I had my hemorrhoid surgery going on 3 weeks ago. Does anyone still have a hard time going to the bathroom? I have the urge to go but then when I try to nothing happens and I just feel miserable all day...
View 10 RepliesI went to the doctor two days ago for what may have been one of the worst pains of my life, turns out I have an external haemorrhoid and the blood inside it has clotted. I was given scheriproct ointment which is removing some of the pain but hasn't reduced the hemorrhoids size yet. I really need to go to the bathroom (apologies for the tmi) but every time I try I get a blinding pain like something may tear or the hemorrhoid may burst. It's really uncomfortable now I haven't been to the bathroom in a week since this problem started. I'm aware of laxatives and stool softeners etc but stool softeners can only work so far down my colon, which doesn't really help me right now. My doctors surgery isn't open for another two days, is their anything I can do?
View 2 RepliesJust coming up on 5 weeks after extensive surgery on hemorrhoids and glad it is all behind me. My bowel movements have become very irregular between soft and hard and when I have to go I need to be near a bathroom or I will have an accident and can't seem to hold it in. Is this normal and will it settle.
View 18 RepliesI am seven weeks post surgery for an Achilles' tendon rupture and still have intense pain from the blood pooling when I stand for even a minute to brush my teeth. After one minute I immediately have to lie down and elevate my leg otherwise it feels like it will explode. Has anyone else felt this 7 weeks post surgery?
I also can only bear minimum weight on the leg at this stage. At seven weeks does that sound normal? I had my tear at the connection to the heel and had haglund's deformity where part of my heel broke off. Anyone else have that and is minimal weight bearing at seven weeks normal for this type of tear.
My name is Gary. I am 57 and have had problems with hemorrhoids for years. It was getting to where I was spending two weeks out of the month basically ok due to constipation from opiate medication I have to take. Then one week where I use the prep H to push the roids back into place. Then often a week of just pain, stool softeners vs pain killers, and out of service.
I got referred to a surgeon recently and he said I had a bad case and set me up for surgery. They decided to do a colonistmy (colon probe. where I guess they pump you full of air and put a tube all the way up). I did not know that it was that extensive or I might of gone without it..at least not with this surgery.
I was told afterwards that I had some of the largest they had seen. Also the colon test showed some polyps they had to burn out. They did not look cancerous.
I had trouble getting cleaned out prior to surgery due to the pain and the opiates. As required I took 250 grams of miralax stool softener, 4 laxatives, and waited. I took them at 4 pm, had surgery lined up for 8:00 am with a 6:00am arrival. The drugs did not take effect until 1:00am so I was up until we had to leave for the hospital still on the toilet..and in severe pain.
I was still eliminating when we arrived. I was given a couple of ememas to use on myself. I couldn't hold them but they came out clear so they started the surgery, colon probe, and prostate exam.
I awoke after 2 hours of surgery. I was still under the anesthesia (I was put out) and not in terrible pain. I got up and was able to urinate. I had packing in me and was told to go home, take a bath, and they would come out. I had terrible cramps and gut pain, prostate pain, and severe anus pain. I have lots of stitches down there.
I went home and ate a small bowl of cereal and some oatmeal...and waited. I drank a bunch of juice and water but could not urinate. I was leaking blood everywhere. I took several baths and finally the packing came out. I took stool softeners and drank a lot. Finally the first meal, or what was left over from before, came out in the bath. I didn't have a full bowel push because of the pain but a bunch of crap, in small strings, some packing, and a huge amount of blood came out. I would say a pint.
I ate some more: a bacon and cheese bagel, some oatmeal, and stool softeners. I drank a bunch. I also had to take a bunch of painkillers. One the third day I had an involuntary bowel push but came up empty. I couldn't take the pain. Blood was still coming out in drips all the time with a small amount of feces. I called the doctor and got more pain killers. I set up a plan last night to have a bowel movement this morning. I ate some more oatmeal after one day without food. I took several sleeping pills and some painkillers to stop the urge to have a bowel movement. I had to get up at 12:00am and take more pain killers to stop an early bowel urge which would come up with nothing as is my experience. I awoke at 7:00am, as planned, and held the pain killers aside. I forced a bowel movement and produced a large pile of soft serve sh*t which was full of blood. There was more to come but, now 6 days out, I was in too much pain to push again.
It becomes a real fight to live. I am addicted to painkillers from years of degenerative disk disease and arthritis due to an 80 foot fall in 89. I don't get my refill until the 13th which is 3 more days. I have enough for today. I have stayed away from the long acting painkillers unless I run out. I hope to pass more later today. I will probably try the same procedure.
