Hemorrhoidectomy






Definition

A hemorrhoidectomy is the surgical removal of a hemorrhoid, which is an enlarged, swollen and inflamed cluster

Hemorrhoids can occur inside the rectum, or at its opening (A). To remove them, the surgeon feeds a gauze swab into the anus and removes it slowly. A hemorrhoid will adhere to the gauze, allowing its exposure (B). The outer layers of skin and tissue are removed (C), and then the hemorrhoid itself (D). The tissues and skin are then repaired (E). (Illustration by GGS Inc.)
Hemorrhoids can occur inside the rectum, or at its opening (A). To remove them, the surgeon feeds a gauze swab into the anus and removes it slowly. A hemorrhoid will adhere to the gauze, allowing its exposure (B). The outer layers of skin and tissue are removed (C), and then the hemorrhoid itself (D). The tissues and skin are then repaired (E). (
Illustration by GGS Inc.
)
of vascular tissue combined with smooth muscle and connective tissue located in the lower part of the rectum or around the anus. A hemorrhoid is not a varicose vein in the strict sense. Hemorrhoids are also known as piles.


Purpose

The primary purpose of a hemorrhoidectomy is to relieve the symptoms associated with hemorrhoids that have not responded to more conservative treatments. These symptoms commonly include bleeding and pain. In some cases the hemorrhoid may protrude from the patient's anus. Less commonly, the patient may notice a discharge of mucus or have the feeling that they have not completely emptied the bowel after defecating. Hemorrhoids are usually treated with dietary and medical measures before surgery is recommended because they are not dangerous, and are only rarely a medical emergency. Many people have hemorrhoids that do not produce any symptoms at all.

As of 2003, inpatient hemorrhoidectomies are performed significantly less frequently than they were as recently as the 1970s. In 1974, there were 117 hospital hemorrhoidectomies performed per 100,000 people in the general United States population; this figure declined to 37 per 100,000 by 1987.



Demographics

Hemorrhoids are a fairly common problem among adults in the United States and Canada; it is estimated that ten million people in North America, or about 4% of the adult population, have hemorrhoids. About a third of these people seek medical treatment in an average year; nearly 1.5 million prescriptions are filled annually for medications to relieve the discomfort of hemorrhoids. Most patients with symptomatic hemorrhoids are between the ages of 45 and 65.

Risk factors for the development of symptomatic hemorrhoids include the following:

  • hormonal changes associated with pregnancy and childbirth
  • normal aging
  • not getting enough fiber in the diet
  • chronic diarrhea
  • anal intercourse
  • constipation resulting from medications, dehydration, or other causes
  • sitting too long on the toilet

Hemorrhoids are categorized as either external or internal hemorrhoids. External hemorrhoids develop under the skin surrounding the anus; they may cause pain and bleeding when the vein in the hemorrhoid forms a clot. This is known as a thrombosed hemorrhoid. In addition, the piece of skin, known as a skin tag, that is left behind when a thrombosed hemorrhoid heals often causes problems for the patient's hygiene. Internal hemorrhoids develop inside the anus. They can cause pain when they prolapse (fall down toward the outside of the body) and cause the anal sphincter to go into spasm. They may bleed or release mucus that can cause irritation of the skin surrounding the anus. Lastly, internal hemorrhoids may become incarcerated or strangulated.


Description

There are several types of surgical procedures that can reduce hemorrhoids. Most surgical procedures in current use can be performed on an outpatient level or office visit under local anesthesia.

Rubber band ligation is a technique that works well with internal hemorrhoids that protrude outward with bowel movements. A small rubber band is tied over the hemorrhoid, which cuts off the blood supply. The hemorrhoid and the rubber band will fall off within a few days and the wound will usually heal in a period of one to two weeks. The procedure causes mild discomfort and bleeding. Another procedure, sclerotherapy, utilizes a chemical solution that is injected around the blood vessel to shrink the hemorrhoid. A third effective method is infrared coagulation, which uses a special device to shrink hemorrhoidal tissue by heating. Both injection and coagulation techniques can be effectively used to treat bleeding hemorrhoids that do not protrude. Some surgeons use a combination of rubber band ligation, sclerotherapy, and infrared coagulation; this combination has been reported to have a success rate of 90.5%.

Surgical resection (removal) of hemorrhoids is reserved for patients who do not respond to more conservative therapies and who have severe problems with external hemorrhoids or skin tags. Hemorrhoidectomies done with a laser do not appear to yield better results than those done with a scalpel. Both types of surgical resection can be performed with the patient under local anesthesia.

Diagnosis/Preparation

Diagnosis

Most patients with hemorrhoids are diagnosed because they notice blood on their toilet paper or in the toilet bowl after a bowel movement and consult their doctor. It is important for patients to visit the doctor whenever they notice bleeding from the rectum, because it may be a symptom of colorectal cancer or other serious disease of the digestive tract. In addition, such other symptoms in the anorectal region as itching, irritation, and pain may be caused by abscesses, fissures in the skin, bacterial infections, fistulae, and other disorders as well as hemorrhoids. The doctor will perform a digital examination of the patient's rectum in order to rule out these other possible causes.

Following the digital examination, the doctor will use an anoscope or sigmoidoscope in order to view the inside of the rectum and the lower part of the large intestine to check for internal hemorrhoids. The patient may be given a barium enema if the doctor suspects cancer of the colon; otherwise, imaging studies are not routinely performed in diagnosing hemorrhoids. In some cases, a laboratory test called a stool guaiac may be used to detect the presence of blood in stools.


Preparation

Patients who are scheduled for a surgical hemorrhoidectomy are given a sedative intravenously before the procedure. They are also given small-volume saline enemas to cleanse the rectal area and lower part of the large intestine. This preparation provides the surgeon with a clean operating field.


Aftercare

Patients may experience pain after surgery as the anus tightens and relaxes. The doctor may prescribe narcotics to relieve the pain. The patient should take stool softeners and attempt to avoid straining during both defecation and urination. Soaking in a warm bath can be comforting and may provide symptomatic relief. The total recovery period following a surgical hemorrhoidectomy is about two weeks.


Risks

As with other surgeries involving the use of a local anesthetic, risks associated with a hemorrhoidectomy include infection, bleeding, and an allergic reaction to the anesthetic. Risks that are specific to a hemorroidectomy include stenosis (narrowing) of the anus; recurrence of the hemorrhoid; fistula formation; and nonhealing wounds.


Normal results

Hemorrhoidectomies have a high rate of success; most patients have an uncomplicated recovery with no recurrence of the hemorrhoids. Complete recovery is typically expected with a maximum period of two weeks.


Morbidity and mortality rates

Rubber band ligation has a 30–50% recurrence rate within five to 10 years of the procedure whereas surgical resection of hemorrhoids has only a 5% recurrence rate. Well-trained surgeons report complications in fewer than 5% of their patients; these complications may include anal stenosis, recurrence of the hemorrhoid, fistula formation, bleeding, infection, and urinary retention.


Alternatives

Doctors recommend conservative therapies as the first line of treatment for either internal or external hemorrhoids. A nonsurgical treatment protocol generally includes drinking plenty of liquids; eating foods that are rich in fiber; sitting in a plain warm water bath for five to 10 minutes; applying anesthetic creams or witch hazel compresses; and using psyllium or other stool bulking agents. In patients with mild symptoms, these measures will usually decrease swelling and pain in about two to seven days. The amount of fiber in the diet can be increased by eating five servings of fruit and vegetables each day; replacing white bread with whole-grain bread and cereals; and eating raw rather than cooked vegetables.

Resources

BOOKS

"Hemorrhoids." Section 3, Chapter 35 in The Merck Manual of Diagnosis and Therapy , edited by Mark H. Beers, MD, and Robert Berkow, MD. Whitehouse Station, NJ: Merck Research Laboratories, 1999.

PERIODICALS

Accarpio, G., F. Ballari, R. Puglisi, et al. "Outpatient Treatment of Hemorrhoids with a Combined Technique: Results in 7850 Cases." Techniques in Coloproctology 6 (December 2002): 195-196.

Peng, B. C., D. G. Jayne, and Y. H. Ho. "Randomized Trial of Rubber Band Ligation Vs. Stapled Hemorrhoidectomy for Prolapsed Piles." Diseases of the Colon and Rectum 46 (March 2003): 291-297.

Thornton, Scott, MD. "Hemorrhoids." eMedicine , July 16, 2002 [June 29, 2003]. http://www.emedicine.com/med/topic2821.htm .

ORGANIZATIONS

American Gastroenterological Association. 4930 Del Ray Avenue, Bethesda, MD 20814. (301) 654-2055; Fax: (301) 652-3890. http://www.gastro.org .

American Society of Colon and Rectal Surgeons. 85 W. Algonquin Road, Suite 550, Arlington Heights, IL 60005. http://www.fascrs.org .

National Digestive Diseases Information Clearinghouse (NIDDC). 2 Information Way, Bethesda, MD 20892-3570. http://www.niddk.nih.gov .

OTHER

National Digestive Diseases Information Clearinghouse (NDDIC). Hemorrhoids . Bethesda, MD: NDDIC, 2002. NIH Publication No. 02-3021. http://www.niddk.nih.gov/health/digest/pubs/hems/hemords.htm .


Laith Farid Gulli, M.D.,M.S.
Bilal Nasser, M.D.,M.S.
Nicole Mallory, M.S.,PA-C

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


A board certified general surgeon who has completed one additional year of advanced training in colon and rectal surgery performs the procedure. Specialists typically pass a board certification examination in the diagnosis and surgical treatment of diseases in the colon and rectum, and are certified by the American Board of Colon and Rectal Surgeons. Most hemorrhoidectomies can be performed in the surgeon's office, an outpatient clinic, or an ambulatory surgery center.

QUESTIONS TO ASK THE DOCTOR


  • How many of your patients recover from hemorrhoids without undergoing surgery?
  • How many hemorrhoidectomies have you performed?
  • How many of your patients have reported complications from surgical resection of their hemorrhoids?
  • What are the chances that the hemorrhoids will recur?



