Tehreer: Dr. Abdullah Iqbal — MBBS, FCPS (Surgery), Member ESCP & ASCRS, PMDC #63108-S. Consultant Laser Proctologist, Karachi Piles Clinic. Aakhri Tibbi Jaiza: 22 July 2026.
Agar aap ko paykhana (latrine) ke waqt maqad (anus) mein shadeed dard hota hai, jaise koi cheer ya “cut lag gaya” ho, aur thodi si khoon bhi nazar aati hai — to mumkin hai aap ko anal fissure ho. Awaam ki zabaan mein isay “cut lag gaya”, “zakham ho gaya”, ya “shigaf” kehte hain. Ye bawaseer se alag cheez hai, lekin log aksar donon ko aik hi samajh lete hain. Mere clinic mein har hafte aise darjnon mareez aate hain jo mahine se dard bardaasht kar rahe hote hain, sirf is liye ke unhein sahi maloomat nahi thi.
Is mukammal guide mein main aap ko batauNga ke anal fissure kya hai, kyun hota hai, iski alamaat kya hain, aur iska ilaj bina operation ke kaise mumkin hai. Ye sab aasaan Roman Urdu mein, jaise main apne clinic mein mareez ko samjhata hoon.
Anal Fissure (Cut Lag Gaya) Kya Hai?
Anal fissure maqad ki naazuk jild (skin) par aik chhota sa cut ya zakham hota hai. Jab ye jild kisi wajah se phat jati hai, to har baar paykhana guzarne par wo zakham dobara khinchta hai aur shadeed dard hota hai. Ye dard itna teez ho sakta hai ke mareez paykhana jaane se darne lagta hai — aur yehi darr masla aur barha deta hai.
Do qism ke fissure hote hain: Acute fissure (naya, jo chand hafton mein theek ho sakta hai) aur Chronic fissure (purana, jo 6 hafton se zyada rehta hai aur ilaj maangta hai). Jitni jaldi aap rujoo karein, utna aasaan ilaj hota hai.
Dr. Abdullah Iqbal se muft mashwara chahein? Abhi 0333-2877351 par call ya WhatsApp karein, ya Karachi Piles Clinic mein appointment book karein. Fissure ka bar-waqt ilaj operation se bachaa sakta hai.
Anal Fissure Ki Alamaat (Symptoms)
- Paykhana ke waqt shadeed dard: Jaise sheeshay ya blade se cut lag raha ho. Ye sab se aam alamat hai.
- Paykhana ke baad ghanton dard: Dard paykhana ke baad bhi kaafi der tak rehta hai — kabhi kabhi 1-2 ghante.
- Taaza laal khoon: Toilet paper par ya paykhane ke upar surkh (bright red) khoon. Ye khoon paykhana mein mila hua nahi hota, balke upar hota hai.
- Khujli ya jalan: Maqad ke ird gird jalan aur khujli.
- Chhoti si gaanth (skin tag): Purane fissure ke sath maqad par aik chhoti si jild ki gaanth ban sakti hai.
Mere clinic mein aksar mareez kehte hain: “Doctor sahab, mujhe laga bawaseer hai.” Lekin farq ye hai ke bawaseer mein aksar dard kam aur khoon zyada hota hai, jabke fissure mein dard bohat zyada hota hai. Isi liye theek tashkhees (diagnosis) zaroori hai.
Anal Fissure Kyun Hota Hai? (Wajuhat)
- Qabz (Constipation): Sakht paykhana jild ko phaad deta hai. Ye sab se badi wajah hai.
- Dast (Diarrhea): Baar baar patla paykhana bhi jild ko nuqsaan pohanchata hai.
- Kam paani aur kam fibre wali ghiza: Isabgol, sabzi, phal ki kami se paykhana sakht hota hai.
- Hamal (Pregnancy) aur wilaadat: Khawateen mein delivery ke waqt fissure ho sakta hai.
- Zyada der tak baithe rehna: Aur jismani harkat ki kami.
