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.
Sarah
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Feb 10, 2012 @ 9:09 am
I had mine done two weeks ago today. The first few days weren't too bad at all then i had my first BM & was completely shocked at the pain. Was glad i'd been taking the stoll softeners! Each time afterwards has got a little easier & I was thinking I would be mostly back to normal by this stage. However, an infection has developed over the past couple of days which has aggravated things & the pain level has increased again. However, this only really a problem around the BM zone, in between i'm feeling pretty good. I have lived with these things for over 20 years, through 3 pregnancies & I can honestly say it was worth this amount of discomfort to finally get rid of them. I do still worry about complications though and about the increased risk of later life incontinence particularly so I may change my view if this infection takes hold & i find myself with further problems. fingers crossed...
Lavon
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Feb 13, 2012 @ 8:08 am
Well I am 25 year old female and I am having a hemrroidectomy done 02/14/2012 Happy Valentines to me and I am very nervous about the pain more so everything. Hopefully they give me meds that will controll the pain. I will update soon on how im feeling
Mary Keaney
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Feb 25, 2012 @ 5:05 am
Have been trying to ask a question about leg pain following surgery but keep being told "bad language is not allowed" I have not used medical terms only. What can I do.
Nikki
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Feb 29, 2012 @ 8:08 am
It will be five weeks tomorrow since my procedure and although I'm not completely healed I am better. This recovery has really taken a toll on me psychologically and I'm just ready for it to be over. I must say that I have gotten back to my normal routine slightly the only time I'm dreading things and almost scared out of my wits is when I'm having to have a BM. I'm normally on the toilet for hours comtemplating when I'm going to bear down. The pain isn't anywhere as excruciating as the first two weeks but it still isn't pleasant. It burns and stings but afterwards it normally subsides but the fear of the burning normally gets me all worked up. Is there any advice as to how I can prepare myself mentally for the BM's or make them less painful?!!
sufferernomore
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Feb 29, 2012 @ 1:13 pm
went for this surgery on 3rd Feb 2012...after 26 days...BM's are still a pain...especially at the start of BM...there's a thick yellow liquid at my anal's opening...any idea what it could be? Is it normal?

Fiber, water, stool softner...nothing seems to be making the BM easy...it's a sharp pain which I need to bear every morning...I am sad, worried and cursing my self for opting this surgery...any advise??!!
Ashaz
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Mar 8, 2012 @ 7:07 am
Before and after surgery, it is really really important that u give some kind of exercise to ur stomach (like massage on abdomen or walking if possible) this helps in BM
Try to avoid painkillers, because every painkiller has either paracetamol or ibuprofen or diclofenac, etc. and these cause severe bleeding and constipation in many people. U might want to stop the painkillers for 3-4 days (and bear the pain until then) but then u will see for yourself that bleeding reduces and STOPS. Do not take too much chemical laxatives as they can also cause swelling in rectum and bleeding and also swelling of lips,throat, etc. and cause more problems for BM since your bowel start depending upon them for making BM. You must must eat only boiled vegetables and fruits like dry figs, raddish, and try adding a little olive oil in ur diet as it helps to cleanse bowel easily. VERY IMPORTANT: Use KALONJI Oil with REAL PURE honey about 2 teaspoons daily (english name is Nigella sativa) it is the wonder herb known to Arabs and Indians to heal and finish any disease on earth. It has been used since times when there was no science of surgery more than thousands of years ago ! The difference will be visible usually within 3-4 days.
May GOD help reduce the sufferings of the sick
Jodie
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Mar 9, 2012 @ 5:05 am
I had the surgery 5 days ago, and just wanted to say that my experience has been a lot different to a lot of others on here. I read this page & comments 2 days before my surgery & it nearly made me phone & cancel & scared me rotten! But i have been pleasantly surprised.. I hd both large internal & external skin tags & the only pain i have felt is burning pain during & after a BM which is relieved by sitting in a warm bath afterwards. Usually fades within 30 mins max. A bit sore to sit down on, but otherwise ok. So it's not always absolutely terrible- don't let others experiences put you off! Good luck to everyone, hope you are as lucky as me.
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Mar 15, 2012 @ 3:03 am
Hi all, i am typing this laying in bed, recovering from my second surgery in less than a month. I suffered from both internal and thrombosed external hemorroids. I never had any pain just was sick of ruining my inderwear from the bleeding. I decided to have surgery which was one march 10, my recovery was very similiar to others on here. A nightmare! I think the anticipation of knowing your going to have a bm is the worst part! After my 3 week checkup i noticed two little round things hanging out of my anus that were very sensative to the touch. See the dr, next day i am in the or having skin tags removed,.. So 2 surgeries in 3 weeks! I am almost 2 weeks into this recovery, still bleeding heavily with every bm, and i see something else abnormal, another hard round thing! I am freaking out, called the dr and he said bleeding is normal and the round thing is just the swollen remains of the skin tag. Will this ever stop? I am bleeding with every bm, will that stop? Please email me. I should be up unlesd my percocets kick in.
Taofeek Lawal
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Mar 15, 2012 @ 11:11 am
Please I suffered from rectal spasms and hemmoroids pain,and i want to know if you can operate it for me to make me confortable while i will give you the details of the pains...Thank and i will like to read from you soon.
Sara Bryant
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Mar 16, 2012 @ 3:03 am
Hello all. I have had stage 3 and 4 hemorroids for about 10months now. First tried rubber band ligation it (i guess) it helped a small amount with some of the in iternal ones but not fully. About two to three months later I had botox injection, then about another month and a half later I had the stapled hemorroidopexy. I had it on Valentines day. Yay me! It seemed to work for the first week and half but now I have two more thrombosed one's and a skin tag. It's been nearly five weeks and am still suffering. Bleeding, discharge I have been thinking was pus but now Im not so sure. I almost wish they had just removed them. I am getting tired of being poked and proded, with no relif. Should I request them removed? Another thing that is probably having an effect is that I have a connective tissue disorder in which I dont heal well, make enough collagen and have weak connective tissues. Which just happen to be in everything! What should I do? I see my Dr. on March 19th for my five week checkup.
Glen
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Mar 17, 2012 @ 5:17 pm
Hi everyone. First I want to say, everyone and their body is different so we will all react very differently to this surgery. I'm a 54 y.o. female who has NEVER been in hospital. On top of that I have a high tolerance to pain. I tried for a year various creams, natural and alternate cures, without success. Whilst the surgery has not been as bad as many have experienced, it certainly has been uncomfortable in the extreme and taken the wind out of me. I would encourage anyone considering surgery to research extensively and try out as many of the natural cures as possible. In my case, they certainly did not prepare me for what I could expect post surgery so you have to take the responsibility yourself and ASK lots of questions. It's 10 days now since surgery, my bleeding (which was never heavy, just weeping) seems to be abating. The pain was not too bad, more just very uncomfortable but that's now been replaced with a knife like burning/stinging which is hard to take. I've rested a lot but from the day after I came out of hospital, have commenced my daily 45 minute walks and other activities fairly normally - though I do stand up rather than sit when I'm working on the computer! I agree with what most people here are saying, if you can avoid the surgery by trying other methods, do so. Apart from anything else, the general anaesthetic has side effects (no one told me about that!) that really knocks you and stays in your system for days afterwards. I feel constantly bloated (even when I've just had a BM) and as someone else here said, pass a lot of wind. BM was painful the first couple of times, not now but I have the worst stinging/burning instead. It's confusing, some say have salt sitzbaths and others say just plain warm water! You have to work out what's best for you.
So best of luck everyone and take the responsibility yourself and the time to RESEARCH all options before you commit to surgery.
Blessings
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Mar 20, 2012 @ 9:09 am
Had Hemorrhoid surgery Nov.12, 2010,having pain still even now and it is March20,2012!! Now the Dr. says I have lumps @ staple site and have to have more surgery!!! When will it ever be over with NO MORE PAIN!!!???
Chris
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Apr 2, 2012 @ 4:16 pm
7 seven days after rhoidectomy. 4 internals removed, 1 external removed. Still on pain killer, IB, stool softener as directed. My diets are purely high fiber veggies/fruits. Lots of water and 3 cups of prune juice. These helps balance out the pain killers since they cause constipation. BM on 3th/4th/5th/6th were extremely painful. I am a male so I am not sure how the pain is comparable to child laboring. However, I watched my wife laboring our 2 kids, it probably is as comparable. On the 7th day of BM, it is a bit less painful and I was able to control/empty all the stools. I could see things are improving as going forward.