User Contributions:

Graham Roberts
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Jun 3, 2009 @ 9:09 am
Hi, Just had the full procedure,at best I can describe the pain as uncomfortable it is certainly not as bad as I expected. I found the initial passing water for first time after op felt different mainly because you don't really want to be flexing your muscles to turn water on off so to speak,I find i am suffering from wind I guess this is normal but be careful you won't have the same control as normal for a couple of weeks if you follow me lol. I am sorry I did not have the procedure earlier knowing what I know now.Best of luck.
david
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Jul 5, 2009 @ 2:14 pm
graham, i dunno what you are smoking! Its been 4 days since i've had surgery and it is excruciatingly painful and I am regretting having the operation! I have been popping vicodins like candy but don't work. Numbing lidocaine seem to help but try avoid the surgery as much as you can. IT IS EXTREMELY PAINFUL! THE MOST PAIN YOU'LL EVER FEEL IN YOUR LIFE!
Darcy
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Oct 2, 2009 @ 7:19 pm
I agree that it was initially excruiatingly painful. I almost passed out 3 times the first night from the pain that the dilaudid did not seem to have any effect upon. However, not more painful than childbirth (which caused all of this in the first place). I'm 3 days out now and the pain is much more manageable and is worse when my bowel is full. I'm sure in the end I won't regret it as I had skin tags which would not go away with other treatments and hygiene was my main issue. Stool softeners, mineral oil and lots of liquids and high-fibre foods are a must.
Tumi
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Nov 9, 2009 @ 3:03 am
Had surgery and this is my secod week post op and bm is okay with little irritation.i should've done sooner if i had this knowledge
Kevin
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Nov 29, 2009 @ 4:16 pm
Underwent a complex (internal and external) hemmoroidectomy six weeks ago. I can add that it is the most painful thing I can imagine. I've had gout attacks severe enough to put me in the hospital - and they do not compare. I cannot stress enough that you MUST eat the high fiber diet (although twice a day normal dose of Citrucel is really the trick) and your MUST take the Colase or other stool softener. You should continue the stool softener as long as you are on pain meds. (Percocet for me - had to have the highest possible dose for two weeks straight, just got off it last week.) If you do NOT heed those warnings, be prepared for a huge (pardon the double entendre) setback. If you are a keloid former (thick scars) be prepared for an uphill battle in recovery. The scars will be painful, and will narrow the anal canal and opening enough to make a normal BM quite painful. (Again, FIBER and stool softeners!!!) Even with the painful and rough recovery, I would recommend this procedure for anyone suffering from thrombosed hemorrhoids or large, internal and external (or any that are severely impairing your ability have normal BM.

GOOD LUCK!!
Elaine
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Dec 6, 2009 @ 7:07 am
Hi I was hoping someone out there can let me know if they had any complications with having the Hemmroidectomy I have Thrombotic hemmroids and I'm going for the surgery because nothing else is helping. I'm very scared though! I read that there is a chance of being incontinent after surgery maybe years later. Has this happened to anyone? Should I go for this surgery or not?
margie
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Dec 11, 2009 @ 6:18 pm
I had external and internal hemorrhoids, and had a hemorrhoidectomy 4 days ago. Despite the research that I did and the doctor's warnings about how painful the procedure would be. I went ahead and did it. I am in so much pain now that I really wish I would have never done it. I can not walk or seat because it is extremely painful. The doctor prescribed a pain killer call Darvocet but its not helping. I can not undo what I have done. All I can do now is to hope that in two weeks things will be better, but if any one asked me if I recommend this procedure I would say NO. My opinion may change in two or three weeks, once the pain is gone but for now I would say NO.
greg
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Dec 27, 2009 @ 2:14 pm
i had a hemorhoidectomy on the 11/11/09 today 29/12/09 still in major pain, excessive bleeding, now i have stenosis, puss is dripping out of my rectum, i am going back to A & E in the morning, i guess i will be kept in again. 3 time in hospital for 4 night stay. problem is the op was only for half and the rest will be remover later in the year oct 10. wish it was never done now.
Marc
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Jan 24, 2010 @ 11:11 am
I had the surgery 6 days ago with 4 days in the Hospital. I agree that the pain is excruciating especially right after surgery and only drops gradually over the following few days. Basically there was no way for me to sleep without very heavy pain killers such as morphine and others. At discharge, 4 days after surgery, the pain was still very strong and as you guys say, no sitting, standing, walking, lying. everything hurts too much and you tell yourself: why did I ever do that??? However, on days 5 and 6 the pain already became very manageable and the only concern becomes how to deal with the next stool. In my case I'm not too happy about the surgery simply because i wasn't offered any alternatives. I used to have only minor hemorrhoids until my last one which had me screaming and running to the doctor who looked at it for a minute and scheduled the operation 2 hours later. I was in so much pain then that I agreed to anything. Now I'd really wish they'd just given me some potent pain killers and discussed options. I guess if nothing else works, this operation isn't as bad as people say and if you can't deal with pain, try to stay in the hospital longer. But surely try all other procedures first.
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Feb 27, 2010 @ 11:23 pm
I just had the surgery 9 days ago and finally today the bowel movements aren't quite as painful. I will say, however,the pressure before a BM and the anticipation of the pain is enough to bring me to tears. And, my BMs have been partial, so I will go, get cleaned up, feel the pressure again, go a little again, and the cycle can continue a couple of times which is not only painful but frustrating as hell. As for urination, I was fine the first couple of days and then all of a sudden I couldn't go to save my life. My doctor said to go to the ER immediately for a catheter but I decided to wait. Good thing I did because later that night I had my first decent BM and was able to urinate from that point on. I've been on Darvocet which did nothing, and now I'm taking Tramadol which isn't much better. A little tip that works for me: it is painful cleaning myself good after a BM and I hated feeling like I had to get in the tub everytime thereafter, since I'm doing that several times a day anyway. I now use a small spray bottle of warm water to pre-cleanse the rectum before a BM and "loosen it up" and then use the spray bottle again, kind of like a bidet, prior to cleansing with cotton. I agree with everyone, this surgery is the most painful thing I've ever experienced and I don't know if I would do it again. I'm seeing improvement every day but damn, it's slow and painful along the way. Best wishes to you all.
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Mar 9, 2010 @ 10:10 am
Well it has been 6 days since i had my surgery. I had inside and outside hemorrhoids. Always heard it would be painful. Accuired them when I was 16 from child birth. I am now 50 and everything you are told is correct about the pain. I have a high tolerance for pain but this one knocked me down. Best advice is to soak as often as possible in hot water and epson salt, do whatever is necessary to keep your bowels moving freely. I have had very little bleeding, until the 4th day and I can only assume I over did it. Was able to lay down for the next 2 days and it stopped. I had to turn around and urinate backwards on the toliet to keep my anus from pushing anymore than necessary. I am feeling much better now, but am still going with the advise of a 2 week recovery period. Would like to know if anyone has had skin tabs show up afterwards though
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Mar 26, 2010 @ 12:00 am
I'm having my surgery April 1,, yeah I know April fools day. I know I'm going to be the fool. I'm really scared. I can only take 2 weeks off from work then I have to go back or lose my job. I hope I can bounce back like I did with my C-section, I was back to work 3 weeks later. I've only had hemorrhoids for 6 months. My daughter gave them to me. I only extonal hemorrhoids. I've had them lanced 3 times in a 2 week period. The last time they was lanced the Doctor gave me skin tags. I just want the skin tags removed but the doctor said he will remove everything. I've been to 2 differnet Doctors about it. So I hope I'm not going to be wishing I never had it done. Any advice you can give to make it less painful or recovery better?
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Apr 6, 2010 @ 10:10 am
Had surgery on the 23 of March. Two internal prolapsing for the last 6 years. I'm two weeks out and I'm still wearing kotex pads from bleeding. The pain is almost non-existint. As mentioned from previous comments, the pain right after surgery was very intense to say the least. I would do it again though, knowing what I know now.
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Apr 7, 2010 @ 2:02 am
I'm a week out of surgery. I had external hemorrhoids. I'm feeling good. It's not half as painful as I thought it would be. I still have pain having a bowel movement. Stupid me took so many locatives one day. OUCH. I'm in more pain now then I was on the 2-4 day. I go see the Doctor tomorrow. By the time I got my IV and was walking around in my own room was about 45 mins. I have to say Thanks to Dr. O'Connor.
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Apr 28, 2010 @ 4:16 pm
This is my 4th post op day. I'm not very painful, only minutes before a BM. However there is still a bit of bleeding which has me very concern. Is that normal? I would hate to through this again.
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Apr 30, 2010 @ 7:07 am
Wendy, I had some bleeding but just when I wiped then at my one week check up I got the go ahead to go beack to work the next week. That night I bleed, somehting broke lose. I was int he hospital for 2 days one night. I'm much better now my Doc said it was weird. If you have any concerns CALL you Doctor. I still have some seeping and blood after a BM but it is very little.
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Apr 30, 2010 @ 11:23 pm
I had three external hemmerhoids removed three days ago. Did great with the surgery itself, and upon returning home. Vicodin every four hours, even during the night. Must stay ahead of the pain. Started stool softeners three days before surgery, this helps. Did not have a bowel movement for three days, and when I did, it was painful, but not nearly as bad as I thought it would be. I also had been taking a laxative. I still cannot sit, much less drive, but lay around a lot on my side. When you have the surgery, be prepared to be down for a while, probably a week at least. I look forward to good results.
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Jun 10, 2010 @ 9:21 pm
I am 4 days post heamorrhoidectomy. The first 2 days post op were 'happy days' with a light workout at the gym and an outing to the local cafe. Three days post op and first bowel movement I took a serious turn for the worse experiencing excrutiating pain before during and after opening my bowels. Lots of blood too - very scary. The last 2 nights I have woken in the wee hours with extreme pain deep in my rectum. During the day Ibrufen 4 hourly seems to take the edge off the pain between BMs. I was expecting a much speedier recovery but now I am hanging out for the 2 week recovery prediction.
John
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Jun 17, 2010 @ 11:11 am
6 days out and still in serious pain. But .. it is no longer constant AND I will not forget the reason I had the surgery and after some time it will all be gone. I had a 6-month-old fissure with a thrombosed hemorrhoid aggravating it. It had to go!!