Pakistani Ghiza Aur Fissure: Kya Khayein?
Hamare Pakistani khaane mein aksar mirch masala, tale hue cheezein aur kam sabzi hoti hai — jo qabz barhati hai. Fissure ke mareez ko main ye mashwara deta hoon: rozana isabgol (psyllium husk) raat ko doodh ya paani ke sath lein, khoob paani piyein (8-10 glass), daal, sabzi, palak, aur phal khayein. Lassi aur dahi bhi faidemand hain. Mirch masala, chai aur zyada gosht se parhez karein jab tak zakham theek na ho.
Wudu aur Namaz ka masla? Bohat se mareez pareshan hote hain ke fissure ki wajah se wudu aur namaz mushkil ho jati hai. Paani se safai narmi se karein, tissue se ragrein nahi. Agar dard shadeed ho to baithne ke liye naram cushion istemaal karein. Ye masail ilaj ke baad khatam ho jate hain — pareshan na hon.
Anal Fissure Ka Ilaj: Bina Operation
Khushkhabri ye hai ke zyadatar fissure bina operation ke theek ho jate hain, khaas taur par agar aap jaldi ilaj shuru karein. Ilaj ke tareeqe:
- Sitz bath: Din mein 2-3 baar garm paani ke tub mein 10-15 minute baithna. Ye maslon ko sukoon deta hai aur khoon ki gardish behtar karta hai.
- Fibre aur paani: Isabgol aur khoob paani se paykhana naram rakhna.
- Creams aur ointment: Doctor ki tajweez se GTN ya calcium channel blocker cream jo maslon ko dheela karti hai aur zakham bharne mein madad deti hai.
- Dard ki dawa: Zaroorat par mahfooz painkiller.
Agar in tareeqon se 6-8 hafton mein aaram na aaye, to chronic fissure ke liye jadeed ilaj mojood hai — jaise laser ya chhota sa procedure jo be-dard aur jaldi sehat wala hota hai. Mere clinic mein main pehle hamesha bina operation ke ilaj ki koshish karta hoon.
Doctor Se Kab Milein?
Agar aap ko ye alamaat hon to intezaar na karein aur main aap ko dawat deta hoon ke Karachi Piles Clinic mein mujh se rabta karein: dard 1-2 hafte se zyada rahe, khoon barhta jaye, bukhar ya pip (puss) nikle, ya baar baar fissure ho raha ho. Baar baar hone wala fissure kabhi kabhi kisi aur masle (jaise fistula) ki nishani ho sakta hai.
Aam Sawalaat (FAQs)
Kya anal fissure khud theek ho jata hai?
Naya (acute) fissure aksar fibre, paani aur sitz bath se chand hafton mein theek ho jata hai. Purana (chronic) fissure ilaj maangta hai.
Kya fissure aur bawaseer aik cheez hai?
Nahi. Fissure maqad ki jild par cut hota hai (zyada dard), jabke bawaseer nason ki sujan hoti hai (zyada khoon). Donon ka ilaj alag hai.
Fissure mein kya khana chahiye?
Isabgol, daal, sabzi, phal, dahi aur khoob paani. Mirch masala aur tali hui cheezon se parhez karein.
Kya fissure ka laser ilaj hota hai?
Ji haan, chronic fissure ke liye jadeed laser aur chhote procedures mojood hain jo be-dard aur jaldi sehat wale hote hain. Dr. Abdullah Iqbal se mashwara karein.
Dr. Abdullah Iqbal — Aap Ka Laser Proctologist
MBBS, FCPS (Surgery), Member ESCP & ASCRS, PMDC #63108-S. 13+ saal ka tajarba, 13,000+ mareez, 5,000+ laser procedures. Karachi Piles Clinic, Hill Park General Hospital, Shaheed-e-Millat Road, Karachi.
Appointment Book Karein: 📞 0333-2877351 | WhatsApp: 0333-2877351
Consultation: Tuesday / Thursday / Saturday, 5–8 PM (Fee: PKR 2,000)