Again, it is the sixth day, and I still cannot walk without using the furniture. I try and move around as much as possible. I have some blood a fecal leakage which I clean up each time with a bath or a soaking wet warm wash cloth. Then I fold a washcloth in half and put in between my swollen cheeks until dry. They shave you down there and the stubble that grows back is very painful to the opposite side. I have never felt such pain. Each day has been a little better except for the third in which I was worse.
I would've still done the surgery if this all turns out ok. I will eat better, drink more, and do whatever I have to do to keep this from recurring.
I have been experiencing some constipation for several years but last june probleme get aggravated and I start having some blood in my stool and I thought was just hemorrhoid but one day I tried to use the bathroom I couldn't go easy it took me 2 hours to empty my bowel,I was in agony then went to my GD who refer me to CRS and confirm that I have a fissure with 3 skin tags , prescribe for me nifedipine ointment 3 time a day and change my diet( fruit veg fiber...) and drink lot of water, after a month staff get worse then went back to CRS he want me to do colonoscopy to figure out what a heck is going on , but thank God nothing bad beside a fissure and 3 skin tags , at that time I couldn't keep my mind straight cuz I was in so much pain on sep 3 I decided to go for the other option IS surgery with removal of the skin tag. but unfortunately after 11 days post-op I develop a fistula I don't know why it happened it was the most painful pain I have experienced in my life so went to CRS and immediately admit me for 2nd surgery fistulotomy , so today 3 day so far I still have some pain but not as bad as before, I know it is going to take longer to heal but I'm taking it day by day , and this is my story
View 2 RepliesHad my op last week so only a week out, well I was told it was going to be painful but I'm in so much pain today after going to the toilet. Constant stabbing pain, taken tramadol and nurofen but no relief, Feeling quiet sick with it to. Saw nurse yday said it was swollen and really bruised but this has been the worse day by far. I had 4 removed grade 3 and 4 and was told they were very large, also a thrombotic skin tag which was was hanging down about 12 mm. Just want to no does this pain get better soon struggling to cope today. Any idea on how to cope with the pain to getting quite depressed now.
View 34 RepliesI am two weeks post surgery and I have a lump where the surgery site was and the stitches. This was external hemorrhoid surgery. I would like to know if this is common and how long does it take to go away? ?
View 11 RepliesI had surgery 11 days ago, a large opperation the surgeon said but I am still in alot of discomfort and passing blood with BM. I woke today with alot of stomach pain and needed a moment which was very uncomfortable and passed some blood.when you see red in th he toilet it is worrying.
View 7 RepliesThey were massive, Dr said she could barely get them all inside the tube They use to do the stapling. The recovery was horrible, but i I am feeling better now. Still can't eat anything to Hardy just because out will make me bleed when it comes out.
View 2 RepliesI have done surgery last year January, and it was all good until last week, but now i feel like pain in the surgical place. It's uncomfortable to sit or lay down sometimes.. Am i getting the piles again?
I usually have nothing to do, so i just sit and watch movies. Can sitting alot lead to me piles again?
I'm 25 years old and had been living with stage II internal hemorrhoids for about 4 years now, and with a prolapsed thrombosed from one for about six months. It got seriously painful about three weeks ago and I couldn't sit down or do regular daily activities anymore. So I decided to visit a private clinic where they suggested the DG-HAL surgical procedure saying it was "non-invasive" and that they would surgically remove the thrombosis as well. Fast forward, I had the procedure done this Wednesday and they said "Oh yeah it's a fast recovery, we do it on Wednesdays and Thursdays so that people can get back to their jobs by Monday"..so here I am, Sunday 4.45 A.M., haven't slept since the surgery, and I just don't feel like stuff is healing. I have no appetite but am forcing myself to eat more small meals and drink plenty of water and fiber and oil supplements to make the BM pass better. So my concerns are the following: it's already the fourth day and i feel more pain, and have the feeling like by bowels are full and trying to rip out of my torso. I'm taking antibiotics as well as ketoprofen painkillers every 6 hours or so because It's just to unbearable. I have the urge to visit the toilet very frequently but when I try to push something out only small traces come out (it is soft and without blood though). It hurts like hell after I pass gas or a BM, the cut out thromb takes up most of the pain. When I try to go to sleep, as soon as I begin to doze off a spasm contracts in my rectum and the throat starts hurting like hell and it wakes me up. They say the method takes about 3-4 days to recovery, but as you can see I call baloney on that. So if anyone has had a similar experience can you tell me if this is normal and if it isn't what should I do about it? I have a written exam on Monday and I want to be functional to take it.