Things that works for me:
- warm water applied (sits bath or standing in the bathtub with removable shower head) while urinating and after BM.
- clean the wound with warm water after BM to prevent from other infection.
- eat high fiber veggies/fruits for the 2 weeks.
- stay away from high protein meat (Dark meat, beef, ...)
- apply Vaseline at the anus before/after each BM. This helps stools for the ease of passage.

BTW. I was scheduling for 1week off as instructed by the doctor. However, I just extended for another week.

Good luck everyone!
Tough girl
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Apr 18, 2012 @ 2:14 pm
5 days after hemorrhoidectomy still painful. I thought I'm tough enough, NO! Tattoo my own tattoo includes my areola, but this is the worst pain in my life, i came from foreign country had surgery on my foot and forehead without no numb or anathestic agents just raw at age of 7 to 9. Just had my birth three months ago and the pain was unbelievable left me with this swollen hemorrhoid so irritated and saw my colon dr. He said just an easy one yah right! I was in and out patient the numb was still there I thought this isn't bad I can go back to work next day and the story began when I had first bm. I got blood clots and infections not by the cut I almost pass out I was shaking and tears just running out I couldn't seat on the toilet feeling like my whole bottom was cut out ( ouch!) I was avoid to eat too much but light meal or soup and the dr. Gave me endocet and was not helping but made my heart beat rise dizzy headache and want to throwup. I only took Tylenol but I tried to eliminate it for my liver problem. I remember what I treated for my areola tattoo infections was anabiotic powder I know sounds weird I break the capsule pour the powder inside on a piece of tissue paper and use the q tip wet it little and roll that anabiotic powder and use small mirror goes underneath you bottom and slowly apply on and it sting a little but it helps the healing goes faster and less throbbing pain, repeat it everytime when you pee or bm. I kept my spray bottle that I had from the hospital after child birth and fill it up with warm water and add few drops of soap to wash my bottom after bm you don't have to run into shower or bathtub. The sitz bath helps release the pressure but It make your insistions longer to heal, make sure you towel dry before u apply the anabiotic and I oral took some capules too after I stop take endocet. I'm feeling alot better while writing this post. This is my own experiment and works for everytime different people are very should ask your dr first. Hang in there and be patient it's will be over soon.
Karen
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Apr 28, 2012 @ 10:22 pm
the worst pain ever. I regret having the surgery. Doctor unresponsive. please do your research for other options. there is no pain like this ever. I had my surgery seven weeks ago can still experience pain while defecating. Its a burning, sutures feeling. I truly regret my mistake.
mindy
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May 14, 2012 @ 1:01 am
Hi everyone, I just had the surgery done 5/8. i have no idea how many were removed as the doctor never spoke to me while i was in the hospital, i am supposed to go see him this week i believe. this has been a very trying time dealing with this. ive had hemorhoids for 15 years, got them when prego with my daughter and im 33 yrs old now. about a week and a half before the surgery one of the 'roids went crazy and the pain was excrutiating which lead me to go to the ER. doctors told me i needed surgery and referred me to a surgeon. the only real thing i was told was i would want to be knocked out for the surgery. ok, well ive had natural childbirth 2 times and a gallbladder removal... ok i can hang. the first few days are a blur of pain and medications. i was perscribed i think it was around 500mg vicodin, lidocaine ointment, stool softener, and bactrium. the vicodin and lidocaine didnt touch the pain. the lidocaine actually made the pain worse, so ive stopped using that. luckily i still had some 725mg vicodin from getting my wis tooth pulled and took that every 4 hours for pain for the first few days. about the 3-4 day i dropped down to the lower dosage every 4 hours unless i can hold off. i have been on a liquid diet and not taking the antibiotic or stool softener until yesterday because i have a massive fear of medications (stupid i know). today the bowel movement was crippling. i dont know if the stool softener did it or what but little 'balls' of feces had formed and they 'shot' out causing massive pain- do keep in mind, im on a liquid diet- broth, jello, apple juice and loads of water. now there is a sharp pain on the left side of my anus. baths help some, it allows me to dose off some, since all this happened ive spent probably close to 1/3-1/2 my recovrey time in the tub. i havent sat down once since the surgery, unless it is to sit on the sitz bath. i have problems urinating and can only 'go' sometimes when hovering over the toilet, sitting on the sitz bath or in the shower with warm water directed to that area. i did take the advice of another poster and used the sitz bath idea to get my bowels moving, that is wonderful thing. i also have problems passing gas now and can't tell the difference between gas pain and bowel movement pain. i pass the gas by using the sitz bath. After bowel movements, i get in the shower and direct a gentle stream to my anus area to cleanse it. i don't use soft cotton or toilet paper, heck i can't even touch that area gently with my own fingers. i did get a mirror yesterday to look and all i seen was a lot of bruising and what appeared to be 2 skin tags.

