Haan — piles surgery ke baad wapas aa sakti hain. Yeh sach hai. Lekin yeh hona zaroori nahi. Mein apni clinic mein yeh baat clearly bolti hun har us patient ko jo surgery ke baad follow-up pe aata hai: surgery ne piles hataye, aapka kaam ab shuru hota hai.
Is article mein mein aapko bataunga — kyun piles wapas aati hain, kaun se factors zyada responsible hain, aur kya karna chahiye ke yeh dobara na hon. Simple, honest, clinic se seedha.
📌 Yaad Rakhein
Surgery ya laser se piles ka aaj ka masla hal hota hai. Kal ke liye — diet, pani, exercise aur toilet habits — yeh sab aapke haath mein hai. Agar yeh theek nahi kiya toh piles wapas aane ki probability bohat zyada hai, chahe kitna bhi achha operation hua ho.
Piles Surgery Ke Baad Wapas Kyun Aati Hain — Asal Wajah Kya Hai?
Samajhne ki baat yeh hai ke surgery hemorrhoids ko remove karti hai — lekin jo cause tha, wo same rehta hai agar aap kuch change nahi karte. Anal veins pe pressure zyada rehta hai toh naye hemorrhoids ban sakte hain. Yeh pressure aata kahan se?
1. Constipation aur Hard Stool
Piles ki number one wajah. Agar stool hard hai ya aapko zor lagana padta hai — yeh direct pressure anal veins pe dalta hai. Yeh pressure baar baar pade toh naye piles banne lagti hain.
2. Kam Pani Peena
Din mein sirf 3-4 glass — stool hard hoga. Soft stool ke liye minimum 8 to 10 glass pani zaroori hai. Yeh bilkul simple hai lekin zyada tar patients yahi miss karte hain.
3. Mota Hona ya Wajan Zyada
Excess weight se abdominal pressure badh jata hai. Yeh pressure anal veins pe direct padta hai. Piles ka recurrence overweight patients mein significantly zyada hota hai.
4. Deir Tak Baithna
Office job? Long sitting? Blood circulation slow hoti hai, anal area mein blood pool hone lagta hai. Har ghante mein thoda walk karna zaroori hai.
5. Spicy, Fried aur Junk Food
Tikha, tala hua, bahar ka khana — yeh sab bowel irritation badhata hai. Gut inflamed rehti hai, stool irregular hoti hai. Piles ke liye worst combination.
6. Smoking
Chronic cough se repeated abdominal pressure. Blood vessels pe bhi direct effect hota hai. Smoking chodna piles prevention ka aik important step hai.
Piles Dobara Na Ayen — Kya Karna Chahiye Surgery Ke Baad?
Yeh 8 simple rules hain jo mein apne har post-op patient ko deta hun. Yeh “golden rules” hain — chhoti chhoti cheezein hain lekin inका result bohat bada hai.
| Rule | Kya Karna Hai |
|---|---|
| High fiber diet | Palak, gajar, bhindi, papita, guava, daal, oats daily lein |
| Pani zyada piyein | 10 se 12 glass roz — stool naturally soft rahega |
| Toilet mein zor na lagayein | Sirf jab feel ho tab jayein, mobile mat chalayein washroom mein |
| Roz chalna | 30 minutes walk minimum. Office job mein ghante mein uthein. |
| Smoking chodein | Lungs ke sath sath anal health ke liye bhi zaroori |
| Neend poori karein | Kam neend se digestion slow — constipation badh jati hai |
| Western toilet use karein | Indian style se zyada pressure aata hai anal veins pe |
| Symptoms ignore na karein | Agar bleeding ya dard ho — turant clinic ayen |
Laser Ke Baad Recurrence Kam Kyun Hoti Hai — Kya Yeh Permanent Hai?
Laser treatment ka recurrence rate open surgery se kam hai — roughly 5 to 10% vs 20 to 30% for traditional surgery at 5 years. But yeh guarantee nahi hai. Laser plus lifestyle change — yeh combination hai jo permanent results deta hai. Akele laser bhi fail ho sakti hai agar diet same rahe.
Laser ke baad kya expect karein? Puri guide yahan: laser surgery ke baad dekh bhal. Aur kya treatment options hain? 9 treatment options ka comparison.
🩺 Dr. Abdullah Iqbal Ki Rai
Main apne patients ko yeh zaroor bolta hun — agar aap 3 mahine ke andar khana, pani, aur exercise theek kar lo surgery ke baad, toh 90% chance hai ke piles dobara nahi ayengi. Lekin agar sab same rahay — to main guarantee nahi de sakta, chahe kitna bhi perfect surgery kari ho. Surgeon ka kaam 20 minute ka hota hai. Mareed ka kaam baqi zindagi ka hota hai.
Frequently Asked Questions
Q: Surgery ke baad kitne time mein piles wapas aa sakti hain?
Yeh depend karta hai lifestyle pe. Agar koi change nahi kiya toh 1 se 2 saal mein wapas aa sakti hain. Agar diet aur exercise theek kar li toh 5 to 10 saal ya usse bhi zyada time tak nahi aatein.
Q: Kya piles ki dawai se permanent cure hoti hai?
Dawai symptoms control karti hai, cure nahi karti. Grade 1 mein dawai aur lifestyle se kafi improvement ho sakti hai. Grade 2 se upar mein procedure zaroori hota hai. More detail: best piles treatment options.
Q: Kya khana sabse zyada piles rokta hai?
High fiber foods — daal, sabziyaan, fruits, oats. Aur pani. Yeh combination stool ko soft rakhta hai aur straining avoid karta hai. Full guide: bawaseer mein kya nahi khana chahiye.
Q: Kya dobara surgery hogi agar piles wapas aa jayein?
Zaroor nahi. Grade aur symptoms par depend karta hai. Kuch cases mein band ligation ya sclerotherapy se bhi manage ho jata hai. Examination ke baad proper assessment hoti hai. See piles grades and causes for context.
Agar surgery ke baad koi symptom feel ho raha hai — ya aap chahte hain ke ek baar properly check ho jaye — Karachi Piles Clinic mein tahrif le ayen. Mein personally examine karta hun aur guide karta hun.
Written by Dr. Abdullah Iqbal – MBBS, FCPS (Surgery). General Surgeon and Laser Proctologist. Karachi Piles Clinic, Karachi, Pakistan.