View 23 RepliesI have just had 3 hemorrhoids worked on by THD surgery. This was done Thursday (and Saturday). I am on 2 sachets a day of movicol to soften stools but have not passed anything yet. I am eating fruit and little bit of other stuff such as digestive biscuits a little bit of bread etc. is there anything else I can do to help? When is pushing straining? I tried to go earlier and worryingly passed a jelly like lump of something?
The pain is manageable with occasional paracetamol or ibuprofen.
I am 4weeks post op from hysterectomy and bowel prolapse surgery and I have got piles has anyone suffered with this? I haven't strained to go to the toilet so am a bit worried why this should happened
View 1 RepliesI'm posting this (rather long) history of how I finally solved my hemorrhoids problem in the hopes it will help people who are still trying to figure it out.
I'm a 58 year old man in good health and at the correct weight for my height. I'm not on any prescription drugs, I eat sensibly and work out at least 2-3 times a week.
I've had hemorrhoids for many years and pretty much ignored them, but then about 3 years ago they started getting worse, eventually to the point where I had to do something because they started to affect my life style.
The lifestyle effects were mostly about physical exercise. For example, when I played more than 9 holes of golf, the hemorrhoids would start acting up and get so uncomfortable I couldn't focus on my game. Or playing racquetball for more than a half hour would cause the same problems. The symptoms were pain, sometimes some type of clear fluid discharge (I know - totally gross), and sometimes bleeding. I could actually feel the hemorrhoids stick out of my butt. The pain could last for several days and would be constantly on my mind to point where enough was enough, I had to get help.
So I got a referral from my regular doc to a colorectal doc. It was a bad experience... he examined me and afterward said, "Yup, you got a nice bunch of marbles down there," and told me I needed surgery and how painful it could be. His nurse told me that she'd had post-op patients call her and literally scream and swear at her because they were in so much pain. I left that office and never went back. I forgot about "getting better" and figured I'd just have to live with it for now.
But a month or two later I was playing softball at a meeting away from home and the hemorrhoids got real bad and when I got to the hotel they were bleeding and I had to go out to dinner with a bunch of associates, then get on a plane early the next morning. I didn't know if I'd be able to do either, but I somehow got through it and vowed to go back to the doc.
So I got a referral to another doc and he was a little better. But he too recommended surgery and told me there would be a 2 week period I'd have to take off from work. I still wasn't ready for that, but he did give me a very good key piece of advice, and that was to take one big tablespoon of orange flavored sugar-free Metamucil (he was very specific) mixed with a big glass of water once a day, and to drink lots of water each day. I started taking it the next day and it made a big difference in my bowel movements. They became much 'easier' and didn't bother my hemorrhoids nearly as much as before. That was about 18 months ago and I've taken it every day since (I think it's good for cholesterol reduction too as a side benefit).
Still searching for a non-surgical solution, I got a referral to another doc and the third time was the charm for the time being. This doc examined me and said I definitely didn't need surgery, that my main problem was a couple of internal hemorrhoids and they could be handled with rubber band litigation. I said what about the external ones that I could see with a mirror? He said those weren't the offenders, which was quite different from what the other two docs said. So he did the procedure. He picked the biggest one and put the band on it. It took about 5 minutes and was very uncomfortable but not painful. He told me that's it, that there's no after-care, there should be no pain and to come back in a couple of weeks.
Well, he was wrong about the pain. I woke up that night at 2 am in pain. I took a couple of Advil which didn't help much, so an hour later I took two Tylenols and that did the trick. The procedure had been on a Friday, so I couldn't call the doc to see why I was having pain, but I looked it up online and saw that it wasn't uncommon, especially if the rubber band had been placed too low, i.e., too far towards the lining of the rectum where it would pull on the wall.
I had to keep that up the meds for the next 2-3 days. The whole area was swollen and felt like a typical 'bad' attack, and I was bummed out thinking this wasn't going to work. On Monday, I called the office and found out they're closed on Mondays. Great.
On Tuesday things were starting to get better. There was still some pain but no big deal. I called the doc's nurse and she said I could come in, but it sounded like I was progressing ok and that yes, sometimes there is pain if the band is too low, and that's exactly what this sounded like. So I decided not to go in, and day by day it got better.
After about a week, I was back to working out, and for the first time in a long, long time, I didn't have hemorrhoid problems. I was now able to resume most activities without having those nagging problems anymore. What a relief!
I say 'most' because I still would have some minor problems after longer periods physical exertion, say after 3-4 hours, like a round of golf. But again, the issues were much less.
At 6 months after that first procedure I was still having some issues, so I decided to get another band done to get the second-worse internal hemorrhoid taken care of. I had it done, and this time there was no pain at all afterwards. The procedure was still uncomfortable, but now knowing what the result would be, I went into it with much less trepidation, and knew that even if I did have the same pain as the first time, it would be worth it.