please listen to me when i say this is a painful painful surgery. granted im almost only a week in, but people aren't kidding when they say they question living, and the pain is excrutiating. im not trying to scare anyone, just prepare you. try your best to remain in the hospital under their care for as long as possible, they have stronger pain meds that might help you get through the first extreme days. before the surgery, start a higher fiber liquid diet. prepare meals for your family ahead of time, and have someone there to take care of you while youre down.
im hoping tomorrow will be better, im so tired of hurting.
take care and i hope you all have an amazing day and feel wonderful very soon.
Kelvin
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May 15, 2012 @ 5:17 pm
Am Kelvin from Nigeria..
Have Been Living with this Pile for 2 Years.. took all kinds of Harbs..Tablets and Injections None seemed to work.. I had an Option for An Operation but when i taught about the Pain involved after the Operation i could'nt take the chance Not Until i found Out the Easy way to Kill and Stop the Pain.. First.. I stopped drinking or eaten anything that contains Sugar like Minerals... Alcoholic drinks... I had to stop Smoking as well... I eat More of Protain than Cabonhydrate foods.. Eat fruits and Drink lots of water... What gave me the total relief is Simple to get and Cheap to buy.. I Make Sure every Night Before i sleep i took 2 tablets of Bixacodine.. And i use blood capsules which contains Ginseng.. I took the Ginseng Blood capsule 1 3 times every Day.. 1 Morning 1 afternoon and 1 at Night hour.. Do this for 2 weeks and you will get your total relief of Pains... Make Sure you Avoid intake of Alcohol or Minerals.. If you want to get total relief of your Pile.. Thanks and God Bless..

Kelvin Dike
mindy
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May 17, 2012 @ 5:17 pm
hey everyone,
i just wanted to pop back in here to give an update on my recovery (had surgery 5/8/2012). things are going really well now. infact ive reached the 'itchy' phase, there isn't any real pain, just soreness and my rump itches, which means it is healing.
infact the pain is at such a low level im not taking any pain meds at all right now and haven't since yesterday. i still have not sat down as i don't feel my backside is ready for that yet. i also have moved back to super soft food like mashed potatoes for the mean time. i am trying to up my fiber intake by nibbling on 1/4 cup of fiber one cereal through today so it will go easy on my system.
i also went to the doctor yesterday and he said all was healing perfectly and tissue was still swollen. he said there will still be pain but each day i should continue to improve.

my bowel movements still hurt like heck, but the massive pain lasts for a short time then retreats some. This started yesterday, afterwards, I climb into the shower and use the shower stream to cleanse the area and direct warm water to that area. This helps soothe the pain some.

again, i will say the surgery is very painful, but i am total proof that it DOES get better. just try to stay on your stomach/side as much as possible. Soak in a CLEAN tub of warm water frequently (also make sure your feet are clean before getting in there), use a sitz bath that fits on the toilet to help with your bowel movements. It sounds totally gross, but it lessens the pain and lets things move a lot easier. Viva paper towels are super soft and assorbant as well as sturdy which helps with blotting dampness away from delecate areas, ive found they are softer than terry cloth washclothes. Whenever you can sleep- DO IT. Heck if you are able to, another idea would be to remain bottomless (without under garments)as much as possible to allow for air circulation.

Above all, try your best to relax and heal. Watch movies, read books, craft, write, whatever you enjoy. Keeping your mind occupied helps manage the pain as well. There are tons of movie sites online like netflix, amazon video and crackle. heck there is even YouTube to watch.

Take care all and I hope you all feel wonderful.

I will post again when i am able to sit again and the pain is completely gone so everyone can get an idea of healing periods and if i come up with other ideas to help out.

~Mindy
Shaf
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May 23, 2012 @ 7:07 am
Mindy et al.,

Many thanks for sharing your thoughts and experiences. No two individuals are the same and the amount of surgery varies of course from one person to another. Add to that, that a lot of people who go through the procedure without too much hassle will not have any horror stories to share here. So it's very difficult to know what a typical experience is. So please do not rely on this forum on trying to decide whether you should have the op or not. Know that the op should be fine and the post op recovery WILL be painful, and for some folk the worst pain they've experienced. But, no pain, no gain. and returning to work with a week off may be possible for smaller ops, but not for external piles imho.

