Pregnancy mai fissure hogaye or bleed ho rha hai usme kya treatment de sakte
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Pregnancy mein fissure (anus ke paas chhota cut) ki wajah se motion ke time dard aur fresh laal khoon aa sakta hai. Lekin bleeding ko sirf fissure maan kar ignore na karein, isliye aaj hi apne gynecologist ya surgeon ko dikhaiye, khas taur par agar bleeding badh rahi hai.
Abhi safe measures:
- Kabz na hone dein: pani achha piyen, fruits, vegetables, oats/isalium (psyllium) jaisa fiber lijiye.
- Doctor se pooch kar pregnancy-safe stool softener/laxative jaise lactulose ya polyethylene glycol diya ja sakta hai. Hard stool aur zor lagana fissure ko bar-bar kholta hai.
- Garam pani ki sitz bath: 10-15 min, din mein 2-3 baar aur motion ke baad.
- Motion ko na rokein, par strain bilkul na karein.
- Dard ke liye pregnancy mein aam taur par paracetamol use kiya ja sakta hai, lekin apne doctor ki advice/dose ke mutabik. Ibuprofen, diclofenac jaise painkillers apne-aap na lein.
- Area ko paani se gently saaf karke sukha rakhein, rough wiping na karein.
Creams/injections khud se shuru na karein. Pregnancy mein fissure ke liye nitroglycerin, diltiazem/nifedipine creams ya Botox ki safety ka achha pregnancy-specific evidence nahi hai. Botox pregnancy aur breastfeeding mein avoid kiya jata hai. Textbook guidance mein primary focus constipation ko prevent aur treat karna hai. [Yamada's Textbook of Gastroenterology, p. 824]
Turant emergency/doctor ko dikhayein agar:
- Khoon zyada ho, clots aaye, chakkar/behoshi, bahut kamzori ho
- Kala stool ho
- Pet mein tez dard, bukhar, vomiting ho
- Bleeding 1-2 din mein na ruke ya baar-baar ho
- Fissure ke bajay piles, infection ya koi aur cause ka doubt ho.
Agar aap batayein ki kitne weeks ki pregnancy hai, bleeding kitni hai, aur motion ke waqt tez cutting-type pain hota hai ya nahi, to main zyada targeted advice de sakta hoon.
Isab gol or lactulose ka batao
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pregnancy lactulose psyllium constipation
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Pregnancy mein constipation/fissure ke liye Isabgol (psyllium/ispaghula) aur lactulose aam taur par use kiye ja sakte hain, lekin bleeding hai to apne gynecologist ko inform zaroor karein.
1. Isabgol
- Start: 1-2 chammach (lagbhag 3.5-7 g) ek full glass pani ke saath, raat ko.
- Iske baad ek aur glass pani pee lein.
- Agar sachet wala hai, to aam taur par 1 sachet ek glass pani mein, din mein 1 baar. Zarurat par doctor ki salah se 2 baar.
- Effect 1-3 din mein aa sakta hai.
- Pani kam piyengi to gas, pet phoolna ya stool aur hard ho sakta hai.
- Dusri medicines se 2 ghante ka gap rakhein.
2. Lactulose syrup
- Agar stool bahut hard hai ya Isabgol se rahat nahi aa rahi, to lactulose 15 mL raat ko se shuru kiya ja sakta hai.
- Zarurat ho to doctor ki salah se 15 mL subah aur 15 mL raat tak diya jata hai.
- Target: roz 1 baar soft stool, loose motions nahi.
- Iska effect aam taur par 24-48 ghante, kabhi 2-3 din le sakta hai.
- Loose motion, cramps, gas ya bloating ho to dose kam karein aur doctor se baat karein.
Dono ek saath?
Pehle Isabgol + pani shuru karna better hai. Agar stool soft nahi ho raha ya fissure mein zyada dard/bleeding ho rahi ho, lactulose add kiya ja sakta hai. Severe constipation mein doctor dono prescribe kar sakte hain, par bina review ke high doses na lein.
Pehle Isabgol + pani shuru karna better hai. Agar stool soft nahi ho raha ya fissure mein zyada dard/bleeding ho rahi ho, lactulose add kiya ja sakta hai. Severe constipation mein doctor dono prescribe kar sakte hain, par bina review ke high doses na lein.
Pregnancy mein bulk-forming fiber, jaise psyllium/Isabgol, safe mana jata hai; lactulose body mein bahut kam absorb hota hai aur fetal harm expected nahi hota. Yamada's Textbook of Gastroenterology, p. 824. UKTIS pregnancy advice bhi ispaghula ko first option aur lactulose ko next option batati hai.
Urgent review: agar khoon zyada aa raha hai, chakkar/weakness ho, kala stool ho, severe pain ho, ya 2-3 din mein constipation/bleeding control na ho.
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