So for me, it was all about getting those internal hemorrhoids dealt with. I still have the external ones, but much to my surprise they really don't cause any issues. I had always thought they were the culprits since I could see them, but I guess that's one of the pitfalls with self-diagnosis; the obvious answer was the wrong one. I may still have one more internal one to take care of, as the doc said they usual form in groups of three. But with the first two, worst ones taken care of, I think most of my problems are gone.
For any of you fellow sufferers out there, I hope you can learn something from these first experiences. The whole thing was embarrassing (to me) at first.... having those first docs checking me out 'down there' took some getting used to, but now I look at it as just another medical procedure, somewhat typical to what women have to go though their whole lives, or so my wife says.
About a year later and I was still having problems with at least one internal hemorrhoids. I went back to my doc who it put a rubber band on but it didn't help all that much. I went back again and he said well, there is another one, and I'll try to band it. I didn't really get what he was talking about with the try (he was never hesitant before) but said go ahead anyway. He said the issue was that he couldn't get the band all the way around the base of it but hopefully this would work. The next morning well sitting on the toilet, the band popped off. I realized that the banding procedure was no longer an option and thought that maybe it time to get surgery and get this finished once and for all.
I asked a separate doc that I trusted for a referral to a younger (<45) doc who knew all the latest procedures, as I was looking for the most non-invasive possible. I found one. When meeting with him he told me all the different techniques he uses and said that during surgery he'd decide which was best depending on how things presented themselves, and I was good with that approach.
I had the surgery and it turned out to be more complex than we thought. Initially, we knew there was at least one internal hemorrhoid that was the main culprit, but during surgery he found two other internals and one external. In fact, the main internal one was connected to the external one, so they both had to come out. So the surgery, which was in a full-blown operating room and I was completely unconscious, was rather extensive. Although it was scheduled to be outpatient I couldn't pee afterwards so they inserted a catheter and keep me overnight (The catheter insertion was weird and uncomfortable and freaked me out a little as a friend had just had one a month before and told me how awful it was. In reality, the fear from that was much worse than the actual procedure. But next time I would still ask for a Xanax or something first). I came home the next day in some pain. He gave me Percocet which helped quite a bit. (He started out with one 5 mg every six hours and it wasn't nearly enough. I had up it to two 10 mg every four hours for the first day or two.)
Here's the recovery process, which I wrote as it happened:
Day 1, Thursday Surgery @ 7:30 am. Prep was nothing to eat or drink after midnight and an enema the night before (more on that later). Woke up after, no pain yet but felt pressure in lower abdomen. Because of the catheter, they kept me overnight and removed it the following morning.
Day 2, Friday I went home, slept a lot, caught up Netflix (the one silver lining). Took 10 mg Percocet every 4-5 hours, which did a good job of containing pain. Was able to walk if needed, e.g., to the bathroom, but only felt like laying in bed. Total meds: 30 mg Percocet, 1 Senokot, 2 Colace, 2 Advil.
Day 3, Saturday - I'm now in the third day after the surgery and things seem to be getting better. I still haven't had a bowel movement which I am anticipating will be somewhat painful, But I'm looking forward to get through it because that will be kind of the last step. Total meds: 10 mg Percocet, 3 Colace, 3 Senokot, 1 Miralax, 2 Advil. (Might have taken more pain meds, but I was asleep quite a bit.)
Day 4, Sunday Had first bowel movement. Was more uncomfortable than painful and I wish I had been taking more stool softeners, because the surgical area is apparently swollen and theres not much room for stuff to exit. I upped my dose immediately to Colace 3x a day and one dose of Miralax before bed. The pain occurred afterward about 5 minutes after I was done, an aching started in the surgery area and got quite bad, to the point where I had to lay down in bed and wait for 10 mg of Percocet to kick in. Thank God for Percocet. From there on, I pre-medicated for the next few days which helped a lot. Had two more BMs that say, the 2nd followed by 2 Advil, 3rd by 2 Percocet. Total meds: 30 mg Percocets, 6 Advil, 5 Senokot, 3 Colace, 1 Miralax,
Day 5, Monday Stayed home from work. Sent email to direct reports why I was out (hadn't told them previously). Woke up at 6 am took 2 Advil. Took various softeners and pain killers throughout the day, had two BMs. Still painful with achiness but not as bad due to taking more softeners and stating ahead on the pain meds. Total meds: 6 Advil, 10 mg Percocet , 2 Colace, 2 Senokot, 1 Miralax.