So recovery tips in summary, from my experience:
1. Lots of fluid. This helps to avoid constipation.
2. Macrogol based stool softeners/osmotic laxatives (such as Movicol) which ensure that water is absorbed into the stools making them softer and easier to pass.
3. High fibre diet (I'm UK based and so I'm allowed to spell it like that!!) and reduce unnecessary solids that won't easily digest. Try more soups and less red meat, say. Remember, if you need to go less frequently for a BM you are increasing chances of healing between BMs AND thereby causing yourself less agony!
4. Consider soluble fibre supplements such as Benefiber powder, which is tasteless and totally soluble
5. Take prescribed analgesics (painkillers) round the clock and don't come off them too early. If you have had general anaesthetic, you will be benefiting from that initially which masks the true pain to come. Some of these drugs add to constipation and you may be tempted to leave them for that reason - forget that, you need them. The additional fibre should counterbalance that.
6. Using warm water to clean and relax muscles can help
7. Some people find a prescribed ointment called Diltiazem aids in the healing process. You should enquire about this from your doctor/surgeon
8. I was advised to walk, but was told this was to assist in avoiding constipation. I would say to rest and allow the wound to heal. As Mindy says, rest and allow the wound to heal. If you have an open wound from external piles, they are VERY raw at first, so gentle cleaning and air to breathe are good for them. If you have underwear that hospitals provide, you will see they are net/meshed based and allow good air flow whilst providing support. These are very useful.

Why does nobody get told all this good stuff BEFORE they have the surgery?!!

Best wishes all!
Shaf
grace
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Jun 5, 2012 @ 12:00 am
hi ive been on a hemmoriodectomy last may 28,2012...when the anesthesia subsides it hurts a lot..i cant sleep on my first night..but after that night i felt better...i can sit long like with no surgery at all.i just have pain when i went to the comfort room and pass my stool but it was not that pain like the first day. my only problem is that it seems that my incision is swelling...i felt less pain because my doctor told me that my hemmoroids were too little.. so if you have hemmoriods..do the surgery when the hemmoroids are still small
Mindy
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Jun 11, 2012 @ 12:12 pm
Hello everyone,
I'm back for an update. If you look up a few posts, you will see I had my procedure done on 5/8/2012. Well, I want to let you know, I am sitting down on my chair now, it is a little uncomfortable but it works. I started driving again yesterday. Up until then it was a lot of pain when I tried. Also, bowel movements are almost completely pain-free.

I can do pretty much what I want now I believe. Granted, I am not going to over-do it because I don't want any pain again, but I am feeling quite well.

BTW- I did find out I had a prolapsed hemorrhoid and a few others.

Grace: About the swelling, I went through that as well. My doctor said it is normal and that area will be swollen for awhile. I was so scared the hemorrhoids had returned because of the swelling, but they didn't and everything is fine now. Hope you get well soon.

Alright, I am off of here. Take care all and I hope you all have speedy recoveries, feel amazing and no longer have to bow down to these pains in the rear.
~Mindy
Cindy
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Jun 25, 2012 @ 4:04 am
Hi everyone,Im so glad for the peoples comments ,I really thought I was alone.I went through hell, its like nothing Ive ever experienced before,I thought I would die.Three different episodes had my piles taken out,I started to think its my docter,I was convinced he did a bad job ,cause the people convinced it cant take so long.Thank You this is a reassurance.if I knew what I know now I would have never done went for the Operation.

Regard
Cindy
Kassi
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Jul 17, 2012 @ 2:14 pm
I am scheduled for my hemorrhoid surgery in November

