Piles (Bawaseer) in Urdu - Symptoms, Causes and Prevention

Piles in Urdu

بواسیر کا مرض قبض کے باعث سامنے آتا ہے۔ اگرچہ اس کی کچھ اور وجوہات بھی ہو سکتی ہیں لیکن قبض اس کی سب سے بڑی وجہ سمجھی جاتی ہے۔ مقعد کے گرد موجود نسوں میں سوجن، سوزش اور خون آنا اس کی اہم علامات ہیں۔ دن بھر بیٹھے رہنا اور پروسیسڈ غذائوں کا استعمال قبض کی وجہ بنتا ہے۔ پانی کی کمی اور غذا میں فائبر کا نہ ہونا بھی اس کا باعث بن سکتا ہے۔ بواسیر کے علاج میں غذا کا درست استعمال اور ورزش کرنا اہم ہیں۔ پھلوں اور سبزیوں پر مشتمل خوراک سے قبض دور رہتی ہے اور بواسیر کے زخم مندمل ہونے لگتے ہیں۔ اگرچہ مقعد کے گرد جمع ہو جانے والی نسیں مکمل طور پر ختم نہیں ہوتی ہیں لیکن علاج اور پرہیز سے اس مرض میں افاقہ ممکن ہے ۔اس مرض کے علاج میں درد اور سوجن دور کرنے والی ادویات کا استعمال کیا جاتا ہے۔ سرجری کے ذریعے بھی اس سے نجات ممکن ہے لیکن وہ لوگ جو اس سے متاثر ہو چکے ہون ان میں اس مرض کر دوبارہ ہوجانے کے امکانات بحرحال موجود رہتے ہیں۔

Doctors For Piles

Profile Photo of General Surgeon in Lahore - Prof. Dr. Syed Imran Hussain Andrabi

Prof. Dr. Syed Imran Hussain Andrabi

General Surgeon, Laparoscopic Surgeon, Cancer Surgeon

MBBS , FCPS (Surgery) , FRCS (Ireland) , Intercollegiate Specialty Board Certified FRCS in General Surgery


27 Yrs



Video Consultation

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Rs. 3,500

Omar Hospital & Cardiac Centre, Jail Road, Lahore

Available Today

Rs. 3,500

Farooq Hospital DHA Lahore, DHA, Lahore

Available Today

Rs. 3,500

Omar Hospital and Cardiac Center, Shadman 2, Lahore

Available Today

Rs. 3,500

Profile Photo of Urologist in Multan - Asst. Prof. Dr. Muhammad Waqas Khan

Asst. Prof. Dr. Muhammad Waqas Khan

Urologist, General Surgeon, Sexologist, Andrologist

MBBS, MCPS (General Surgery), FCPS (Urology), FRCS (Urology), FACS (USA)


14 Yrs



Video Consultation

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Rs. 2,000

Chugtai Medical Centre (Multan), Nishtar Road, Multan

Available Today

Rs. 2,000 Pay Online & Save Rs.200

khawaja fareed social security, Vehari, Multan

Available Today

Rs. 2,000 Pay Online & Save Rs.200

Ashraf Naseer Hospital, shah rukne alam colony, Multan

Available Today

Rs. 2,000

Profile Photo of General Surgeon in Karachi - Dr. Nida Saeed

Dr. Nida Saeed

General Surgeon, Laparoscopic Surgeon

MBBS, FCPS (General Surgery), MRCS (GLASGOW)


15 Yrs



Video Consultation

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Rs. 800

Lifeline Hospital, North Nazimabad, Karachi

Available Tomorrow

Rs. 1,000 Pay Online & Save Rs.200

Profile Photo of Laparoscopic Surgeon in Lahore - Dr. Ahmed Siddique Ammar

Dr. Ahmed Siddique Ammar

Laparoscopic Surgeon, General Surgeon

MBBS, MS General Surgery, BLS/ACLS Certified, Fellow of American College of Surgeons


8 Yrs



Video Consultation

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Rs. 500

Life Line Hospital, Johar Town, Lahore

Available today

Rs. 2,000

Health City Hospital, Wapda Town Extension, Lahore

Available today

Rs. 2,000

Profile Photo of General Surgeon in Rawalpindi - Prof. Dr. Ahmad Raza

Prof. Dr. Ahmad Raza

General Surgeon, Laparoscopic Surgeon, Bariatric / Weight Loss Surgeon

MBBS, FCPS (General Surgery), MRCS (UK), Director Minimally Invasive & Hepatobiliary Surgery


25 Yrs



Video Consultation

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Rs. 1,000

Medicsi 3 Hospital, Bahria Town, Rawalpindi

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Rs. 2,000

Azmat Rasheed Hospital, Westridge, Rawalpindi

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Rs. 1,500

Akbar Niazi Teaching Hospital, Islamabad, Islamabad

Available Today

Rs. 2,000

Profile Photo of General Surgeon in Quetta - Dr. Mariam Salim

Dr. Mariam Salim

General Surgeon, Laparoscopic Surgeon, Cancer Surgeon

MBBS , FCPS (General Surgery) , MRCS , FACS


10 Yrs



Video Consultation

Available Tomorrow

Rs. 1,000

Rahat Medical Complex, Quetta City, Quetta

Available Today

Rs. 1,500 Pay Online & Save Rs.200

Summary about Piles in English

Marham enlists the best doctors for piles in Pakistan. Book an appointment or consult online with the most experienced piles specialist in Pakistan based on their qualifications, patient reviews, hospital location, and fees.

What is Piles?

Piles or hemorrhoids are characterized by swelling of the blood vessels in the anus or rectum and surrounding tissues' inflammation. Almost half of the patients suffering from piles don’t experience any symptoms and, therefore, remain unaware of the developing disease.