Day 6, Tuesday - Getting a little better each day. Still stayed home for work, but had a one hour meeting downtown, so I went to that. It was good to be out. I had been noticing that there was a light hygiene issue with some minor staining and a little leakage, so my wife gave me a mini-pad that sticks to your underwear. It worked ok, but was hard to position properly. After that, I switched to the maxi-pads, which also stick to the underwear, but cover much more area and worked better. Good peace-of-mind as I didn't have to worry about being out in public. Had one BM, as I did from here on out. Total meds: 6 Advil, 2 Colace, 1 Percocet.
Day 7, Wednesday Back to work for the full day. Still a little awkward to get up and sit down, so I stayed at my desk most of the day, felt pretty good, maybe 80-85% better. If I had a job where I had to be on my feet all day, I would have stayed home again. Cut Colace down to 1, which was a mistake due to difficult BM the next day, immediately went back up to 3/day. Total meds: 4 Advil, 1 Colace.
After that first week, things continued to get better each day. I continued to have some achiness after each BM and took couple of Advil proceeding each one which helped. I went back to the doc for a checkup at the end of the 2nd week and he was pleased with progress. He said probably best not to take Advil as it causes bleeding, ok to take 2.5 or 5 mg of the Percocet, so I did that for a couple of days, then switched to Tylenol. I eventually stopped taking even that at about the 3-week mark. I continued to use the maxi-pads until about the 2-1/2 week mark. BMs at the end of the 3rd week were still a little difficult, especially to get them started. It felt like the opening wasn't big enough and I had to strain to get it going, but once stared it opened up and progressed normally. Maybe I was just too tensed up?
At the 4-week mark, the BMs are more normal with almost no straining. I was still taking 3 Colace a day, but considering going down to two. I should also mention that I was taking Metamucil 2x a day during the entire time period. I had been taking it once a day (1 heaping TB of the orange sugarless mixed in water) for the past several years on the recommendation of one of my first docs, and it helped a lot.
I also went back to playing racquetball just shy of the one-month anniversary. My doc cleared me after 2 weeks, but I was still too achy and just not ready. On my first day back to work, there was some pain from the BM (minor) and I was concerned that t would get worse when I played. I took a couple of Tylenol before playing and the pain was non existent. I was tired from not exercising for a month, but it was a good tired and, most importantly, no pain afterwards for the first time in years.
I should also mention that the hemorrhoid pain was gone after 3-4 weeks. It was hard to tell for the first 2-3 weeks, as there was pain form the surgery, but as it started to fade, I noticed that the old pain was no longer present after exercise of BMs. Yes! After all, this was the whole point in the first place, but it's sometimes difficult to remember as you're going through the post-op period.
Things I learned or wish I had known.
Surgery prep I was advised to do an enema 6 hours before surgery which I did (Actually the night before because the surgery was early). But looking back, I wish I had done a more extensive prep similar to a pre-colonoscopy exam, as that would have cleaned out everything and postponed the first BM for a day or two more. Maybe this isn't a viable option for some reason, but Id definitely ask the doc about it if I had to do it over.
Catheter - I was told there'd be a 50% chance of needing one because I'm a man over 50 (58). I wish I had just asked to have it inserted during the surgery, as it was stressful to have it done yet another procedure just 6 hours afterwards. And Id ask for a Xanax or Valium or something.
The recovery time is 6 weeks. Yes, it's possible to be back at work within a few days, but for me, it was really a couple of weeks before I was feeling anywhere near normal enough that I wasn't aware of the surgery, pressure, pain, the pad, etc. After 4 weeks, Id say I was 85-90% recovered. From all outside appearances I was 100%, and most of the time I was unaware of the event. To me, I'll be 100% recovered when I'm thinking/aware of the surgery 0% of the time. Put another way, Id say I was 100% functional 3-1/2 weeks afterwards, but 85% recovered. The 15% difference was that BMs were still an issue I was taking softeners still and there was some pain or achiness, but not much. I stopped taking pain meds for this at about the 3-1/2 to 4 week mark. I should also mention that, due to the softeners, the BMs happened almost first thing in the morning, typically after one cup of coffee. You should have access to a toilet because when I had to go I HAD to go. If I had had to wait more than a minute or two, it would have been a problem.
Because the recovery time is long, I was glad I had no big events or travel planned for a few weeks afterwards. We hosted Thanksgiving at my house exactly 3 weeks afterwards, which I had thought was a no brainer recovery-time-wise. It turned out fine, but I was glad it was at my house as I still wasn't 100%.
Id err on the side of more pain meds and definitely more stool softeners. I was warned that too many softeners could cause diarrhea, but I never experienced that, but I can definitely say that too few cause pain. For the pain meds, Id take them 1 hour before each BM for the first few weeks. Don't wait until afterwards because its too late. Be preemptive. Don't take Advil; take your prescribed meds or Tylenol.
