
Desk work: usually 2–3 din mein. Physical ya standing work: 1–2 hafte. Driving: avoid pehle week, phir short trips okay. Related: laser treatment kya hota hai.
Agar recovery ke doran koi cheez unusual lage — ya follow-up visit karni ho — Karachi Piles Clinic se rabta karein. Mein ya meri team seedhi guidance denge.
Written by Dr. Abdullah Iqbal – MBBS, FCPS (Surgery). General Surgeon and Laser Proctologist. Karachi Piles Clinic, Karachi, Pakistan.