Main recurrence off pain is from BMs (of course) but the pain meds (mine is Percocet) all bind the bowels, making it a catch-22. Today I'm biting the bullet and doing straight Tylenol. I find humor helpful. For instance I'm using pantie liners for pads and my wife had to explain to me that the sticky side goes on the underwear (I'm going to tell ALL my guy friends now).
nikki
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Jun 17, 2010 @ 3:15 pm
WOW, everybody has such different experiences. I have several external hemmerhoids that I have been dealins with since having two pregnancies back to back 8 years ago. They never go away but the symptoms do ease at times but when I have flareups I want to die! They itch, burn, hurt and pull. I saw the surgeon who told me they will only get worse as I age and should consider a hemmerhoidectomy. I am not sure what to do, if I have to deal with severe pain for a few weeks or even months I would think that it has to be better than dealing with pain for years off and on. I don't know what to do, some of these stories scare me but I am SO tired of living with these annoying things!
Chris
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Jun 30, 2010 @ 4:04 am
Hello, Im in my 14 day post hemorrhoidectomy. The first 3 days were the worst, but pretty high on pain killers so that help. Then very little bleeding, now is ok. Just wondering how it will look, is it a ugly scar in my ass or it will vanish? Someone kissing my ass will feel the difference? Is anal sex different, does it lose sensitivity? When can I have anal sex again?
Thanks
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Jul 3, 2010 @ 6:06 am
on the 29th june i had my hemorrhoidectomy,as for 17year ive suffered and thought enough was enough i want these sorted.well it is now my 4th day,pain has eased,but very excruciating on a bowel movement,which nearly made me pass out.im still taking paracetmol,tramadol like sweets,ive never took this amount of tablets in my life,also doculate sodium and senna.if this does not
work i will never ever go through this procedure again,its worse than child birth.
good luck to all that choose this procedure,ITS PAINFUL.
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Aug 28, 2010 @ 12:12 pm
Had surgery 4 days ago. Pain is not all that bad. Actually I resumed normal activites, just to a lesser extent. Lots of pressure and sore bottom. Pain actually not severe. Must of had a good doctor. I also have Crohns disease which dont help, i have frequent movements, which of course make me sore down there. Otherwise, I agree I which I would have done this years ago. So dont wait it is not as bad as it seems.
george
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Sep 10, 2010 @ 8:08 am
On suggestion by specialist surgeon I went for "staples" he said it is best way to do it. On 01/09 I went for the operation and nex day I was feeling good but on 05/09 I was back to hospital whit terible pain. On 06/09 they had to operate again. Today is 10 days after first and 4 days after second operation and I am in lot of pain but got no regrets because I had to get rid of them. If you ask me for advice I woul say it hurts like hell but you have to do it at some stage. Good luck.
Paige
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Sep 10, 2010 @ 7:19 pm
I had my Hemorrhoidectomy on 7/15/10 and spent one night in the hospital. All I can say is that this has been very, very painful. For me,it was hard to get the initial pain under control. In recovery, they used Dilaudid and Demoral (sp?) because Morphine was not hitting it. Once I was home, I took Lortab every 6 hours. I can hereby attest that this has been the most painful surgery that I have endured - even in light of my Open Heart Surgery 5 years ago. As I have read others' comments here, I can also relate that upon my initial BM, I thought I was birthing my 3rd child, which I never had! Early on, urinating was also difficult, but has improved. I am also a statistic, in that, two of my post-op areas became infected so I returned to the Operating Room on 8/30/10 to have all of the infection removed, a fistula removed and the areas cauterized. (They had not responded to 2 broad-spectrum antibiotics,so that was my only recourse.) My advice in all of this is to try to stay ahead of any pain you may have, keep your bottom clean by soaking often, take note of any excessive or off-colored/odored drainage, and hang in there. Now, after 2 surgeries in less than 2 months, I am just now starting to be able to sit on my bottom rather than from hip to hip, but I am still having significant pain with BM.
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Sep 27, 2010 @ 11:11 am
For years I suffered from rectal spasms and hemmoroids. I was on fiber and miralax, 6 different prescribed and over the counter creams. That finally I decided to have a lateral hemmoroidectomy done. I'm in recovery. How much worse can it get. Your site explained everything I wanted to know without the medical terms my doctor would use. Thank you for the descriptive pictures.
Robbie
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Oct 9, 2010 @ 8:20 pm
I was hospitalized two days after surgery because of massive pain and swelling. I was in the hospital for three days on major drugs which kept me willing to live. My very well respected, board cert. surgeon chose NOT to do an enema before surgery. This meant I had to have a bowel movement 8 hours after surgery. That activity caused me a new and very large hemorrhoid. EIGHT WEEKS LATER I'm still I'm dire agony, taking pain meds, bleeding a lot, swallowing 100'oz of water a day, taking stool softeners and bulking agents but in nearly as much pain as before with no hope in sight. The pain is ungodly and makes you question the choice to live. DO NOT believe this forum that it takes two weeks to recover. The nurse who took care of me said this is THE most painful surgery anyone can have and 50% of all people who have it end up back in the hospital. Now THIS is the reality.
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Oct 15, 2010 @ 6:06 am
I have read these articles written by people who had undergone haemorrhoidectomies just like me and the post operation pain is similar,i.e extremely painful and I also regret having this operation. This is because it is already three weeks now since I had the operation and it still hurts a lot everyday after my bowel movement and it last at least four long hours. I really feel helpless and do not know what to do. Can anyone help me and tell me what I have to do and if the pain will persist for ever. The symptoms are I am suffering from winds and slowly through these four hours I blow out some air from the anus to relieve the pain till I feel comfortable and the pain is gone. Do you think that it is normal and is there any solution to this problem. And it seems that the wounds are not healed yet. I have sat in salt bath, I have used aloe vera and other cream and still no amelioration. It is the most excrutiating pain I have ever had and all my legs and feet are feeble when the pain strike me. Do you think that I must be patient and will be healed with time. Could anyone, a doctor or somone who had this experience before advise me and help me, please. I thank you beforehand and hope to hear from you soon.
Terri
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Oct 24, 2010 @ 9:09 am
Are you people soaking after your bowel movements, and three times a day also. This is very important. It helps with the pain and swelling. I am still having some bleeding after 2 months, which my doc said I am still not fully healed. I am still suppose to be soaking after 10 weeks. I also have Crohns which doesnt help. Also take fiber supplements, they help. Good luck.
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Oct 25, 2010 @ 6:06 am
I had a hemmoroidectomy done 3 weeks ago am a 34 year old who had a baby 3 years ago, about three months ago I started bleeding slightly when emptying BM, then it gradually became worse. Doctors could not see anything and only guessed it was internal pills so treated me with Anusol supporities, which seem to slow the bleeding down. Then about a month ago I want and saw a specialist who Rubber banded two piles he could see, and ran a blood test as I was having problems with breathing and looked extremely pale. I was told the following day that I had a HB of 5 and needed an urgent Blood transfusion. I was admitted into hospital where I stayed for a week, half of the week the nurses and doctors would not believe I had bleeding and asked if it was my periods. (Yeah right) On the Wednesday I had a large bleed after a BM and they the decided I was going into surgery to investigate, I came round after the investigation to find I had hemmoroidectomy done. The pain was extreme and its only now almost three weeks ago that the pain is at the point where I can manage it with Diclofenac and Co-dydramol and HYDROCORTISONE SUPPOSITORY and an hydrocortisone external cream. The Diclofenac was difficult to get the doctor to give this to me, even through I was on it in the hospital.
Unfortunately the bleeding has started again and I seem to have painful lumps on the outside now. Not happy as I really don't want to go through this again.
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Oct 28, 2010 @ 9:09 am
I suffered with hemmoroids and anal fissures for 5years consecutively. I finally found a doctor who knew what I was going thru. He performed q lateral hemmoroidectomy and now I can pass normally and without pain.
gordon
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Nov 1, 2010 @ 6:18 pm
Having read all the comments I have to offer hope for people out there who are considering the op.
I would appear to be one of the lucky ones who has had minimal, manageable (Vicodin) pain after surgery and very little problem with BM. I would emphasise what others write - I believe that the warm sitz baths and stool softeners are a must and really help speed the healing process along.
Patience is needed. I am nearly 5 weeks out and still have some leakage, but the pain now is only the itch and discomfort of (hopefully) healing surgery.
Please be aware of how serious this op is but also please take heart from the people who have come through without the dire results that some of these posts predict.
Rocky
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Dec 25, 2010 @ 7:19 pm
I had a hemorrhoidectomy over 3 months ago. I tried to have anal sex with my boyfriend and it was pretty painful yet before the surgery it felt ok. Will the pain go away? Is it just to soon to be having anal sex?
Audrey
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Dec 30, 2010 @ 6:18 pm
Had the op Dec 2; 4 weeks later, Dec 30, and I cannot sit for long, bleed and/or have pain if I am up for more than a few minutes, spend a lot of time lying down and just dealing with pain, still have a small amount of bleeding and a huge lot of pain with each bowel movement. I am using a stool softener so my stool is very soft but it still hurts a lot. The pressure prior to a BM is also very uncomfortable. The pain after a BM lasts up to a few hours; sitz baths usually help a bit but don't get rid of the pain. I had a lot of trouble urinating for the first week, and had no bowel control the first two days (had to wear an adult diaper). The pain and duration of recovery have been far more than I anticipated. I rate it as the worst surgery I have ever had, by far; pain meds have been only moderately helpful; the pain has been comparable to child birth, which I got to feel without pain killers. After 4 weeks, I have pain free times, but, like I said, an impending BM starts with pain, the actual act is enough to make me wince and cry out, and this is followed by 1 to 4 hours of nasty pain. The pattern is getting better, so I assume a few more weeks and I will be pain free all of the time. The pain I was in before the op, however, was intolerable and occasionally had me hopping about and crying out. So, if the problem is severe, I recommend the op, but that someone anticipating it be prepared for a potentially very long and very painful recovery.
lowrider
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Jan 4, 2011 @ 1:13 pm
This is my 3rd surgery in at least 7 years!
To ALL people here...this IS the most painful surgery I have EVER been through!
As one person stated,he questioned living it's self,that the pain level IS absolutly unbareable.I will tell you,he is NOT alone when saying that.
Keith
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Jan 15, 2011 @ 2:14 pm
I had the surgery (believe it was both internal and external) four days ago. The pain is actually no worse than the irritation I had with the hemorrhoids before the surgery- until I BM! Then the pain becomes enough that I, a former Ranger, have to cry out. I read that my pain med (Loritab) causes constipation, so I've started using double-doses of Aleve instead. It works for some of the pain. What worries me is the amount of blood during a BM. It's more than few spots- I counted 16 large drops last time. How many of you have had major bleeding during BMs? I'm going to begin with Kevin's suggestion of fiber laxative, along with increasing my stool softener dose. The first day (my surgery was really early in the morning), I had real trouble urinating- that was really more painful than the `rhoids. Now I can usually pee with no trouble. I don't regret the surgery (yet) because if I heal up okay, it will be better than bleeding enough to be diagnosed anemic during every BM. Hopefully, I'll heal up in a few weeks. Best of luck to everyone, and thanks!
Frances
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Jan 29, 2011 @ 3:03 am
Had my surgery Jan 11/11 now Jan 29/11. My Doctor was ahead of schedule so I was in and out of hospital in 4.5hrs. I had external and internal hemorrhoids. For the last 11 years have been bleeding excessively (off and on). Enough bleeding to cause severe anemia and to have many blood transfusions. The pain immediately following surgery was bearable but each successive day it has become worse. Hemorrhaged on the 10th day, very scary, hospitalized, needed 2 units of blood. Had problems peeing, best solution...pee in the shower, the hot water relaxes those muscles. I can sit, I can lay down but I can't walk more than a few steps because of the pressure on the bottom. Taking my meds and softener, laxative, metamucil. Apparently there is a lot of swelling, quite common and may take months to go away. 2 week recovery time...I am not even close to feeling better. Make sure you have lots of toilet paper and long big overnite sanitary pads (and that goes for the men too).
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Feb 1, 2011 @ 10:22 pm
It's been about 4 months since I've had the procedure done and let me tell you the pain was unbearable!!It brought me to my knees for 3 weeks!The worst pain I've ever felt in my life!!No words can explain what I felt.The doctor told me I have more but he couldn't remove them all because of swelling.Now. everytime I have to go feels like an emergency,even when I have gas I tense up like if I have diarriah and I can't hold it.Also I began to have itching almost immediately after I healed and now I'm bleeding again.They are back!Don't know what to do but think long and hard before having the procedure!
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Feb 17, 2011 @ 4:16 pm
its been 3 weeks n 3 dys since i had the opertion. the fist few days i was fine untill i needed tht first BM. it was excruciating and i can honestly say i have never ever felt pain like it. three weeks on and the pain is still unbearable when having a BM but not much pain in between BMs. i also have some bleeding. last week things were a lot better and all week it hardly hurt but this week it seems i have taken a huge step back and the pain is as bad as ever. really upset as i cant see the pain ever passin but i dont know how i am going to get through life with this pain. please can someone reassure me that the pain will pass because there seems like there is no light at the end of this tunnel
Joycelyn
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Feb 26, 2011 @ 12:12 pm
Hey Becka.