Plan to be in bed for the first 4 days (day one being surgery). Although I was up and around by day three, it was really day 5 when I felt good enough to put away the tray table and resume downstairs life (our bedroom is upstairs).
Recovery clothing The only thing I was comfortable wearing for the first week was sweat pants. Unfortunately I only had two pair and they tend to get soiled easily in the first few days. I recommend having 5-6 pair available. And bring a soft, fluffy pillow to the surgery for the ride home. You'll be very glad to have it.
Was the surgery and pain worth it? Definitely. I knew what was coming more or less, but I really wish I had more details about recovery so I could set expectations, which I why I'm writing this in the hopes that it will help others. While the docs and nurses tell you about recovery, they don't really have the details, the day-to-day stuff. So here they are. Obviously, this surgery could be more or less invasive or extensive. Mine was a little more extensive than planned, but still, I feel like mine was a middle-of-the road case, maybe a 6 or 7 out of ten. A total guess really, but I had 3 internal and one external removed, so maybe you can judge by that.
I have been struggling on and off with hemorrhoids since having my son in 2010. In general, I've been able to keep them under control and keep flare ups to a minimum.
However, I am currently a bit over seven weeks pregnant and I am really struggling. It started five days ago… But did not get bad until I had a very hard bowel movement in the morning three days ago. It left me with a throbbing, painful rectum and bleeding. Discomfort got better throughout the day, but then yesterday morning after my morning bowel movement I again had a lot of pain and I had bleeding, bright red with some clots. Again, I got better throughout the day only to get worse again this morning at my am bowel movement.
I will be discussing this issue with my OB at my first appointment on Tuesday… But I wanted to get some advice and insight from the wonderful people on here.
I am currently using a mixture of coconut oil and Vaseline of the time, with an occasional bit of hemorrhoid cooling gel. It is only Morning I will movements that bleeding are so painful, they seem to be softer and less painful if I have another during the day. Have increased my fiber and water intake.
After 5 weeks of doing the operation and especially after passing through some really horrible times of pain and misery I promised myself that I owe it to everybody out there to share my experience so that you can derive benefit out of it. I had suffered from haemorrhoids for 20+ years and it is only because I became severely anaemic due to blood loss from passing stools that I was forced to do the operation. With hindsight I could have avoided 20 years of misery, of lost sports, of severe discomfort in cars and planes by taking the plunge and doing it earlier.
First and foremost, Haemorrhoidectomy is a very common operation and albeit there is a very small percentage where things get complicated the cases are getting less and less each year. I'm saying this because each and every person that does this operation will pass through so much pain that instinctively he or she will think that they are one of the few that is unlucky.
Secondly the pain WILL PASS!
I repeat it WILL PASS!
The absolutely horrible, can't take it anymore, about to throw up, about to faint, never going to be the same, never going to be happy, stuffiness, bloated feeling, blade cutting through your backside pain WILL PASS!
Realistically a person who does this operation will experience two annoying factors namely pain and discomfort. In the first few days the pain is so bad that you cannot think of anything else including the discomfort. After that the pain between going to the bathroom will slowly subside but the discomfort will increase primarily due to constipation. Hereunder please find my tips and what I would do differently if I could go back in time.
1. Increase your intake of fresh fruit and vegetables and water weeks before the operation to soften your stools and prepare your body for a life change. This diet change is a must EVEN AFTER the operation unless you’re a masochist and want to pass through it again.
2. Cut out anything that might make you constipated – research. This includes alcohol, caffeine, chocolate, refined foods etc.
3. Do a fresh water enema the day before the operation.
4. Do a list of all the things you missed out on because of your condition and promise yourself to enjoy life more after the operation and to take care more of your physical well being.
5. Mentally prepare that you are going to be in severe pain but also be aware that this is only temporary and that you’ll be tons better after that and the effort would have been worth it. Incidentally I was in excruciating pain for about 5 days, in agonising pain 5 days after that and in manageable pain 5 days after that. By the end of the second week I was 60% better. By the end of the fourth week I was 90% better with only the annoying leakage to take care of. By the end of the fifth week I’m 95% there.
6. Try and limit pain killer as much as possible as they will slow your digestive system and the resulting constipation is worse than the pain.
7. The feeling of still feeling massive haemorrhoids after the operation is normal. This is due to the swelling. The importance of having formed stools that are SOFT is important. Underline formed not diarrhoea as you need your system to re-function even if it means a little more pain.
8. The feeling of passing sharp blades during the first few days is unavoidable. This mixed with blood and excrement is not a pretty felling or site but I PROMISE YOU it will get better.
9. Keep the are dry otherwise you’ll develop sever rash – been there done that – more pain to avoid.
10. Keep moving. The more you move the better your digestive system works, the less laxatives, the less bloated feeling, the happier you will be.