I have both internal and external. She said she would be using a "pain balloon" for afterwards to help with the pain. Apparently it is a catherer that goes on either side of the anus and when you are in pain you push a button and it injects pain medicine right to the source. It lasts for 4 days. Has anyone ever heard of this?! I can't find anything about it.
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Jul 28, 2012 @ 8:08 am
I am scheduled for my surgery on Aug 6, 2012 to remove internal hemorrhoids. The doctors states that they are very large . He was very honest and said it is the the most painful surgery to have and I will be down for about four weeks. I am so afraid of pain. But I need to have this done. Is there anyone out there with a kind word or things that will help make my healing time easier. please email me at lpatton11@gmail.com
CeCee
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Aug 6, 2012 @ 1:13 pm
I had surgery July 28th after spending 14 hrs in the ER. This is so painful I just wanted to shoot myself for ever having it done. Two seperate Drs told me my external was about to burst; however once on the table they found they must do an internal/external procedure. I have never had a baby but this pain is second to none. I have chronic diahhrea due to Short Bowel Syndrome" so my issue is trying to find the balance between the Oxoycodone and what I eat since anything I eat becomes liquid stool anyway. In the beginning my stool was stiff and hard to pass, then once it did everything else is back to normal due to my condition. I am almost glad for pain and needing the extra Oxoycodone so I won't use the bathroom 4-6 times per day which is why I got the hemorrhoids in the first place. I am hoping that this works so I can start to have normal bowl movements and not have to worry about anal fissures that caused this problem, but with short bowel syndrome there is not much chance of that. My normal movements are 2 upto 8 times per day depending on how much I eat. Even with that if I am under any type of stress, it sends my system into hyperdrive due to the gall bladder salts dumping into my intestine and nothing left to distribute them out correctly. I am missing the mechanism necessary to control gall bladder salts which help breakdown and distribute my food. Anyway - this is the most extremely painful procedure and after pain I have ever experienced in my life. For me there were no other options, but for those of you who have normal bowels and may just need to change your diet, take stool helpers, do more excercise to help bring down the stool; just take a minute and examine other ways to handle and control these. I truly don't recommend surgery. I know someone who had this surgery several years ago and he is still having issues, pain, leaking, etc. Any by the way what is up with the smelly brown discharge - that is just foul smelling and make me feel un-clean. This is the part that I wish would quickly go away. I am trying to deal with the pain and not depend so much on the medications, but I am not stupid I take them when I can no longer stand the pressure. Just like most, bowel movements are the worst. In the beginning the anticipation of using the toilet was terrifying. But when nature calls, there is not much you can do unless you want to do more damage. I am 13 days post-op and my fanny hurts like heck. I had a hysterectomy and thought I would never have to use sanitary napkins again, but never say never!! On my second bag of panty liners - oh boy!! Can't deal with that hideous discharge/bleeding still and having gas blow over the wound is extremely hurtful. I am still looking forward to getting all this "behind" me - hahahaha!! Just tired of laying/sleeping on my stomach, tired of having my "rear end" tossed in the air. Tired of the pain, tired of not being able to sit for more that 15 min. at a time. Yes - I want to put this ALL BEHIND my Fanny!! But for now - MY BUTT HURTS LIKE HECK!!
Liane
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Aug 25, 2012 @ 12:00 am
I had a hemorroidectomy on August 23 and was experiencing the most excrutiating pain of my life despite being given 1 mg hydromorphone every 2 hours. I sent my husband to the pharmacy for something to stop the anal spasms. The pharmacist reccommended Robaxacet an over the counter backpain/muscle spasm medication. It stopped almost all the spasms and with it 85% of the pain. Now it feels like normal post op discomfort. Haven't had a BM yet so still have that to look forward to.
Anya
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Sep 10, 2012 @ 6:18 pm
I had my op done on 4Sept 2012...and i hate myself for doing it. Iv never experienced something as painful as the pain that comes with BM..My surgeon told me that it will be very very painful, but i didnt expect it to be this much..i had two operations in the past, a c-section and a mama reduction and i thought ill be able to handle the pain..oh boy how wrong i was...this is hell on earth, i will not wish it upon my worst enemy! I wish i have never done it.*REGRET*. May the Almighty help me cause i still have a long way to recovery...My advice to anyone who is considering this op, take your time, do research and THINK twice before you undergo it...Its very very VERY PAINFUL..:(
shouldahaditsooner
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Sep 14, 2012 @ 7:07 am
Life was hell before surgery.
I just had a PPH surgery yesterday (9/13) for my stage 4 hemorrhoids. There was some discomfort for about 45 mins to an hour after the procedure. I could have left the hospital two hours after I woke up, but they wanted me to stay, just in case.
So, I left the hospital at around noon today - about 18 hours after the surgery, and went to a nice place for lunch.
I could have ridden a bicycle home from the hospital.
No pain,no discomfort, no bleeding, no weirdness, I feel just great.
I am a 50 y.o male, I just wish I had not put this thing off for so long.
shouldahaditsooner
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Sep 15, 2012 @ 11:11 am
Well, today is day three.
I am not using any pain meds. The only problem I experienced was discovering how sensitive my system is to stool softeners. I had to go to the bathroom four times last night, so no more of that stuff, either.
I drove to the grocery store today, and took care of some household chores - just another uneventful, ordinary day.
I live in Istanbul, Turkey. I had my procedure done at Acıbadem Kadıkoy Hospital, by Nihat Yavuz.
I must say the difference in my quality of life has been immediate.
Darren
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Oct 1, 2012 @ 7:07 am
Well I'm 1 week post op of extremely large even spectacular (surgeon's words not mine) roid removal. Still bleeding a bit. Must keep everything soft - prune juice etc. I think the biggest danger is that in between poo's to start thinking that I'm back to normalish and that I can eat normally e.g. not fruit or veg only. Mistake! Going to the loo is still a bit an ordeal i.e. flipping well hurts. Straight into the warm bath after, pain killers and laying down for next hour. Thanks all for letting me know I'm not alone. Hope you heal quickly.
Mark
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Oct 4, 2012 @ 5:05 am
Hi, I'm not a doctor but I thought this would be of your interest. There is another method for hemorrhoids surgery, is known as THD method and is becoming very popular in the medical community. It's an innovative procedure performed by proctological surgeons and is minimally invasive, since they do not imply any excision of tissue. Patients feedback is always very positive and they always talk about the wonderful feeling after the procedure. My advice is to ask your doctor about all the possible procedures. Hope it helps!!
Ouch
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Oct 10, 2012 @ 12:12 pm
I second all comments regarding excruciating pain. I had the surgery yesterday. Had to do it...i was losing so much blood every time i had a BM, I was in danger of bleeding out...worst hemorrhoid was around the site where i had a large polyp removed last year.

Not sure why they send you home same day. Pain killers only take the sharpest part of the edge off. I hope this is worth it when all is said and done, because right now, I'm pretty damn miserable. Impressive level of pain. I'd read some of the stories online, but I figured those were abnormal results...after all, I'm relatively healthy otherwise, I thought. Under 40, decent shape, good diet, above average tolerance for pain...boy was I wrong.

Night of the op, I thought my colon was going to explode. Couldn't pass gas or work up to a BM. I'm sore and bruised like the most popular boy at the prison prom. Spent most of today in hot bath water. That helps, but I can't sleep there. As disgusting as it is, I was finally able to have a BM while in the tub. But hell, at least it relieved a bit of the pressure. Was slightly less painful than the unpassable gas, but not by much. I now know what the phrase "tore him a new ass hole" would feel like, i think. And I could do without such terrible knowledge. Certainly broke new ground in the area of disgusting things my wife has had to help me with. Good thing we left the "...or worse" clause in the vows.

Just called doc requesting stronger meds...Percocet 5/325 were the initial scrip, doc just said I can take 2 at once, so hope that makes it better. Or at least leaves me unconscious for a few hours.