I am in the same boat as you are. I had the procedure done 3 weeks and 1 day ago. BMs are incredibly painful. It feels as though I am tearing apart. I have tried soaking several times a day over the last 3 weeks, using many different types of prescription creams and ointments and nothing has relieved the pain. I am at the point of holding in my BMs as I just can not deal with the pain. Hopefully someone has some advise that will help with this pain. It is by far the most painful procedure I have ever been through. I wish I had never done it.
Gary
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Mar 1, 2011 @ 1:13 pm
Had my surgery 11 November last year. Now 1st March and I still have occasional bleeding, and a sharp pain as the BM leaves my body. After about an hour everything settles down to a very mild discomfort. I didnt find a bath helped very much. But cleaning with a towel or cotton cloth did rather than wiping with tissue paper which left by entire rear end sore for days.
If you really suffer and I mean that utterly miserable day after day soreness and pain that Hemorrhoids causes then I guess I'd say have the surgery. What you must remember is that pain is different for everyone. But I do think that the sites that say all should be well after 2 weeks are being hopeful at best. I'd double that at least. And dont go to gym for a while. Just take a gentle walk instead for a month or so. Best of luckj to anyone considering it.
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Mar 6, 2011 @ 10:22 pm
Had my surgery 1st March, i have all the discomfort what the other had mention, but found that Etoricoxib 120mg help me to manage the pain better in the first few days, anyone who is going for the op can check is the above drug is appropriate, I am going for review tomorrow, will try to update after that.
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Mar 12, 2011 @ 2:14 pm
had complex hemroidectomy 6 days ago and each day is worse.. never had such pain. was told it could be this way 3wks to 3 mo. trying to get on better pill schedule to get it under control. by the way, i am a woman and had 3 kids. at least that is over sooner.
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Mar 13, 2011 @ 6:18 pm
Had hemorroidectomy and I agree - this is the MOST PAIN I HAVE EVER EXPERIENCED. I had to go to the Emergency Ward the day after surgery because I was up all night with pain trying to urinate - I was told it was urine retention. A catheter was inserted and remained for four days. I had no BM after six days of taking stool softeners, fiber, and MoM nightly. Suddenly, these rippling "balls of pain" started, one right after another - I thought I needed to leave gas, but there was none to leave, lol. The next day, I passed a scant BM. I then noticed that every time I sat in the warm Sitz Bath, my bowels moved -- the ripples of pain were my bowels trying to move. Be sure to sit in the Sitz Bath every time you get this ball of pain - I am not at day 10 and it is still painful to sit and have a BM, so be sure to stick to the fiber regiment.
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Mar 29, 2011 @ 1:13 pm
I had the hemorrhoidectomy op about 4 months ago - and today out of the blue started bleeding quite badly - Only had cramps this morning and then had to go to the toilet - I am not constipated and have not been - but what now, can be the problem? any help - by the way - it was the worst op and most painful I have ever experienced
gjm
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Apr 1, 2011 @ 8:20 pm
i had hemroidectomy 1and half YEARS ago and still very uncomfortable. i needed the surgery because i had an external roid that was killing me.tried everything but had to have surgery. it took me 2 months to heal. when i say heal i mean i can walk,poop,and run, and sit with no pain i was happy. butn something happened 2 months afterwards the spot where i was cut on was hurting. went back to the surgeon he could not figure it out. he prescribed different roid creams to help. nothing helped. he released me says he cannot see what is causing my pain. ithen went to my gi doctor. he did a physical assessment.. i did not have a fissure or a roid.he gave me a cream and said see a dermatologist your skin where the incision was made is scar tissure. went to dermatologist he says scar tissure is irritating you your skin only heal 70%after surgery unfortunately the location.. rht side anus hits the other side when i walk.he has me on acid mantle cream nonprescription, you can order it from cvs or rite aid or any drug store. this stuff is suppose to heal scar tissure however hasn't helped me. still seeing dermatologist in one week hope he has another plan. unfortunately i regret having surgery. but with roid i was in too much pain. rht now i use acid mantle cream and 3% lidocaine in the morning and it gets me through the day. does anyone know of something else? would love to wake up one morning and not haveto put cream on my anus...
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May 6, 2011 @ 4:16 pm
I underwent a stapled hemorrhoidectomy 4 days ago. I had read numerous comments from forums like this and was prepared for pain. I had also considered the various surgery options and became convinced that the stapled procedure would be the best for me. Even the stapled option can be done differently by different surgeons. My surgeon's approach is to remove a band of tissue above the hemorrhoidal band, but to include just a bit of the hemorrhoidal band as well. The advantages are that the surgery is still less painful than removing the hemorrhoidal tissue directly -- because most of the nerves are in the hemorrhoidal band. The resulting "anal canal lift" (my description) prevents hemorrhoidal tissue from prolapsing in the future.
I prepared for surgery just as I did for my first colonoscopy with a liquid diet the day before surgery and a complete purge using two 10oz bottles of magnesium citrate (one at noon, one at dinner 4pm). The next morning, one hour before heading to the hospital for surgery, I gave myself a Fleet enema. The surgeon didn't require this complete purge. My theory was that doing so would delay my first BM giving the surgical wound more time to settle down, and it would also ensure that no latent hard stuff would come down the tract and hurt me.
Surgery went well (I'm taking the doctor's word for that). The most pain I experienced in the hospital was when the IV sealed off and the liquid pain meds created a burning bubble under my skin. I was in the hospital for about 30 hours. The surgeon doesn't like to let his patients go home the same day -- and I'm glad about that.
I've been very strict about my high fiber diet (almost exclusively All Bran and Quick Oats) and lots of fluids -- about 32 oz (5 parts Gatorade, 1 part Cranberry juice for taste) every 4 hours since surgery. I've been taking 1 percocet every 3 hours and only some Ibuprofen periodically, and Colace twice daily.
Today (4 days after surgery) I had my first BM and immediately ramped up on the percocet. It was painful, but not like most descriptions on this and other forums. Just a bit of moaning, no howling or need to jump in the tub, etc. However, I'm now taking 1 percocet and 2 Ibuprofen every 2 hours. My stool was soft, but I've added Metamucil to the mix going forward -- it can't hurt. I've already had 4 significant BMs today. I quickly learned to not fight the BM. That is, most of my BM pain is in starting and stopping. So, once it starts, I keep the abdominal pressure on so that the flow will continue as long as possible, hopefully completing the BM in a single flow. That has worked very well since I tried it on the 2nd BM.
I'll be sticking to my diet of high fiber and lots of liquid until the BMs are essentially painfree. I'm guessing that may take another week.
Dee
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May 16, 2011 @ 2:14 pm
I underwent an external (Scalpal) hemorrhoidectomy (5 removed, plus an external polop as well as internal hem too) 4 weeks ago today and I am still in pain. I start off the day without pain until I have a bowl movement, then the pain lingers for at least another 8 hours afterwards. Last week when I went to the Dr. he indicated that I might have to go through the procedure again because although it is healing there are now bumps (although a bit smaller) where the hems were to begin with and they are not shrinking like they are supposed to. I am tired of being in pain, I want to get back to normal (and back to work) and I DO NOT want to have this surgery again. I was told that the surgery hurts like H*ll but I would be able to return to work in 2 - 4 weeks. I cannot return to work if I am still taking pain meds and there is no way that I can have a BM right now and not take a pain med. On a bright note there isn't much blood anymore, just pain. Is anyone else or has anyone else experienced these issues?
EMO
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May 20, 2011 @ 2:02 am
I had the surgery on April 19th. I still have not healed.
Stitches are still there and I am still seeing bright, red blood.
My advice is that everyone take a long, hard look at their situation
before deciding to go with the surgery.

