Tehreer: Dr. Abdullah Iqbal — MBBS, FCPS (Surgery), Member ESCP & ASCRS, PMDC #63108-S. Consultant Laser Proctologist, Karachi Piles Clinic. Aakhri Tibbi Jaiza: 5 August 2026.
Anal fissure (cut lag gaya / zakham) ka sab se acha pehlu ye hai ke zyadatar mareez bina operation ke theek ho jate hain. Mere clinic mein 10 mein se 8 fissure mareez sirf ghiza, ghar ke tareeqon aur doctor ki tajweez kardah cream se sehat-yaab ho jate hain. Is guide mein main aap ko qadam ba qadam batauNga ke fissure ka bina operation ilaj kaise hota hai — aasaan Roman Urdu mein.
Fissure ka dard bardaasht na karein. Dr. Abdullah Iqbal se muft mashwara ke liye abhi 0333-2877351 par call ya WhatsApp karein.
Pehla Qadam: Paykhana Naram Karna
Fissure ki sab se badi wajah qabz aur sakht paykhana hai. Agar paykhana naram ho jaye to zakham par zor kam padta hai aur wo khud bharne lagta hai. Iske liye:
- Isabgol (psyllium husk): Rozana raat ko 1-2 chamach doodh ya paani ke sath. Ye sab se mahfooz aur asardar fibre hai.
- Khoob paani: Din mein 8-10 glass. Paani ke bagair isabgol kaam nahi karta.
- Fibre wali ghiza: Daal, sabzi, palak, phal (seb, keela, papita), aur chilka wali daal.
- Parhez: Mirch masala, tali hui cheezein, zyada chai/coffee aur maida (white flour).
Doosra Qadam: Sitz Bath (Garm Paani Ka Ilaj)
Sitz bath fissure ke ilaj ka sab se purana aur asardar gharelu tareeqa hai. Aik tub ya baaltee mein itna garm paani (bardaasht ke mutabiq, jalaanay wala nahi) lein ke maqad doob jaye, aur 10-15 minute baithein, din mein 2-3 baar — khaas taur par paykhana ke baad. Ye maqad ke maslon (sphincter) ko dheela karta hai, khoon ki gardish behtar karta hai, aur dard mein foran aaram deta hai.
Teesra Qadam: Cream Aur Ointment
Chronic fissure mein maqad ke muscles zyada kase (tight) ho jate hain, jis se zakham ko khoon nahi milta aur wo nahi bharta. Doctor ki tajweez se ye creams madad karti hain:
- GTN ointment (Glyceryl Trinitrate): Muscles ko dheela karti hai taake zakham bhar sake. Shuru mein halka sar dard ho sakta hai — pareshan na hon.
- Calcium channel blocker cream (Diltiazem): GTN ki tarah kaam karti hai lekin kam side-effects.
- Local anaesthetic: Dard aur jalan mein waqti aaram ke liye.
Zaroori baat: Ye creams hamesha doctor ki tajweez se istemaal karein. Bazaar se khud dawa lena nuqsaan de sakta hai.
Ramadan mein fissure ka khayal: Roze mein paani ki kami se qabz barh sakti hai. Iftar se sehri ke darmiyan khoob paani piyein, isabgol sehri mein lein, aur khajoor, phal aur sabzi shaamil karein. Tali hui cheezon aur zyada mirch se parhez karein taake fissure na bigde.
Chautha Qadam: Zindagi Ki Aadatein
- Paykhana ko der tak na roken — jab hajat ho, foran jayein.
- Toilet par zyada der na baithein aur zor na lagayein.
- Tissue se zor se na ragrein — paani se narmi se safai karein.
- Rozana halki warzish ya chehal-qadmi karein.
- Zyada der aik jagah baithne se bachein.
Agar Bina Operation Aaram Na Aaye?
Agar 6-8 hafton tak ye tareeqe apnane ke bawajood fissure theek na ho, to iska matlab hai ke ye chronic fissure ban chuka hai. Aise mein ghabrane ki zaroorat nahi — jadeed laser aur chhote procedures mojood hain jo be-dard hote hain aur mareez usi din ghar ja sakta hai. Purane zamane ka bada operation ab zaroori nahi raha. Main hamesha mareez ke liye sab se kam takleef wala tareeqa chunta hoon.
Aam Sawalaat (FAQs)
Fissure kitne din mein theek hota hai?
Naya fissure 2-4 hafton mein, chronic fissure ilaj ke sath 6-8 hafton mein. Bar-waqt ilaj se jaldi aaram aata hai.
Kya sitz bath rozana kar sakte hain?
Ji haan, din mein 2-3 baar sitz bath bilkul mehfooz aur faidemand hai.
Kya bazaar wali cream theek hai?
Nahi. Fissure ki cream doctor ki tajweez se leni chahiye. Ghalat dawa masla barha sakti hai.
Dr. Abdullah Iqbal — Aap Ka Laser Proctologist
MBBS, FCPS (Surgery), Member ESCP & ASCRS, PMDC #63108-S. 13+ saal ka tajarba, 13,000+ mareez. 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)