But yeah...painful is sort of an understatement.
Terry
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Oct 15, 2012 @ 7:07 am
14 Days post surgery for fissurectomy / lateral sphincterotomy / hemmoroidectomy. Recovery has not been as bad as I was fearful of. After reading some of these posts, I was terrified and torn as to whether or not to proceed with the surgery. Stool softeners and laxitives have helped keeps thing soft. BM's were really painful after surgery but have been better last few days. Been hitting meds pretty steady (Vicodin) thankful to have them. Over-all I think it was a wise move to have this repair as my life was miserable on and off for the past year. I feel for all of you who have had a rough go of it and hope your situation improves. For those considering surgery and undecided, consult with your doctor and get the real skinny on what to expect. All of my troubles were inside and I was in so much pain, a regular digital exam was out of the question so my doctor said we will put you out go in and see what's going on. Was told to expect one of three procedures to be done. They did all three. I hope and pray I am fixed and hope all of you have a better life after this. It is a hard thing to go through. Be strong and brave. Good luck.
Kelso
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Oct 25, 2012 @ 11:23 pm
I'm hoping that my experience helps others. I only wish i would have done all this research BEFORE i got my hemorrhoidectomy instead of After :( I just hit my month mark and am in significant pain (moreso than after surgery) I am afraid i have anal stenosis or narrowing of the rectom. my surgeon explained this has the potential of happening after a very serious surgery (stage 3 out of 4 thrombose ulcerated hemorrhoids) when you develop alot of scar tissue post surgery. this allows for excessive pain during bowel movements and after. I was released to go back to work 2 weeks after surgery which i'm afraid was too soon. I often have to stop my day to come home and get in sitz bath to try to eliminate some pain. I am on a high fiber diet (before surgery) and take additional natural herb supplements to help with fluffy poo. I tend to go to the bathroom 3-4x/day and always have lots of pain to the point that i can't function. I have my 3rd follow up appointment next week in where i am going to suggest getting seen by a gastrointestinal specialist for additional constant abdomen pain. the hemorrhoids are gone but not sure that all this has been worth the surgery??

surgeon has mentioned wanting to give me Botox injections to loosen scar tissue up and make things easier? I have also read quite a bit about dilating your rectum yourself to make the bowel movement process easier? Any suggestions??
John
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Nov 10, 2012 @ 10:22 pm
Last Thursday after a BM I felt some pain and later that day noticed a really big external hemorrhoid. As the day went out it started to throb! By the end of the business day I was standing up at a staff meeting. Tried Prep H for that night and the next day. Friday I could barely walk, and it hurt to sit down too. Took some 800mg I-Be-Hurtins ever 4 hours and that didn't really help. Went to see my family doctor Saturday...I assumed the position and his comment was. "WOW, that is huge!" Thanks doc...he gave me some prescription cream and refered me to a surgeon. Took the kids trick-or-treating that night and walked about a mile. That was a mistake...so then I got the bright idea to jump into my truck and drive 5 hours to go fishing for Steelhead. Another bad idea...I fished most of the day and noticed things started to fill a bit better. That was because it partially ruptured, still hurt, but wasn't too bad...until I got to the hotel and took a dump. There was a ton of blood! Fortunately I had a plan...jumped in the tub and brought 3" x 3" gauze pads with me. I called my family doctor Sunday night and said he would get hold the surgeon to try to get me in. I couldn't sleep at all that night...the pain was rediclious and nothing helped, it changed from a pressure to sharp pain.

The next morning I decided to drive myself 5 hours home, on the way the surgeon called and asked if I could be at the hospital at 115pm...I was half way home so I said sure! When I got there he took a look and said...WOW that is huge! Again thanks doc, he said it was an external thermbosed hemorrhoid about the side of a large grape. He asked me if I wanted to do it right there under local anth or schedule something else. I said this thing hurts, lets get it done! I was cautioned that the shots wouldn't be pleasant...it wasn't bad. They gave me 3 injections, one in the cheek, one next to the hemorrhoid, and one it it. After about a minute I couldn't feel a thing. The doc cut the clot out and the top of the hemorrhoid out...packed me up with gauze and taped me up. Only took about 15 minutes...I drove myself home and picked up one of those sitz baths. Got home around 4pm...when the shots wore off I had pain, but it wasn't anything worse than prior to surgery. I used the sitz before I went to bed...that helped. I took some advil that night and the next day. I have been taking stool softners and some fiber.

Instead of using the sitz, I have been using my jettub every morning after my BM, and than once when I get home from work, and once before bed. I went to work the day after the surgery ***note that was probably stupid*** but I figured it didn't hurt worse than prior to, and I went fishing so.

I used 3 x 3 gauze pads until Thursday for minor bleeding control, I also took some advil a few times. By today (Saturday day 5 after surgery) I was back in the woods hunting...climbing into my tree stand wasn't too bad, and I stayed there for 3 hours.

I don't know if it because where my hemorrhoid was located, my age (32), fitness, or just dumb luck but this wasn't too bad. Yes it hurts like a you know what but I got to say, much better at anypoint after than before. Honestly, I'm glad I didn't read this or I wouldn't have went for the surgery and that would have been a huge mistake.

Right now as I sit here, I couldn't tell you I feel anything wrong at day 6 after surgery. BM's don't really hurt much at all...(never did, even the first one after the surgery).

I missed one day of work..the day of the surgery, and that was because I was on vacation anyways.
Jay
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Nov 25, 2012 @ 8:20 pm
I have my surgery wed and am now scared to death to have this done! I am considering calling the dr and telling him I don't want it done. I wish there were more stories that make it sound better. I know I need it done but think I'll wait for a few more months so I can researc other options. :(
Gopal
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Nov 26, 2012 @ 6:18 pm
Hi,
Here are my experiences, and hopefully they can help someone. I had hemmoroidectomy & sphincterotomy exactly 2 months back to this date. The recovery has been very slow. I am still in pain after each BM every day. For the past week or so the pain is a bit bearable...it's about a 5 on a sclae of 1 - 10. My pathology indicated that there were 8 small to medium hemmoroids (internal as well as external) were removed covering an area of 3cm X 4cm.