I have a very complicated situation because I also suffer from
severe migraines, lupus and fibromyalgia. As a result, I was kept
in the hospital 6 full days after surgery because it triggered a
horrible migraine. (I've put off the surgery to try all those other
alternative treatments for 3 years so my doctors and I did not enter
this surgery lightly.) I was given a DHE-45 treatment to ease the
migraine but was also given Vicodin (Norco) and Dilaudid while I
was in the hospital to ease the pain I felt ALL over my body including
the surgery site.

They sent me home with no painkillers for the first 24 hours due
to a mix-up, but every since then, I have been in pain at the surgery site
which keeps triggering my migraines. Ended up in the ER last week where, after
requesting the standard urine sample, the doctor on call tells me
there was blood in the urine, but don't worry because it was probably
just a hemorrhoid! I gave him the dirtiest look possible and calmly
explained to him that a hemorrhoidectomy is what I had JUST had so
the thought of another one being the cause of blood in my urine was
NOT what I wanted to hear.

Maybe things would have been different if I had gone home with the
painkillers as planned, but I can say that I truly still feel pain
and I will return to the surgeon on what will be exactly 1 month
feeling pretty much the same way I felt a few days after the surgery.
I just pray that it doesn't take much longer to heal.
RayJay
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May 26, 2011 @ 7:07 am
4 years ago, I had the procedure for internal ones. It was the worst pain I ever experienced for 2 weeks(wanna die it hurts so bad). I was taking lots of pain meds with little help. On the 3rd week, the pain started to subside to the point where I didn't want to die anymore. 4 years later, I have them back(yea, one of the lucky 5%) I swore never to do the surgery again so I read about and had the CRH O'Regan rubber band litigation done. They stated over the phone that they can do it while I'm awake. I get there and they say that since I'm already in so much pain (I told them that over the phone), they have to put me under(next week). Since I had never had a colonoscopy, they recommended I have that done also(prep is diahrea for 6 hrs to clean you out...ouch). They found a pollup they removed, an anal fissure they gave me cream for and banded 2 roids(I have 3). I was in pretty bad pain for about 2 weeks but it got a little better over time. Hot sitz baths were my only temporary relief. That was 5 weeks ago. I go in later today for another banding. I still have some pain now after a bm, but I pray that I don't have the same pain I had from the last procedure. I have to work Friday night. I'm self employeed (dj) and can't back out of the contract. Since then, I've read a lot on the net about roids. Here is what you can do to help eliminate them naturally. Don't wait!!! I Wish I had this advice 3 months ago.

1. drink lots and lots of water.
2. eliminate caffeine from your diet. I can't stress this enough. no coffee, no power drinks...
3. eliminate orange juice from your diet and replace with grapefruit juice w/2tbs olive oil
4. take psyllium fiber pills 2-3 times a day. No one gets enough fiber, even vegetarians
5. same as oj, tomatoes are acidic and should be avoided.
6. eat yogurt for healthy bacteria in your digestive system.

If all this fails, rubber band ligation is still way less painful than the roidectomy.

I'll post tomorrow how I feel before my gig.
RayJay
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May 26, 2011 @ 7:19 pm
4 years ago, I had the procedure for internal ones. It was the worst pain I ever experienced for 2 weeks(wanna die it hurts so bad). I was taking lots of pain meds with little help. On the 3rd week, the pain started to subside to the point where I didn't want to die anymore. 4 years later, I have them back(yea, one of the lucky 5%) I swore never to do the surgery again so I read about and had the CRH O'Regan rubber band litigation done. They stated over the phone that they can do it while I'm awake. I get there and they say that since I'm already in so much pain (I told them that over the phone), they have to put me under(next week). Since I had never had a colonoscopy, they recommended I have that done also(prep is diahrea for 6 hrs to clean you out...ouch). They found a pollup they removed, an anal fissure they gave me cream for and banded 2 roids(I have 3). I was in pretty bad pain for about 2 weeks but it got a little better over time. Hot sitz baths were my only temporary relief. That was 5 weeks ago. I go in later today for another banding. I still have some pain now after a bm, but I pray that I don't have the same pain I had from the last procedure. I have to work Friday night. I'm self employeed (dj) and can't back out of the contract. Since then, I've read a lot on the net about roids. Here is what you can do to help eliminate them naturally. Don't wait!!! I Wish I had this advice 3 months ago.

1. drink lots and lots of water.
2. eliminate caffeine from your diet. I can't stress this enough. no coffee, no power drinks...
3. eliminate orange juice from your diet and replace with grapefruit juice w/2tbs olive oil
4. take psyllium fiber pills 2-3 times a day. No one gets enough fiber, even vegetarians
5. same as oj, tomatoes are acidic and should be avoided.
6. eat yogurt for healthy bacteria in your digestive system.

If all this fails, rubber band ligation is still way less painful than the roidectomy.