11. Be prepared to go the bathroom at a moment's notice.
12. Run a warm sitz bath often – it does wonders to sooth the pain
13. Squat not sit to pass stools. It’s easier to excrete, less painful and quicker. I’m still squatting and there is no way I’m going back to sitting. Before I sometime spent between 30 – 45 min on the loo. Now I’m in an out in 3 minutes.
14. Keep the area clean. Use a bidet, shower or whatever you want. Use only toilet paper to pat dry the excess water. Again with hindsight this should be norm. After all if you covered you hand in excrement you wouldn’t simply wipe it off with toilet paper but you’d wash the hell out of it.
15. Drink lots of water and take a reasonable amount of fibre. Taking fibre without water is a recipe for disaster.
16. You are going to have to live with sanitary pads for a few weeks until the area heals sufficiently. It will get gradually better. I have gained a new respect for women who have to wear these things once a month; very annoying.
17. After you recover promise yourself to share your positive experience and the things that worked out for you on a blog for the benefit of others. It’s kind of a chain get better advice blog.
18. Most important of all – KEEP POSITIVE and take care of your health. You only have one body.
I'm 28 weeks pregnant and just got hemorrhoids earlier this week as of about three days ago though i noticed some very painful blisters that have lined up along my vagina done research it doesn't look like any of the herpes outbreaks i've come across. all they do is hurt no itch no burning. i was told two days ago i had a severe bladder infection due to microbial parasite. im currently taking antibiotics and using witch hazel wipes. doc said these bumps are nothing to worry about. i disagree with how painful they are. thoughts please?
View 3 RepliesI had this procedure the beginning of January 2012 under general anaesthetic, and afterwards it was one of the worst pain/uncomfortable experiences of my life. I didn't know what to do with myself afterwards. I couldn't walk, sit or lay comfortably, and was in constant pain. And forget any ideas about going to the loo.
I now have some idea of what childbirth must be like after I finally managed the 'two the loo' for the first time after five days, horrendous. Thank god I'm not a woman.
Never again, hopefully.
I would also add, according to my surgeon, it can take up to three months before everything is back to normal. Although you will feel alot better after the first two to three weeks.
I don't know how the information sheet (link below) can say that you can usually return to work around a week later after this particular procedure. As far as I was concerned, not a chance. I'm now nine weeks in and feeling OK. Internally healing is still going on, and am still having the odd day with regular visits to the loo. But I am told this will settle down.
Some tips that will help with recovery.
Apart from painkillers and drinking plenty of fluids I found warm baths help give relief (albeit for a short while) from the pain, discomfort and that constant feeling that you want to have your bowels open. I was sometimes having up to three baths a day for the first two weeks just to give me some relief. And if you are prescribed Co-codamol pain relief, come off them as soon as you can or you will suffer with constipation, and that isn't good I can assure you.
I am a 49-year old male and had stage 3 piles for about 5 years. They never really caused me any pain or suffering per se but were an inconvenience. I had been to my GP ages ago to make sure it wasn't anything serious. Towards the end of 2009 I decided to see what options I might have for sorting them out as I figured I wouldn't want them to get worse and despite being fit and healthy and eating well, they had not gone away of my own accord.
I went to my GP and she did a digital exam and said they were very small - didn't seem like it to me - she said she could refer me if I wanted but I declined. A few weeks later I figured I was copping out and returned to get a referral. I went to see a consultant locally who got me to come back for banding. This was very easy and though it was a bit uncomfortable I was optimistic that it would sort it all out. It didn't - even though it seemed like it would work it in fact made no difference whatsoever. I returned to him and he said he would try the sclerotherapy and another banding as they were quite big and the portable banding machine wasn't up to it. Again nothing really changed.
I read all these forums and was in two minds like so many others whether to pursue it any more. After all I was not in pain per se and clearly some people have really awful experiences, sometimes made worse by the treatment - I knew I certainly didn't want anything slicing off! I read up what I could about HALO but it seemed to be mainly sales pitch. I decided to see the consultant again and ask him about it. He said he didn't know anything about it but his next step would be banding under GA and he was confident that would do it.
For one reason or another I wasn't convinced and so I called the HALO people and found out where there was locally that did it. They also told me how much it would cost privately (?3k+) but that with a referral I could probably get it on the NHS. A few weeks later I had a session with a consultant who explained the whole thing - also diagnosing a polyp as well as piles - which would never have responded to banding so I was glad to have taken the 2nd opinion. Anyway he put me on the waiting list for a polyp excision and possible HALO.
