Piles (Bavaseer) Ka Ilaj Bathinda | Dr. Raman Garg

Q: Kya bavaseer bina operation ke theek ho sakti hai?

Grade 1-2 ki piles diet (high fibre), paani, stool softeners aur sitz bath se behtar ho sakti hai. Grade 3-4 ki severe piles ya bar bar hone wali piles ke liye laser treatment ya operation zaroori hota hai. Gharelu nuskhe sirf kuch waqt ke liye rahat dete hain.

Q: Laser piles treatment kya hai aur kya yeh dard-free hai?

Laser haemorrhoidoplasty mein ek thin laser fiber ko piles ke andar daala jaata hai aur laser energy se piles ko shrink (chota) kar diya jaata hai. Yeh 20-30 minute ki procedure hai, local anaesthesia mein hoti hai, koi cut ya tanka nahi, same day discharge, aur zyaadatar patients ko operation ke baad dard nahi hota.

Bavaseer (Piles) Kya Hai?

Bavaseer (haemorrhoids/piles) ek aam bimari hai jisme rectum ya anus ki naasein phool jaati hain. Yeh dard, khujli, khoon aana aur andar se bahar aane (prolapse) jaisi takleefen deta hai. Lambey samay tak qabz, pregnancy, motapa, ya bhaari cheezon uthane se yeh bimari hoti hai. India mein har 3 mein se 1 insaan ko kabhi na kabhi yeh problem hoti hai.

Dr. Raman Garg Bathinda ke sabse tazurba-kaar piles specialist hain. Bombay Gastro & Cancer Institute, Bathinda mein woh laser piles treatment, rubber band ligation, sclerotherapy aur surgical haemorrhoidectomy — sabhi modern techniques use karte hain. Zyaadatar mareezon ko same day ghar bheja jaata hai.

Bavaseer Ki Qismein (Types / Grade)

Grade	Description	Ilaj
Grade 1	Sirf khoon aata hai, koi ubhar bahar nahi aata	Diet + dawai + sclerotherapy
Grade 2	Potty karte waqt bahar aati hai, khud andar chali jaati hai	Rubber Band Ligation ya laser
Grade 3	Bahar aa jaati hai, ungli se andar dhakelni padti hai	Laser treatment ya MIPH
Grade 4	Hamesha bahar rehti hai, andar nahi jaati	Surgical haemorrhoidectomy

Bavaseer Ke Lakshan (Symptoms)

Laal rang ka khoon — potty karte waqt ya tissue paper par
Dard — khaas taur par external piles ya anal fissure ke saath
Khujli aur jalan — anus ke aas paas
Soojan ya ubhar — anus ke bahar
Potty ke baad bhi adhura lagnar
Mucus ya paani aa-na — kapdon par daag
Dard ke baad rahaat — baad mein thodi der ke liye dard kam ho jaata hai

Gharelu Upay jo Kaaam Karte Hain

Mild piles mein faayedamund:

Zyaada paani peeyein — din mein 8-10 glass
High fibre diet — dalia, daal, sabziyan, phal
Sitz bath — din mein 2-3 baar 15 minute garam paani mein baith-na
Strain karne se bachein — toliet par zyaada der mat baithein
Exercise karein — rozana 30 minute chal-na
Maida, chawal, teekha, fried food kam karein

Medical Treatment Options

Sclerotherapy

Chemical injection jo piles ko shrink karti hai. Grade 1-2 ke liye. Clinic mein hoti hai, anaesthesia ki zaroorat nahi.

Rubber Band Ligation

Ek chhota rubber band piles ke upar lagaya jaata hai jo uski blood supply band kar deta hai. Grade 2-3 ke liye.

Laser Haemorrhoidoplasty

Modern laser se piles ko andar se jala diya jaata hai. Grade 2-3. Same day discharge. Bahut kam dard.

MIPH (Stapled Haemorrhoidopexy)

Circular stapler se piles ko tissue ke saath remove kiya jaata hai. Koi andar-bahar cut nahi. Grade 3-4.

Laser Haemorrhoidectomy

Laser se surgical haemorrhoidectomy. Conventional se zyaada precise aur kam dard.

Conventional Haemorrhoidectomy

Grade 4 severe piles ke liye surgical removal. General anaesthesia mein. Hospital mein raho 1-2 din.

Aksar Pooche Jaane Wale Sawaal (FAQs)

Bavaseer (piles) kya hoti hai?

Bavaseer (haemorrhoids) rectum ya anus ke andar ya bahar ki swollen naasein hoti hain. Internal piles andar hoti hain (blood ata hai, dard nahi), jabki external piles bahar hoti hain aur zyaada dard karta hai.

Kya bavaseer bina operation ke theek ho sakti hai?

Grade 1-2 ki piles diet (high fibre), paani aur stool softeners se behtar ho sakti hai. Grade 3-4 ki severe piles ke liye laser treatment ya operation zaroori hota hai.

Laser piles treatment kya hai aur kya yeh dard-free hai?

Laser haemorrhoidoplasty mein thin laser fiber ko piles mein daala jaata hai aur laser energy se piles ko shrink kar diya jaata hai. Yeh 20-30 minute ki procedure hai, same day discharge, aur zyaadatar patients ko baad mein dard nahi hota.

Piles operation ke baad kya khana chahiye?

High fibre diet lein — gehun ki roti, dalia, daal, sabziyan, phal. 8-10 glass paani daily peeyein. Qabz bilkul na hone dein. Sitz bath (garam paani mein baithna) din mein 2-3 baar karein.

Dr. Raman Garg

Piles (Bavaseer) Ka Ilaj — Bathinda