I'll post tomorrow how I feel before my gig.
RayJay
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May 27, 2011 @ 8:20 pm
To be clear, I had 3 roids, lvl 3. I had my 3rd banding done yesterday. Dr stated that 1 of the 2 he banded 5 weeks ago fell off. The other is close to falling off so he only needed to band my 3rd one. I had to beg the Dr for pain meds. I refused to leave the office til he prescribed one (a weak one at that). He needs to have this pain for a day and understand what we go through. I went through hell yesterday. Made my wife leave the house so I could lose it a couple of times. Today, I'm feeling quite a bit better. I hurt, but it's managable and I'll be able to do my gig tonight. I won't be the most chipper dj, but I'll get er done. My guess is the 3rd roid was giving me all this pain. As it shrinks, hopefully, I'll get some actual relief. I wish I would have had the banding done when they were still lvl 2 a few months ago, but since I don't have insurance, I made the mistake of putting it off till the pain got the best of me. If you're already in pain before the procedure, you can't expect the banding to be pain free. I do recommend the banding over the ectomy. If you get em banded when they are lvl 1 or 2, it will be uncomfortable for a while, but nothing compared to letting em got to lvl 3. If they are lvl 4, only an ectomy will cure you. Don't wait til lvl 4 or you will experience pain that you never thought existed. I just started taking psyllium today and have stopped drinking coffee, power drinks and all caffeine beverages weeks ago. I replaced oj with grapefruit juice too. I never want to go through this again!!!
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May 27, 2011 @ 10:22 pm
My husband's surgery was May 17. Today is Day 11, still feels like razor blades coming out DURING the BM, AND a blow torch on it AFTER the BM. Was told at first would be back to work 2 - 3 days. NOT!!! He had a snowmobile accident in 2007, where the snowmobile track broke thru his face shield and ripped his nose apart, along with an eye retina detatchment. Went thru several surgeries for 2 years to have all that repaired. He Has a VERY high pain tolerance.
HEMORRHOIDECTOMY SURGERY WAS WAY MORE ABOVE and BEYOND MORE PAINFUL THAN ANY OF THOSE SURGERIES!
Sitting is almost next to impossible, standing feels like to much pressure , laying on his side on an air matress helps some. BM's still extremely painful, and bleeding with clots. He'll be on the toilet and need to get in the tub immediately to wash off. Takes Hydrocodone , stool softners, metamucil, milk of magnesia, prune juice. He keeps a log on the counter to keep track of everything. When we left the Hospital that same day of the surgery, was given an appointment for a 2 week post op check (June 1) We have been back to the Doctor office 4 times now, with questions and concerns. Swelling, burning, bleeding, and what the hec are those new skin tags about ? ! Tags are so big they look like he was made a vagina ! Doctor says expect the bleeding yet for up to 2 more weeks. Return to work, MAYBE next week ! ? No after instructions came with the surgery, day by day basis, I guess ! The peeing was hard for the first 4 days, now it has finally got better. That leads us to believe the REAR will get better too ! We did not go on line, to search hemorrhoidectomy till AFTER the surgery. So reading these posts has helped us know that my husband is NOT the only one that is miserable. However, if we had read the posts and searched about the actual procedure, it may not have changed his mind, because the years of trying to push his grade 4 roids back in, were extremely painful, and bothersome , He still thinks he would have went ahead with the surgery. Hopefully in time, he will be able to tell you that he is glad he had it done, and all will be good. Until then THANKS for sharing ! If you are reading this, and deciding to have the surgery, YES it will be painful, but plan to allow at LEAST 3 - 4 weeks away from work, and healing slowly !! The bathtub is his best friend yet,He even is able to doze in the tub. We wish you all the BEST !
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Jul 5, 2011 @ 11:11 am
I've been suffering from external ones on and off for a couple of years and for the past 6 months the pain has continually increased with only a couple of days respite once in a while. So, my doctor says the only way to be rid of the problem and severe pain is to have surgery. I've been doing a lot of research on the surgery and now I'm scared to death! I've read some posts from people who say they didn't experience the unbearable post-op pain that seems to be more commonplace. Does anyone know what the different factors are that might make the recovery less painful?? Is it the skill of the doctor? Whether the surgery is for internal versus external ones? I'm currently in constant pain except when I take pain killers at night to sleep (ie Vicodin). I'm a 32 year old lawyer and single mom with one wonderful son, and this is seriously affecting every aspect of my life, so I know I can't just live like this the rest of my life. But, I'm terrified at the prospect of getting surgery and then having unbearable and excrutiating pain for days...weeks after the surgery. It sounds like even the strongest pain killers do nothing (or very little) to relieve the pain! I'm just not sure what to do now...
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Jul 6, 2011 @ 8:20 pm
Hi Marie,
We just saw your post from July 5. We wrote the 5/27/11 post above yours. My husband wanted to let you know that he is getting better each day now. He is completely mobile again. Now, he has No regrets for doing the surgery. He felt like minimum of 3 weeks off, was best. His were inside and outside, Light bleeding, and stitches were still falling out at 5 weeks. He still takes stool softners regularly. It is REALLY a slow recovery. Take Care, and Best Wishes.
Luis
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Jul 9, 2011 @ 9:09 am
I also had the surgery done and did some research as far as skill and type of different surgery out there. My Dr. is one of few that offer harmonic focus procedure. Sopposedly cuts and seals tissue at the same time using protein enzymes therefore making it a much faster recovery than your cut and stitch, or lazer surgeries.I am working on my fourth week and feeling very good compared to first week and a half.A little discomfort and spotting every now and then, but feel very confident of going back to work after 3 weeks and 5 days after surgery. I am a truck driver and was recommended 4 weeks off instead of 2 weeks because of the time I spend sitting down. I will not lie to anyone of how painfull it was that first week after first BM.Lack of knowledge contributed to my pain. If I were to do it all over again, I would start on a strong fiber diet a few days before the surgery to soften BM after the surgery and double up on softeners prescribed by Dr. right after surgery.The pain medication has a counter effect to your softeners and someone forgot to inform me of that minor detail. Having a hard BM right after surgery is what caused most pain. Sitting in warm water after every BM relaxes the muscles and made a world of difference. Laying in bed takes pressure off your bottom.Boring and very unproductive, but necessary to quicker recovery.I suggest you catch up on your reading, watch the news, and every movie you missed at theaters years passed.I believe we are different and will recover at different times, but I hope this helps some of you out there. I decided to have surgery because I dont want to deal with problem for ever. The best of luck to all of you and God bless you all.
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Jul 10, 2011 @ 7:07 am
had my op last Tuesday and pain is still killing me
john b
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Jul 13, 2011 @ 2:14 pm
I had the surgery on Thursday 7/7/11 to remove both interior and exterior. I was able to eat something the first night but for the next 3 days I could barely eat anything as the thought of it made me sick and I had no appetite. I did however have diareaha almost every 4-6 hours. Besides the not eating I bacame very jittery, hot, chills and could not sit still or sleep. Let me also tell you I stopped taking the pain meds after the second night except Tylenol because I thought maybe the pain pills were making me sick. By Monday morning 7/11/11 I called the surgeon and he told me to come to his office. After he checked me over he suggested I go to the emergency room as I appeared weak and dehydrated. I was admitted to the hospital given an IV, gave urine, blood and stool samples as they thought I might have c-dif which is an infection. The first night I forced some clear liquid dinner and managed to keep it down. I was given a sleeping pill to finally get some sleep. The next morning I actually wanted to eat my breakfast and did. About an hour after breakfast I had diarea again and then lost my appetite for the lunch that soon followed. The tests came back yesterday afternoon and everything was negative. Hearing that news I started to do a bit of walking in the halls just to get out of bed, unfortunately after about 15 minutes I started to feel anxious again and jittery so the doctor said I could take a zanex pill. I did and was able to relax in bed for an hour or so before dinner arrived. When I awoke to dinner I was actually hungry and did eat all of it. The doctors came back shortly after dinner to say I can go home with my wife as there is nothing they can find wrong with me, which is great except that I have no idea what is wrong with me and why I dont want to eat and keep feeling like I am having a panic attack or something. The only pills I am currently taking is zanex every 6 hours as needed which as of right now I have only taken 1 in the hospital and 1 at home. When I was home last night I took 2 tylenol pm before I went to bed to help me sleep and nothing else. I awoke at of course 5am only to find I could not go back to sleep, by 5:30 I felt the panic again and opted to take a zanex. I went back to sleep and awoke at 8:30am and have been functional all day but have only eaten a few bites of a bagel and 1 banana. I apologize for any spelling errors but I am desperate as my family needs there daddy to get back to being daddy. Any suggestions or advise are greatly appreciated. Sincerely John
Coco
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Jul 22, 2011 @ 8:08 am
Just had it done yesterday and so far I am doing okay. I was able to walk to the car and upstairs to my own room after the surgery. However, the pain was so bad last night and I was regretting having the surgery done. I am the kind of person that could really handle pain, but it was so bad that was almost cry last night. Not a big fan of pain killer and avoid it as much as possible since it's not like popping candies, but eventually used it two times yesterday. So yes, you can imagine how uncomfortable it is.
I had surgery exactly two week's ago today and I was in so much pain afterwards no pain medication they gave me seemed to relieve the terrible pain from the surgery. I was given Diludid and Fentinol together and i stopped breathing three times in the recovery room. When i first woke up the pain was unbearable...i was given Percocet's by mouth every six hours and Diludid by I.V. in between. I have been through two open heart surgeries, have given birth twice,and have had numerous other procedures done and I have to say this was the most painful afterwards. I has them internally so bad that everytime i used the bathroom..even if only to urinate they bleed so badly that i felt like i was gonna pass out when i stood up. After finally becoming anemic due to the massive blood loss and many blood transfusions i was hospitalized and the surgery was done. Im feeling so much better now and for me surgery was my only option. I would only suggest surgery to those of you that are experiencing the massive blood loss like i was..if Hemmaroid creams and suppositories are helping..hold off as long as you can because like the others before me have written, it is indeed a VERY PAINFUL PROCEDURE AFTERWARDS!!!
Mark.N
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Aug 28, 2011 @ 10:22 pm
I also just had a Hemmorhoidectomy, Fissurectomy, and Sphincterectomy. And I can tell you it was Extremely Painful !! It is going on the 3rd week, And i am in constant pain. The Bowel Movements are so painful and scary, It almost makes you terrified to go to the bathroom but everyone knows it has to be done. If you ever have an alternative to this, By all Means..Do So !! I however did not have any choice because my hemmorhoids were so bad and big no other procedure would be successful. Every surgery is different for people and im not trying to tell Horror Storys but I need to share my experience with people. Taking good care of yourself afterwards is most important. Always use the toilet when the urge comes. An Impacted Stool will absolutely devastate you and will not go away until it is passed. I will say that every day it will feel better than before and Im feeling a lot better. The 2 week recovery time is a bit Underestimated. You will probably need 3-4 weeks until your Bowels return to their normal state before returning back to work. Do Not Go Back Until You Are Ready !! No Dr, Or Employer can Make You return to work against your will. There are laws to defend you in these matters. Ive seen it a 100 times and people go back too soon and end up worse off. God Bless !!
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Sep 16, 2011 @ 2:14 pm
Hi , I had a hemorrhoidectomy surgery a year ago but im still in pain and sometime it bleed when im concept . I just want ot know if is it normal..

thank you
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Sep 17, 2011 @ 4:16 pm
I had a hemorrhoidectomy surgery five weeks ago and they removed three lumps in total. I do still constipate still now, and have had blood everytime, when i go to the toilet. I'm having a camera soon to check my colon. I'm very worried in case it is Bowel Cancer. Still its better to be on the safe side than sorry. I would advise anyone to get the camera inside, to check for cancer tumours, if you are still bleeding after this type of surgery. Once we get the results back from the camera, we will post on here again to get everyone upto date. Bowel cancer is a very successful operation anyway, but fingers crossed they find out why I'm still bleeding. The worst thing is it does run in my mums side of the family, so check the history of your family, what they have had in the past. Very happy to share my thoughts on this matter.
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Sep 19, 2011 @ 3:15 pm
Day6 post-op here, and I'd describe it as hell on earth. I wish I'd done more research on the surgery recovery first. With what I've experienced personally, I'd have never agreed to the surgery if I had a clue what was coming. This is very, very painful. The pain is constant

For most of the last 4 days, I've been either on the toilet, in the bathtub, or trying to sleep off the pain. I work from home, and I've been completely unable to work - that's quite a statement.

I've had frequent BMs - similar to what one commenter mentioned - small BM, clean up, and an uncontrollable urge would hit for another one...repeat the pattern over a couple of days. I've been yelling in pain during and after the BMs. I've cried as well - not a tear or two, but boo-hooing for several minutes.

I realize some folks have relatively minimal pain and recovery pretty quickly, but there are enough folks who have a much rougher go of it. I wish my doc would have have a LOT stronger words about the recovery when I was discussing the treatment options.

BTW, I did try infrared coagulation, but after treatment 2, I was in more pain than when I started. My doc said I was one of the few that IRC just wouldn't work for and that traditional surgery was my only course of action.