Classified into two types, hemorrhoids may develop inside the rectum (internal piles) and thus remain invisible. If it grows outside of the anus, then it is called prolapsed hemorrhoid.

In severe cases, it may be treated with medication, non-surgical procedures, and surgery under anesthesia.

Causes of piles

Common causes of piles include;

  • Increased pressure in the rectum with persistent constipation or diarrhea

  • Holding one’s breath during weight lifting can raise intra-abdominal pressure, causing inflammation in the veins and tissues around the anus leading to the development of hemorrhoids.

  • Persistent cough and vomiting

  • Inadequate fiber intake results in sticky stool, which moves slowly through the colon, increasing the risk of developing piles

Symptoms of piles

In many patients, piles can be asymptomatic or symptomatic in others. The latter may include;

  • Painful, itchy, or inflamed lower anus and rectum

  • Dripping blood or persistent bleeding after passing the stool

  • Mucus discharge in stool

  • Redness and soreness around the anus

  • A hanging lump from the anus in case of prolapsed hemorrhoids

If left untreated, the pile may lead to the following conditions:

  • Infection

  • Anemia due to anal bleeding may be life-threatening

  • Thrombosis or blood clots due to prolapsed hemorrhoid affects blood circulation and tissue death.

Diagnosis of piles

Piles can be diagnosed with the following techniques: 

  • Digital examination: Doctors insert a gloved finger into the patient’s rectum, after lubricating it with medicine, to feel internal hemorrhoids.

  • Visual examination: Since internal hemorrhoids are too soft, they sometimes can’t be felt during a rectal examination; thus, doctors visually examine the lower colon and rectum through a proctoscope, anoscope, or sigmoidoscope.

Classification of Hemorrhoids

Depending upon disease severity, hemorrhoids are classified into four types;

  • First degree: Internal anal swelling, which is invisible from outside

  • Second degree: Bulging out of the hemorrhoids while passing stool, which reverts after the completion of the process.

  • Third degree: Hemorrhoids prolapse out and need manual pushback

  • Fourth degree: Large lump that does not push back after passing the stool. This is a severe condition and needs immediate medical attention. 

Treatment of piles

Piles are generally treatable with home remedies, but you must consult a medical specialist in severe cases. Some of the methods used for the treatment of piles are:

  • Lifestyle changes: Avoiding spicy, fried, or super-sweetening foods, drinking plenty of purified water, not delaying bowel movements, exercising regularly, and following a healthy diet, including fruits, vegetables, and fibers, may help treat piles.

  • Medications: Doctors often prescribe medicines, including over-the-counter painkillers like paracetamol or NSAIDs, corticosteroid creams, steroids or suppositories, and laxatives for piles

  • Non-surgical treatment: In the growing stages of piles, the doctor follows a banding procedure by placing a band around the hemorrhoid to cuts off its blood supply. Resultantly, the dead tissue falls off after some time.

  • Sclerotherapy: If non-surgical treatment doesn’t work, doctors stop the lump’s blood supply with injections

  • Surgery: The last stage of hemorrhoid requires surgery under anesthesia, during which either the hemorrhoids are cut down and removed (hemorrhoidectomy) or their blood supply is interrupted (hemorrhoid stapling)

Risk factors of piles

Risk factors for piles include;

  • Being overweight and pregnant

  • Persistent constipation or diarrhea

  • Heavy weight lifting 

  • Growing age and genetics

  • An unbalanced diet and less exercise

Prevention of piles

Opting for the following guidelines can help prevent piles and deal with them more effectively:

  • Eating a balanced diet rich in fiber, proteins, vitamins, and minerals.

  • Adequate water intake for smooth bowel movement.

  • Avoid straining during bowel movements, as it may lead to inflammation.

  • Exercise regularly to maintain a healthy weight.

  • Refrain from lifting heavy objects or weights frequently.

  • Avoid a sedentary lifestyle involving constant sitting.

Consult the best doctor for piles in Pakistan to avoid complications. You can also book a video consultation through Marham to discuss your symptoms with the most experienced piles specialist near you. 

Symptoms of Piles

Symptoms of piles (Bawaseer) include:

  • Blood in stool
  • Pain and itching in the anus
  • Soreness and redness around the anus
  • Mucus discharge
  • Formation of hard lumps around the anus
  • Uncomfortable bowel movement

Causes of Piles

It is caused by excessive straining while passing stool which usually is experienced when a person is constipated. Other than that pregnant woman can also end up with piles after delivery or even during pregnancy. Other causes of piles are:

  • Stress
  • Genetic predisposition
  • Lack of fiber in the diet
  • Dehydration
  • Sitting all day long
  • Pelvic floor dysfunction
  • Anal intercourse
  • Pelvic floor dysfunction
  • Spinal cord and bowel surgeries
  • Obesity
  • Continuous heavyweight lifting

Risk Factors of Piles

People with chronic constipation, pregnant women and people who eat too much refined foods are at an increased risk of piles. Having a family history of piles also seems to have some influence. Other risk factors are:

  • Age 
  • Chronic cough
  • Excessive sneezing
  • Obesity 
  • Holding breath while doing physically demanding activities on a daily basis
  • Straining while passing stool
  • Standing or sitting for long time

Preventive Measures of Piles

To avoid this painful condition key is to stay well hydrated and avoid constipation. Some lifestyle habits such as prolonged sitting, standing, stress, and conditions such as pregnancy can also lead to piles. Exercise and a good diet are your tools to stay piles free.

Types of Piles

Piles can be broadly classified into:

  1. Internal piles: These are formed on the inside of the rectum and can not be seen or felt. The only symptom these can cause is bleeding. These are further divided into 4 grades.
  2. External piles: This type is located in the surrounding area of the anus and because of the presence of a lot of nerves, these cause pain with bleeding.

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