Let me ask you something. Kitni baar aap ne socha — yeh khanay se to nahi ho raha? Most of my patients, when they first come to me at Karachi Piles Clinic, they have already tried every totkay, every YouTube remedy. But no one told them the real issue. The food. Honestly, diet is the number one reason why piles and fissures keep getting worse — and also the first thing I fix before anything else.
So let’s talk about it properly. No long lecture. Just what actually works. And this applies to both — bawaseer (piles) and anal fissure. Because the dietary advice for both overlaps quite a lot.
📌 Yaad Rakhein
Bawaseer aur fissure dono mein qabz (constipation) sabse bari wajah hai. Aur qabz ka seedha taluq khane se hai. Agar aap sirf 2 cheezein theek karen — fiber barhayen aur pani zyada peeyen — to aksar Grade 1 bawaseer bina kisi procedure ke theek ho jati hai.
Khana Aur Bawaseer Ka Kya Taluq Hai — Yeh Itna Zaroori Kyun Hai?
Piles and fissures both get worse from straining. You strain when stool is hard. Stool is hard when you eat low-fiber food and drink very little water. Simple chain. Break it — and in Grade 1 piles, many patients don’t even need a procedure at all.
In my experience, most Karachi patients eat maybe 8 to 10 grams of fiber daily. Your gut actually needs 25 to 30 grams. That gap — that difference — is exactly where the problem lives. And fissure patients suffer even more because a hard stool physically tears the anal lining every single time. So every meal either helps healing or delays it.
Bawaseer Aur Fissure Mein Kaun Se Khanay Sabse Zyada Nuksan Karte Hain?
I have noticed the same pattern in almost every patient who comes to me. Kya aap bhi yahi khatay hain?
1. Spicy Food — Mirchi, Achaar, Chatni
Capsaicin in chillies passes through your gut without fully digesting. When it exits — it burns inflamed tissue directly. For fissure patients especially, this is very painful. Switch to zeera, haldi, dhania. Mild. Anti-inflammatory. Actually better for flavor too, in my opinion.
2. Maida — Naan, White Bread, Biscuits
Zero fiber. I see this every single day in Karachi patients — naan for lunch, naan for dinner. Refined flour slows your gut completely. Switch to wheat roti. Just this one change can make a real difference within a week.
3. Fried Snacks — Samosas, Pakoras, Chips
High fat, zero fiber. Slows digestion. The longer food sits in your intestine, the more water gets absorbed from stool — and harder it becomes. That is what causes the straining that worsens both piles and fissures.
4. Too Much Chai and Coffee
Caffeine is a diuretic — it pulls water out of your body, including your colon. And fiber without water doesn’t work at all. Aur chai tou sab peetay hain — I understand. But try replacing even one cup with warm lemon water in the morning. That small change, I have seen it help many patients.
5. Mithai, Cold Drinks, Ice Cream
Sugar slows gut motility. These are also completely fiber-free. Replace with soaked dates (khajoor) or fresh fruit. Naturally sweet. And actually helpful for your gut.
6. Red Meat Without Sabzi or Daal
I am not saying stop eating meat. I am saying — balance it. Red meat has no fiber. Every meat dish must have daal or vegetables on the side. That combination is what protects you.
Toh Kya Khana Chahiye — Bawaseer Aur Fissure Ke Liye Rozana Ka Plan Kya Hai?
Avoid karna alone enough nahi hai. You have to add fiber actively. Here is what I tell my patients at Karachi Piles Clinic:
| Time | Eat This | Approx. Fiber |
|---|---|---|
| Morning | Warm lemon water + soaked almonds | ~2g |
| Breakfast | Oats with banana OR wheat roti + dahi | ~7–8g |
| Lunch | Brown rice + masoor daal + sabzi | ~10–12g |
| Evening | Guava or apple (with skin) + herbal tea | ~4–5g |
| Dinner | Wheat roti + lauki sabzi + plain dahi | ~6–7g |
Target is 35+ grams daily. And one cup of masoor daal alone gives you 16 grams. Just that one change. Think about it.
Fissure Ke Mareez Ke Liye Khane Mein Kya Alag Dhyan Rakhna Chahiye?
Fissure patients need to be even more careful than piles patients. Why? Because every hard stool passage reopens the tear. It’s like a wound that keeps getting scratched. So for fissure, I add a few extra points on top of the general advice above.
First — water intake is non-negotiable. Minimum 2.5 liters daily. Not negotiable. Second — isabgol (psyllium husk) at night in warm water is very helpful. It softens stool without stimulating the gut. Third — avoid anything constipating: unripe bananas, rice in large quantity, boiled eggs alone without vegetables. And fourth — sitz bath twice daily with warm water helps the fissure heal faster and reduces spasm. Diet plus sitz bath together work better than diet alone.
🩺 Dr. Abdullah Iqbal Ki Rai
Meri clinic mein aksar log sirf cream ya dawai lene aate hain aur khane ki taraf dhyan nahi dete. Lekin jo mareez seriously apni khurak theek karte hain — unka nateeja hamesha behtar hota hai, chahe treatment koi bhi ho. Diet is not optional. Yeh treatment ka hissa hai. Aur agar 4 se 6 hafte diet theek rakhne ke baad bhi symptoms same hain — tab zaroor milne ayen.
Frequently Asked Questions
Q: Kya bawaseer mein kela (banana) kha sakte hain?
Yes — ripe banana. It has pectin, a soluble fiber that softens stool naturally. One ripe banana daily with breakfast is a good habit. But avoid unripe (kacha) banana — it is actually constipating.
Q: Khana theek karne ke kitne din mein fark parta hai?
In my experience — 5 to 7 days for noticeably softer stools. Bleeding and pain starts reducing in 2 to 4 weeks with consistent diet. But if you are Grade 3 or 4, diet alone is not enough. You will also need treatment.
Q: Kya sirf khana theek karne se bawaseer hamesha ke liye theek ho sakti hai?
Grade 1 — often yes, if you are consistent for several weeks. Grade 2 and above — diet helps significantly but usually needs to be combined with medical treatment. See the full breakdown of bawaseer ka ilaj options here.
Q: Fissure mein kya nahi khana chahiye?
Avoid spicy food, maida, fried items, and anything that causes constipation. Also reduce caffeine. Add isabgol at night and increase water intake. Fissure heals much faster when stool is consistently soft and passage is painless.
If symptoms don’t improve after 4 to 6 weeks of proper diet, don’t wait longer. Visit Karachi Piles Clinic for a proper assessment. Also read about best piles treatment options and can piles come back after surgery to understand the full picture.
Written by Dr. Abdullah Iqbal – MBBS, FCPS (Surgery). General Surgeon and Laser Proctologist. Karachi Piles Clinic, Karachi, Pakistan.