If you are researching this surgery, budget 2 weeks MINIMUM of down time - no work, no social engagements, nothing more physical than a very gentle walk. My employer is very upset with me because I did not set expectations what my actual recovery has been.
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Sep 23, 2011 @ 1:13 pm
Had surgery, six inches in, I was cut and then stapled, all inside, Doctor first said body would dissolve the staples, went to Doctor today and he said I would always have the staples, what the hell! Has anyone helse had this kind of hemorrhoidectomy(?) and have you been stapled and did they just leave the staples? Upset, confused and angry. Went thru' weeks of pain, discomfort and constant seepage.
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Oct 7, 2011 @ 5:05 am
I had my roidectomy and a polyp removed 2 days ago under general anaesthetic and, wasn't prepared at all, as consultant had said that roids were going to be banded. It's been such a relief to read this forum, as I was starting to think I had a very low pain threshold (I would say the pain is only mildly less than childbirth). I'm hoping it will be worthit, as I have suffered with external roids for 12 years. My only problem is I'm going on romantic visit to Paris in one week's time and, can now see that it's not going to be as romantic as I hoped!!!
Angie
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Oct 16, 2011 @ 11:23 pm
I had my surgery 6 days ago now. And am I ever glad that I found this site. I always considered myself to have a pretty good pain tolerance. I have had 2 kids, numerous surgeries already, so I thought that this would not be THAT bad. Was I ever wrong. I has gotten somewhat better, but I would only say that it is about 60 % of where I want to be. The first day, I was even scared to urinate, and I finally did the next morning...Tense, but I did. The way I was feeling, I was scared to eat too much, because I knew that a BM would be forthcoming. Well After having the surgery on the Tuesday, finally late Friday, it came. Now I understand how people get anxiety attacks. Once it started, the tears started, I almost started hyperventilating, and I really thought that I was going to break the sink and counter that I was holding on to. I swear it felt like razor blades were passing. Once that happened, I had to immediately had to jump in the tub, and prayed it helped. IT finally did about 10 minutes later. After that, I had to run to the drug store,to try to get some kind of stool softener to help. I found some kind of liquid to drink. It was different, I drank what I was supposed to, and nothing for awhile. Then about 4 or 5 hours after I drank it, the cramps started. SO not fun... I was finally able to attempt another BM, but again, the sink breakage almost happened again. Now, 6 days later, it is a little bit better, as I have learned to not be so scared of having a BM. I literally have to calm myself down, do weird breathing, but it seems to work. The strange part, is that there is still blood leaking. More than I think should be happening. As the weekend is ending, hopefully a Dr's office will be able to give me a better idea of what is going on. I was given Dilaudid, but unfortunately it did not help whatsoever. I am back to work day after tomorrow, so I really hope things get better. If you get this done, please ask you Dr, any questions that you can possible think of, and I would recommend drinking tons of water, and do not eat anything that does not contain any fibre. Good luck!
MO
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Oct 19, 2011 @ 5:17 pm
I had my roidoctomy about a week ago and it has been very painful.My workplace friend DJ asked me on FB what kind of surgery I was going thru and how I was doing.And I replied to him with "NO COMMENT".
My surgery went pretty good, didn't feel the pain during the surgery because they put me to sleep.
After the surgery is when all hell broke loose , whenever I had the BM, it was excruciatingly painful.Urinating was tough the first couple of days.
This week's home recovery has been a challange.I have been taking two Percocet tablets every four hours for pain med's, I was still suffering with the pain during the BM.The bleeding and the swelling was pretty much common after the surgery.The sitz bath helps ease the pain, but doesn't get rid of it.I believe it is best to stay with liquids till this trauma is over, avoid taking solid foods till the first three weeks go by if possible.And stick with dietary fiber rich foods , fruits and vegetables to prevent hoids from coming back.
Mary
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Oct 20, 2011 @ 7:19 pm
It has been 10 days since the full hemorrhoid surgery and agree it is the WORST pain ever! I've had a brain tumor and other surgeries, but this is the granddaddy of them all. Hemorrhaged a week later from sitting too much, but got that under control. Pain is diminished but the lack of BM control is very hard to deal with. The best thing I have found is using those plastic sitz baths after every BM, with warm water. I am TRUSTING that eventually I will function as a normal human being again! Maybe the best thing is to get a hotel room and hire a private nurse unless you want your bath and bedroom to look like a war zone!
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Oct 21, 2011 @ 5:17 pm
I had rubber banding down on two internal hemmorids. I was told to take Tylenol and could go back to normal activity. They were so wrong. I was out of work for over week. The pain was horrendous. Called doctor asking for pain meds, which I found out cause constipation so had to take stool softener. The stool softner was so bitter. I threw up. The pain med knocked me out so I could sleep. I was up and down all night long for three nights in a row. Sitz bath was the only time I got relief. I did see one of the rubber bands in the toilet. The other one who knows. I was told not to come back for two months. The doctor did not tell me how much pain I could possibly have. I was so discouraged on day 5,I was crying and couldn't stand it. I did go back to work this week and am feeling much better. I had a hysterectomy in 2003 and the pain was never like this. I also have external hemmorids. The doctor said that rubber banding was the way to go beacause the surgery is very painful. I am drinking at least 6-8 glasses was water a day. Putting more fiber into my diet. Thank you all for your comments to know I was going crazy.
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Oct 22, 2011 @ 2:14 pm
I meant not going crazy in my previous post. Still bleeding a little after the rubber bands and hemmorids fell off. I am getting tired of the whole ordeal. I need to be more patient.
Aless5
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Oct 25, 2011 @ 5:05 am
It's been 8 days since my surgery, it has been the same bad story for me as well. Get this surgery only if you are suffering uncontrollably from the roids. I am only posting this because as disgusting as it is, I have the only way to save the grief after a bm. Do it in the bath, sit up, try and lean to 1 side ( on hip) and just relax, it will come out with little effort and the water breaks it down. The recovery time after bm is very short, (better than 1-4 hours)but I did only try this from day 8. I take a stool softener before bed and drink 1 glass of prune juice. I take digesics every 4 hours for pain and drink water all day. My diet is lite but still eat pretty much what I want. I'm 40 years old and have 5 kids, this is worse than any other pain I have felt. I have chosen now to stay positive and take my healing 1 day at a time. Reading these comments is helpful but can also make matters worse. Good luck and remember everyone is different :)
Aless5
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Oct 25, 2011 @ 5:17 pm
Good News!! Day 9 had a bm with only little pain, (on the toilet) yippy, I'm very excited and I only hope this lasts. So remember, take each day as it comes and know you are different to others. There is light at the end of the tunnel, you just have to believe in that. Remember a stool softner before bed with 1 glass of prune juice, keep ur Meds up every 4 hours and drink water all day long. Good luck :)
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Nov 19, 2011 @ 4:16 pm
I wish to god I had read your stories before I had this surgery because I wouldn't of bloody had it! And I as many ladies on here would also class it as more painful than childbirth and I have had Two natural births! I had my surgery 4 days ago and I have just finished screaming after a bm! Unbearable constant pain wish to god I knew what it would be like. For anyone thinking of having this op please think very carefully before going ahead and I hope everyone who has written above is feeling a bit more human now.
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Nov 20, 2011 @ 11:11 am
i need OP on 6 Des. i want to know what to exspect.
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Nov 21, 2011 @ 6:18 pm
Hang in there guys, I felt so much better after 2 weeks, you will be ok.
Close to my 6 weeks and all good.
Kim
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Nov 23, 2011 @ 9:09 am
I had two external hemmorhoids removed five days ago. It wasn't as horrible as I thought it would be, felt more like I had been scraped really badly by a cheese grater.. sort of raw. Now, however, after feeling no swelling, I have small puffy clumps that feel like small hemmorhoids..They don't hurt, but I'm scared I have new hemorrhoids.. Anyone have this happen? The first three and half days there was nothing, now this... very frustrating...
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Nov 27, 2011 @ 1:01 am
I had the internal and external surgery and I can honestly say that I would never do it agian.It has almost been 3 weeks since I had the op and I still think that I would have rathered suffer the hemroids for the rest of my life. It has been a battle to say the least. Having a 1 year old crying to be picked up and not being able to do anything for him without suffering the pain and hurting myself even worst.I had a c-section with my son and that does not even compare to what I am feeling still.I also found that I got a bad rash/diper rash from wearing pads all day long which made things even worst. All I can say is good luck to who ever ops for the procedure and for god sakes try everything you can do to make your stool as soft as it can be!
Jfree
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Dec 3, 2011 @ 1:01 am
I am at 22 days now and just got back to being able to work a couple days ago. i wrote this to the a-hole doc I had my hemorrhoidectomy from.

On my first visit / exam with you , you had little bedside manner, but I have had good doctors that did not have this at first. This is not a big factor for me. During my visit, with you, I asked and you recommended a hemorrhoidectomy and said it was the only procedure for the size of my piles.

In asking you about time to plan for recovery, you seemed reluctant to state how long recovery would be. So, I asked, "5 days?, 5 to 7?" You suggested that was about right. So, my planning with work was to be ready to miss 1 week of work. I was optimistic as every surgery in the past the recovery has always been way quicker than expected. I am very well aware of pain and recovery from surgery. I can handle pain, expected pain, but guessed meds for 5 days or so would be enough.

You told me it was "the most painful surgery of all that you do", WHEN, *** AFTER *** I had the surgery. No, you are not alone, just read a forum like this one. Here is my biggest point, you need to raise above that level. You need to be the stand up physician that does not end up with someone like me that, if I had been briefed correctly, I would have likely chosen not to have the procedure done.

My other complaints include:

The very slim, written, post-surgery instructions you provide cover most, but some human overview of the pain meds and such should not be assumed. Most recoveries are not anywhere as complex. One lays around, washes in whatever way possible and takes pills as needed. Here, bowel movements create unbearable pain. Pill management is much more difficult. Baths are needed after every BM. Lidocain 5% ointment that I got by calling your line from another Doctor, (Chung?) ended up being very helpful.

While squirming in pain frequently and fearing bowel movements like torture, I looked on the web and found that most discussions of this procedure leave the patients wondering what kind of Docs like you that tell us 5 - 7 days for recovery. I think if you were honest and said 2 - 4 weeks, you might lose some patients, perhaps that is your alterior motive. During the call with Dr. Chung, he said he gets his patients to plan 3 weeks off of work. You could have spoke up if you thought I was in denial about 5 - 7 days, but you said that is about right.
In a few minutes you could have explained how to adjust stool softeners and made sure I had some 5% lidocain cream. On my first visit from pain about 5 days after surgery, you handed me a tube of 2% lidocain cream. WTF! - you had to know that 5% was available and could easily have written me a prescription. Seems to me that patient comfort should be higher on your list.

So, why would I write a letter like this. I wonder myself. I am pissed that you did not care enough to prepare me much better. I feel violated to have gone through so much pain that at minimum, I should have been forewarned would be there. If I was the litigious type, I would think about suing you, but that is not in my makeup. All I really want is for you to learn to be better at your next opportunity. You are a veteran. I am certain your surgical skills are great. Being a Doctor is a magical thing. Your lack of preparation and planning to make this experience as painless and at least to give me realistic expectations of how bad it could be is scandalous. The magic of being a physician is more than the technical side. On the human and forthright side, you need a ton of work. The pain one survives during the recovery is similar to torture. For the better part of the first two weeks, the pain I suffered kept me thinking that this is just wrong.