My surgery was out patient surgery and was sent home an hour after the surgery. The surgery itself lasted 45min. I expected horrible pain anyway. First three days I had runs and made things worse. I became very weak and many times I couldnot feel lower part of my body due to pain. The pain level was a 9. There we different types of pains I felt through the next six weeks! Every time I ran my fingers across my lower back, I could feel different pain receptacles produce different pain...some cutting sensation, some stabbing, some throbbing, some ripping and so on. It's more like moving your fingers acorss a "piano of pain".

During first five weeks I only took Ibuprofen and Acetaminophen for pain. I refused to use serious narcotics like Hydrocodone, although my Dr prescribed that just in case. Three weeks back my Dr asked me to not to use even Ibuprofen. He simply asked me to "deal with it" and he expected my body to "get used to it". So no pain meds since. Every day after BM, I would suffer thru the pain from 6:30 am to 3 pm. After two months, I still feel pain after BM. There is a post surgery scar tissue that seem to swell up after BM every day and as along swelling stayed, the pain seem to be a constant issue.

For relief, this is what I did every day. After BM, I have been going for a walk for 30 min to an hour. That seem to relax my muscles and focus on other things than pain. When I get back from walk, I would either take a hot shower or bath. Wipe the area clean and apply Lidocaine ointment. (I think it is a steroid and acts like a local anesthetic) I also used Vaseline after each time I would clean the area. Drink 6 to 10 glasses of water. I ate scrambled eggs or omelette, oatmeal upma (look up on youtube on how to make it), lots of veggies, spinach. Ate a carrot three to four times a day. This gave me enough fiber for my next BM. Refused to eat meat or chicken...for some reason the days when I ate any meat I had painful BMs. But sauteed fish fillet worked very well. I also have been using a hot water bottle when I lay down or sleep at night...which definitely seem to provide a good relief from pain. Most importantly surround yourself with loved ones who are willing to help you when you need them. I owe it my wife and three kids who have been there every time I needed them.

