MAHAFOOZ ANSARI PRESENTING | LifeCare Hospital
Hemorrhoids (Piles) की पूरी जानकारी एवं उपचार
🔹 Hemorrhoids (Piles) Kya Hota Hai?
Hemorrhoids yaani Bawaseer ek aam aur vyapak roop se paayi jaane wali medical samasya hai jisme anus ke andar (internal hemorrhoids) ya bahar (external hemorrhoids) ki naasikaayein soojh jaati hain. Yeh soojan kabhi kabhi bleeding, dard, jalan aur itching ka kaaran ban jaata hai. Is samasya ka samay par ilaj bahut zaroori hai warna chronic piles fistula ya fissure mein bhi badal sakta hai.
Bawaseer do prakar ki hoti hai:
- Internal Hemorrhoids: Yeh anus ke andar hoti hai, aur bleeding ke roop mein sabse pehle lakshan prakat hota hai.
- External Hemorrhoids: Yeh anus ke bahar hoti hai, aur ismein dard, sujan aur kabhi kabhi khoon ka jama ho sakta hai (thrombosed piles).
🔹 Causes (Kaaran)
- Kabz (constipation) - mal zor laga kar nikalne ki aadat
- Long sitting on toilet seat
- Pregnancy mein uterus pressure badhne se
- Jyada oily, spicy aur fiber-less diet lena
- Obesity (adhik motapa)
- Family history of hemorrhoids
🔹 Symptoms (क्या चिन्ह)
- Mal ke sath bright red bleeding
- Anal itching ya jalan
- Guddhe ke paas sujan ya mass feel hona
- Mal-dwar mein jalan aur dard, especially during passing stools
- Constipation (kabz) aur incomplete evacuation ka feeling
- Bahari bawaseer mein pain aur kabhi kabhi blood clot (thrombosis)
🌊 Treatment & Medicines (Ilaj)
| Dawai | Matra (Dosage) | Duration |
|---|---|---|
| Daflon 500 (Micronized Flavonoids) | 1 tablet, din mein 2 baar | 5-7 din |
| Preparation H / Anovate Cream | Affected area par din mein 2-3 baar | 7 din |
| Isabgol + Warm water | 2 chamach raat mein | 10 din ya rozana |
| Lactulose syrup | 15 ml raat mein | 5-7 din |
| Paracetamol / Diclofenac | 500 mg as needed | Dard ke anusar |
| Sitz Bath (गर्म पानी में बैठना) | दिन में 2 बार, 10-15 मिनट | 7 din tak |
Agar conservative ilaj se faayda nahi ho to surgical options jaise Ligation, Cryotherapy ya Laser Hemorrhoidectomy consider kiya jata hai.
📊 Pathology Tests
- Per Rectal Examination (PR Exam)
- Proctoscopy
- Colonoscopy (agar bleeding recurrent ho)
- Stool Occult Blood Test
- Hemoglobin test (anemia check ke liye)
🫙 Kya Na Khaye? (Foods to Avoid)
- Deep fried, teekha aur oily food
- Constipation badhane wale khane jaise maida, pizza, burger
- Red meat aur processed food
- Smoking aur Alcohol
- Caffeine jyada lena (constipation ko badhata hai)
🥒 Kya Khaye? (Foods to Eat)
- High fiber diet: Green leafy vegetables, fruits (banana, papaya, apple)
- Whole grains: Daliya, oats, brown rice
- Isabgol with warm water
- Curd/Dahi (probiotic to soothe gut)
- Plenty of water (8–12 glasses daily)
🧘♂️ Lifestyle Changes
- Regular physical activity, morning walk
- Toilet use habits mein sudhar (no delay, no strain)
- Weight loss if obese
- Long sitting se bachein, every 1 hour stretch karein
- Yoga like Vajrasana, Pawanmuktasana, Malasana helpful hote hain
🔄 Prevention Tips
- Kabz se bachne ke liye high fiber aur paani jyada lena chahiye
- Bathroom mein jyada der tak baithne se bachein
- Toilet seat mein mobile use na karein (delayed pressure)
- Regular bowel movement ka routine banayein
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