So, my only hope is that perhaps you can learn from this. That is all.
Jfree
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Dec 3, 2011 @ 2:02 am
Doc has not responded to the email. I feel good that I did not use his name, but I really wish I could. Chime in if any of you were given a 1 week or so estimate for a full hemerrhoidectomy. When I was in the recovery room, doc tried to give me a picture of the "piles" he had removed. He said they were larger ones.

I now have to figure out for a final follow up if I should go to the other Dr. I mentioned. Dr. Chung, he almost sounded appalled when I described the 5 - 7 day recovery quote. He said he tells his patients to take 3 - 4 weeks off from work. Right on! Dr. Y (my doc) just needs to change his ways.

I am guessing that a doctor like this cannot respond to such an email as I noted above. Lawyers would want to keep any litigious documents to protect, just if there was a suit. I like my take, I just would feel so much better to at least have him acknowledge receipt of the above letter.

The email above was modified a bit, the gist is unchanged. I had to chop it down to under 4000 characters.

Would love any feedback. I chose not to display my email, but hope that I can come back here and see similar takes. As ugly as discussing the procedure, I lose my shame. I have already found two friend/acquaintances that are considering surgery. I think I saved them the torture that most of us have been through.
Jfree
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Dec 3, 2011 @ 2:02 am
Doc has not responded to the email. I feel good that I did not use his name, but I really wish I could. Chime in if any of you were given a 1 week or so estimate for a full hemerrhoidectomy. When I was in the recovery room, doc tried to give me a picture of the "piles" he had removed. He said they were larger ones.

I now have to figure out for a final follow up if I should go to the other Dr. I mentioned. Dr. Chung, he almost sounded appalled when I described the 5 - 7 day recovery quote. He said he tells his patients to take 3 - 4 weeks off from work. Right on! Dr. Y (my doc) just needs to change his ways.

I am guessing that a doctor like this cannot respond to such an email as I noted above. Lawyers would want to keep any litigious documents to protect, just if there was a suit. I like my take, I just would feel so much better to at least have him acknowledge receipt of the above letter.

The email above was modified a bit, the gist is unchanged. I had to chop it down to under 4000 characters.

Would love any feedback. I chose not to display my email, but hope that I can come back here and see similar takes. As ugly as discussing the procedure, I lose my shame. I have already found two friend/acquaintances that are considering surgery. I think I saved them the torture that most of us have been through.
ico
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Dec 8, 2011 @ 6:18 pm
haemoriod suqgery.
I had sensational pain and bleeding with uncomfortable slimy mucus at my anus. So my Dr. Said i had 3rd degree haemoriod.
the most painful thing in my life.
Anaestasia on my spinal cord made me feel no pain for op that lasted just 1hr. I heard it was painful but neva knew it was this extent, am 29yrs from Nigeria male, i decided to go for d op 2nd Dec 2011.
I'v been on liquid food, and fibric foods today 9th Dec, i urinated with scary pain d next day after d op and d jerking pain subsides as d day goes by. My ass now looks like a vagina lol with d stitch lumps but will stretch out sooner like my Dr said. Am taking vit c, tramadol, flygil, and oil parafin which seeps frm my ass lol. I am on sit warm salty saturated water bath, am praying to GOD that my 1st toileting not been painful. Am not having any swelling or bleeding. I wil be a lot betta by d Grace of GOD. I persistently confessed +vely to my antisipated 1st BM that it can NEVER pain me and back it up with drinking water, stool softner oil parafin, and eabric fruits am 1wk old after op.our
bodies differs with recovery.
Best wishes!
Deanna
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Dec 15, 2011 @ 6:18 pm
I had a hemheroidectomy on November 4th, hoping to feel better by thanksgiving. It is now December 15th and I am still taking pain meds and suffering a great deal when my bowels feel full. tonight, 6 weeks after surgery, I had a VERY bloody bowel movement. Really? I thought I was finally getting better! Anyone else have any thing like this happen?
nicole
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Dec 19, 2011 @ 2:02 am
I have been suffering from roids for off and on 3yrs due to childbirth I know I dont have a good diet because im always constipated. Im too embarrassed to go see a doctor but my roids hurt so bad that I can hardly walk. I buy otc meds and suppositories to relive pain. Thinking about going to the ER tommorrow but, im undecided Should I go or just wait it out?
kd
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Dec 22, 2011 @ 10:10 am
Been bleeding heavily for almost two years from 'roids. It got so bad it looked like a scene from Dexter after every BM. Nothing helped. Doctor blamed it on heavy weight training. Finally got ligation in a painful but fairly short procedure. Some pain but went back to work the next day. No more bleeding and BMs are less and less painful. Difficult to urinate on 4th day but, mostly, so far so good. Definitely preferable to pre-operation.
Linda
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Dec 23, 2011 @ 5:17 pm
Had my second internal hemriods tied off today. I have pressure but nothing that uncomfortable.I'm having a third one done in a couple of weeks. I have external roid's too.But I am afraid to have them removed because of all of the pain people say they have. I want a consulation first. Maybe I should just live with it.I don't know what to do.
Mel
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Dec 24, 2011 @ 1:01 am
I underwent surgery on 12/13 for both internal and external hemorrhoids resulting from childbirth. This is, by far, the most pain I have ever experienced in my life and I am quite certain that even if I developed another hemorrhoid, I would not undergo this surgery again.

For those looking at undergoing the procedure, I will offer my advice. Sitz baths are amazing. It's hard to get up and take care of yourself when you feel this bad, but the effort will be rewarded. Do not "chase the pain". Stay on a good medication schedule. Ask your doctor to prescribe Lidocaine 5% ointment. Sit on an ice pack. Try to walk around to get some endorphins and prevent constipation. BMs are incredibly painful, so be prepared to start a Sitz bath right after you go. I use baby wipes instead of toilet paper.

I too, feel that this surgery wasn't explained as thoroughly as I would have liked. However, what's done is done and I'm looking forward to feeling better. On the other hand, I'm highly doubtful that two weeks is a sufficient period of time which to expect to be fully healed.

I welcome someonelse to give me his or her advice. Oh, and to the people on here talking about anal sex--what's WRONG with you? Doesn't your rear hurt enough???
Lauren
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Dec 27, 2011 @ 10:10 am
I had my op 2 weeks ago today, I had 5 hemorrhoids injected and banded both inside and out, I've also had a skin tag removed and stitched. My problems started during my 25th week of pregnancy when I was having trouble with bowel movements. My doctor warned me about the sever pain I will have but I never thought that 2 weeks on I will still have trouble moving, walking, going to the toilet etc. I still have bleeding after every bowel movement and pain that nearly makes me pass out during bowel movement and have even lost a stone in weight since the surgery. I'm on heavy pain killers that sometimes dont ease my pain. Luckily I have excellent support from my husband and friends. I sometimes worry if it is normal for me to still be in this amount of pain after 14 days!
scott
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Jan 4, 2012 @ 12:00 am
wow, i feel terrible for some people on here that had bad pain immediately after and beyond that. I gotta think that the doctor himself has something to do with it. My doctor came very highly recommended here in the metro Detroit area and he was really awesome. Now I must admit that I only received the surgery 12 hours ago, but Motrin 800 has taken most of the sharp pain away.dull pain is constant. and I hate to say it but I have not had that first BM yet.my message might be different had I waited.I am totally expecting to have major pain when I do have the BM...I hope it comes 30 minutes after I take the med and hopefully the stool softener is kicking in too. I am glad I wont be dealing with bleeding, itching, cant run, gotta push it back up my butt problems on a regular basis after a month or so.
Lori
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Jan 12, 2012 @ 9:21 pm
I am one week out from internal (4 stapled) and external (2 cut and stitched). All due to pregnancies 17 years ago. I must say, the worst pain I have EVER experienced. I too have a high threshold for pain and this surgery has literally brought me to tears every day. To add insult to injury, I am not taking any type of laxatives as is apparent, my body is making it's own. I am in the bathroom every 15 to 20 minutes with extremely watery stools and severe stomach cramps. This is new for my 'regular' schedule. Has anyone else had this problem? Kinda freaking me out a bit. Too soon in the game to determine if it was worth it.
Pacy
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Jan 22, 2012 @ 8:20 pm
I AM A 26 YEAR OLD WITHOUT CHILDREN,BUT I VE BEEN SURFERING FROM THIS DESORDER FOR 6 YEARS NOW,COUSED BY CONTISPATION,I WAS DIGNONISED MY TREATMENT WORKED BY RELIEVING THE PAIN,I AM SCARED TO GO FOR SURGERY THAT MAYBE THEY WOULD COME BACK WHEN I GET PREGNANT,THEY COME OUT MOSTLY AFTER RECTAL MOVEMENTS,I USED TO FEEL EMBARRASED TO TALK ABOUT IT BUT I VE LEARNT TO LIVE WITH IT JUST LIKE MOST OF YOU PEOPLE,I WOULD LIKE TO KNOW IF THESE ANY NATURUL HERBS THAT CAN CURE HEMMOROIDS..

THANK YOU
Kevin
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Jan 25, 2012 @ 1:13 pm
Had it 2 wks ago and it was bad but not nearly as bad as I thought it would be. My Dr. is an experienced colorectal surgeon and I think 'rhoids is one of his specialties. I am not completely over it but maybe 85%. He's on my list of good guys! My only regret is that I didn't do it sooner. One word of warning: watch carefully when they take out your IV. The woman didn't get enough pressure on my IV site when she removed it and I bled quite a bit under the skin and set up a cellulitis infection. Bad enough to have one thing not feeling good, not to mention your hand and wrist swelled up and red. I know this was unintentional and happenstance, but it does occur. Watch your IV site carefully. When they go wrong, the after affect can last a long time.

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