Time came around in about 6 weeks and I went into hospital for the first time in my life to have day surgery. I was apprehensive but quite positive. The whole experience was very reassuring - the staff were great and I felt very cared for and the surgeon was friendly and explained things. I signed on the dotted line, had my pre-med and felt the curtains close
Woke up feeling fine about 30 mins later. The surgeon explained to my surprise and a bit of shock that they had had to cut a large pile off so I might have a longer recovery time than expected (he had said at least 2 weeks for HALO and up to 10 for pilectomy). That concerned me a bit, especially when the nurse brought my meds to take home - 3 types of opioid painkiller, 2 types of laxative and some antibiotics. I got the impression they were trying to tell me something. I stayed about 2 hours to satisfy them I'd had a wee, eaten and drunk some fluids etc and got my wife to pick me up.
Felt pretty OK generally even with after effects of the GA - ate and drank lightly and feared the first pooh which came 2 days after the op. Uncomfortable certainly but not especially painful. The absolute best thing after each BM was a nice warm shower spray for a few minutes which really soothed the bruised feeling. This got better over the next 7 to 10 days. I work from home so was fortunate that I didn't need to take time off per se after the first day getting my head clearer but I wouldn't have wanted to have to commute or be away from home.
There were some bad bits but not what I would have expected. The worst bit by far, and it was _horrible_ was the antibiotic (metronidazole)- I had to take it for 5 days and didn't realise what a nasty drug it is (check it out on ****)- around day 3 I was finding alternate nights of complete insomnia, nausea, sweating and a really depressing state of mind feeling like I would never get better. I googled all the meds and realised it was the AB and that these were fairly common side-effects. If I had had a longer run of them I would have asked to change but I figured I would see them out. It was awful and I did have another day off cos I just felt so damn bad from them. My advice here - don't just take what is given to you and not check it out - be aware of what has been prescribed (in fairness they did say that some of the meds could give nausea, constipation etc but I didn't expect this one to be so heavy).
The other downside was the laxative - I should have had clearer instructions. You definitely want to make sure you have soft stools etc and are acutely aware that what you eat has to come out the other end - soups, bran flakes, porridge etc are great for this. However if you just take teh laxatives as prescribed - and you are not already constipated (I am always regular)- then they will just play havoc and have you very windy (which also seems to come from the GA gases) and farting all the time with a sore anus is quite painful/uncomfortable in itself (esp if you're not too sure what might be coming down the pipes!) It kept me awake a bit.
What I should have thought with the meds from the start is - take them /if/ needed (except see below)
So I had been prescribed metronidazole as mentioned - I took that for the 5 days. I had 3 painkillers - Tramadol which I didn't bother taking, Co Dydramol, I took a couple but then didn't bother (and my wife used them all up on migraines!) and Diclofenac - this last one I should have taken all the time but didn't. It is an anti-inflammatory and because I didn't bother with it I think I put myself back a couple days with a very sore and inflamed bottom - so this one I would say take as a matter of course (and I didn't have any side effects). For laxatives I had lactulose syrup and ispagel husks - both are palatable enough but as above I realised after a coupe of days that I probably didn't need them.
All told I was not incapacitated at all. It took a good week to not be too worried about the next BM. After that it just was a process of it getting better every day. The main thing was that the prolapsing piles/polyp were gone and that was a great relief. Had a check up last week and I would say I now feel 100% down there and no concerns at all.
I am very pleased I went ahead with it - I had overcome embarrassment about it ages ago and plain speaking is all that is needed - my reticence had been around being "operated" on but that all went very smoothly. I know there are some horror stories on here where people say that the op is worse than the piles but I am sure that complications are in the minority and I would not hesitate in recommending anyone suffering and holding back, check out a good consultant and have it all sorted out. I was glad I had it sorted out when I was fit and in good shape - I think that plays a big part in making the op run smoothly and the caring for oneself that much easier. If was old, infirm or very overweight I think it would be harder. Weight wise I had lost nearly 3 stone over the last 18 months and again I think that helped keep recuperation short.
Does anyone else have problems with frequent loo trips? And abdominal pain and discomfort? I do day and night. My GP doesn't really know what to do surprise surprise. I've pushed for and had lower and upper abdominal ultrasounds as well as gynae ultrasounds and an abdominal/liver MRI. Ans also gastroscopy. I'm just wondering if it could be at all head related. I've seen a live doc and they don't think it's liver related though turns out I do have gastritis. I don't know what else to do. Pain doc (for head) incidentally referring me to anish bhara at queen's square. Also have back pain problems with my SI joint which may be related to abdominal pain or some of it anyway. Also seeing CFS clinic for first time on 28th and am a longterm chronic migraineur. Sorry for long post just getting desperate and trying to think round things.
View 1 Replies