Hopefully I am close to getting my health back and kick this pain to the curb permanently. Good luck with those of you planning this surgery and wish a speedy recovery to those who have already gone thru it.
BL
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Nov 30, 2012 @ 9:09 am
I am scheduled for surgery for a Hemroidectomy in mid-December. I have skin tags. Annoying, but not unbearable and have been there for a few years. At the point of having me my insurance deductible so surgery would not cost anything if done in 2012, but if problem were to happen to get worse in 2013 or beyond, I'd be paying for it. Hence, the surgery is scheduled for mid-December. This being said, after spending a half hour reading many of the above posts I am very weary about this. I'm not in any pain (well, occasionally) with the skin tags...now...but in a year and beyond, the doctor said they are not likely going to be any better. So, my decision is: Have the surgery NOW and be proactive while I've met my insurance deductible or wait until who-knows-how-long and have the surgery if the skin tags get worse or cause pain? I have the two weeks post-op blocked off on my calendar. Thoughts?
sergey
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Dec 15, 2012 @ 5:05 am
I've had the bands procedure done a couple of months ago but it didn't work. Lots of pain and discomfort for nothing. So I'm now on a waiting list to have my piles surgically removed. It should be in end of January or sometime in February. Here in the UK it's free so it's a bonus, but I'm scared as I have never been though! The surgeon told me that if I thought I had been in pain, I should think again!!! I WANT MY MUMMY!!!
sergey
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Dec 15, 2012 @ 5:05 am
I've had the bands procedure done a couple of months ago but it didn't work. Lots of pain and discomfort for nothing. So I'm now on a waiting list to have my piles surgically removed. It should be in end of January or sometime in February. Here in the UK it's free so it's a bonus, but I'm scared as I have never been though! The surgeon told me that if I thought I had been in pain, I should think again!!! I WANT MY MUMMY!!!
james
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Dec 17, 2012 @ 7:19 pm
Had a Hemroidectomy done in mid November at St Johns Hospital in Gross Pointe MI by Dr Cirocco. There's three spots they can cut you down there and I had all three of the cut/fixed. I read all the horror stories etc... and I thought I was ready for the pain. I know what a 10 on the pain scale feels like now. I left the hospital on Friday, surgery was on Thursday. I was constipated, swollen from the surgery and on that Sunday at about 6am my body said it was time to get rid of the waste. That was my 10, I couldnt go, somewhere down there I had muscle contractions and lots of pain and of course blood. I again thank Mr. Cirocco for being there when I needed him. I was able to get ahold of Dr. Cirocco that Sunday morning first try. He told me to soak in the tub, and have my wife get me some Magnesium Citrate from the drug store. That did the trick it took me 3 days to get it all out of my system, diarea etc... I will admit the first 10 days were rough, then it gets better. I'm a month out from my surgery now and everything is going good I would place my recovery at 85%. My pain levels are down to a 2-3 I can sit with out pain, the swelling has gone down, I can go number 2 yea!!! and I can do the things I used to do and in another month I expect this to be part of my past. Don't forget what got you in this situation eat right, don't strain on the toilet, do your business and get off the toilet. After my car accident in Jan 2012 my hemorrhoid condition got a lot worse, pain medications, not eating right, & straining caused me to have a thrombose hemorrhoid very painful. I see my doctor early Jan. and I'm thankful that our lives have crossed. Thanks Dr Cirocco you fixed me and I will always be grateful. I would recommend you and your staff to anybody in need of your services. Dr. Cirocco = Success
Ron
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Jan 10, 2013 @ 7:07 am
This hemmorroidectomy is the second one for me. Had it done 30 years ago and it was worse the second time. I agree the pain is like nothing you have known. I will never do it again. My doctor said things have come far in 30 years and it would't be as painfull. Well, he was dead wrong. Couple the pain with the leaking, bleeding, and embarrasement and you have a surgery that needs to be corrected. Your first bowel movement is enough to wish you were dead. The following ones are no better. I also had a spinal for the operation and after two days it leaked and had to go back for a blood patch. This procedure kept me in the hospital another five hours while still in pain from the surgery. It has been a terrible experience the whole way around. For those of you that might say It's just me well I have had prostate surgery, and gall bladder surgery snd was cutting grass the nexy day. Sure there was pain but nothing like this. For those of you considering this surgery my advise is not to do it.
Cat
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Jan 28, 2013 @ 8:20 pm
I had my surgery 1 week today and I haven't had to take nothing more than anti-inflammatory (naproxen) the pain was very bearable. I got home from the hospital and sat on a heat pad and that help me so much and I also did sitz baths twice per day. Not sure if my pain receptors and a little off but I still have a pain meds which I haven't taken.
sergey
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Feb 7, 2013 @ 8:08 am
had surgery yesterday. I was in tremendous pain on waking up from surgery before the painkillers kicked in. Now I'm fine and feel only a slight discomfort. I've not moved my bowels yet though and I'm dreading that moment.
Ax
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Feb 8, 2013 @ 12:00 am
Hi there people, I was been through surgery last January 25, 2013, so tomorrow will be my maximum recovery. within the first week of recovery I always hot seat on a pad (2 times per day). Now I still feel mild pain and mucus draining from my anus. resulting for discomfort. I am a keloid former. So Goodluck for me! I hope that it would be successfully healed or else... the new battle will come. Send me some reply and comments please.
sergey
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Feb 8, 2013 @ 1:01 am
had surgery yesterday. I was in tremendous pain on waking up from surgery before the painkillers kicked in. Now I'm fine and feel only a slight discomfort. I've not moved my bowels yet though and I'm dreading that moment.
Ax
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Feb 8, 2013 @ 1:01 am
Hi there people, I was been through surgery last January 25, 2013, so tomorrow will be my maximum recovery. within the first week of recovery I always hot seat on a pad (2 times per day). Now I still feel mild pain and mucus draining from my anus. resulting for discomfort. I am a keloid former. So Goodluck for me! I hope that it would be successfully healed or else... the new battle will come. Send me some reply and comments please.
sergey
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Feb 10, 2013 @ 4:04 am
Four days since surgery. I didn't move my bowels on day 1 and 2 but I managed to do it yesterday and this morning. WOW!!! This is quite an experience. A whole body push that resulted in an actual BM, but very sore. I thought I was going to cry, but actually, come to think of it it's on a similar level as BM with hemorrhoids/fissure. The pain remained most of the day yesterday but I was fine by the evening.
So far this morning I'm still in quite some pain, but fine enough to write this. I'm not out of the woods yet, but so far i can say that it's not as bad as I had anticipated. If one has had piles that are bad enough and for long enough to need surgery, then one is already well used to pain so it hardly makes a difference.
M
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Feb 12, 2013 @ 3:15 pm
Surgery done feb 8 (stage 3 prolapsed internal hemorrhoid). Surgeon removed it. About the size of my thumb. Out of hospital same day. Prescribed percocets and colase. Did pre-op bowel cleanse so i didn't have to go until a full 24 hours after the surgery. Pushed packing out at 2:30am on the second night - unpleasant, but not terrible. Began high fibre foods immediately (fruit, vegetables, Metamucil, fibre one cereal) and lots of water. Have avoided meat and dairy products. First bowel movement was a little firm, and hurt, but again not that bad. More the pushing than the passing. I stopped the pain meds as soon as I could (about 48 hours after surgery) and went to Advil to avoid firm stools and constipation. Sitz bath 3 times a day, and lots of rest. Feeling pretty good 4 days after surgery. Pain is worst when the bowel gets full, but going provides substantial relief. My experience, while not fun, has certainly been manageable. Better than the hemorrhoids!
M
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Feb 12, 2013 @ 3:15 pm
Surgery done feb 8 (stage 3 prolapsed internal hemorrhoid). Surgeon removed it. About the size of my thumb. Out of hospital same day. Prescribed percocets and colase. Did pre-op bowel cleanse so i didn't have to go until a full 24 hours after the surgery. Pushed packing out at 2:30am on the second night - unpleasant, but not terrible. Began high fibre foods immediately (fruit, vegetables, Metamucil, fibre one cereal) and lots of water. Have avoided meat and dairy products. First bowel movement was a little firm, and hurt, but again not that bad. More the pushing than the passing. I stopped the pain meds as soon as I could (about 48 hours after surgery) and went to Advil to avoid firm stools and constipation. Sitz bath 3 times a day, and lots of rest. Feeling pretty good 4 days after surgery. Pain is worst when the bowel gets full, but going provides substantial relief. My experience, while not fun, has certainly been manageable. Better than the hemorrhoids!
M
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Feb 13, 2013 @ 2:14 pm
Surgery done feb 8 (stage 3 prolapsed internal hemorrhoid). Surgeon removed it. About the size of my thumb. Out of hospital same day. Prescribed percocets and colase. Did pre-op bowel cleanse so i didn't have to go until a full 24 hours after the surgery. Pushed packing out at 2:30am on the second night - unpleasant, but not terrible. Began high fibre foods immediately (fruit, vegetables, Metamucil, fibre one cereal) and lots of water. Have avoided meat and dairy products. First bowel movement was a little firm, and hurt, but again not that bad. More the pushing than the passing. I stopped the pain meds as soon as I could (about 48 hours after surgery) and went to Advil to avoid firm stools and constipation. Sitz bath 3 times a day, and lots of rest. Feeling pretty good 4 days after surgery. Pain is worst when the bowel gets full, but going provides substantial relief. My experience, while not fun, has certainly been manageable. Better than the hemorrhoids!
Bongie
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Feb 16, 2013 @ 8:20 pm
M 48yr old female,on day 5,post hemorroidectomy,had external ones since 1989 post delivery.had on nd off bearable pain,swelling nd bleeding.For hygienic purposes,I opted for this operation.No other options nor prep. for op.(but decided to clear the bowel nd shaved the area)were suggested by my surgeon but he told me that it's very painful.On the 12/02/13,I was admitted for the procedure.At about 12h30,taken to theatre.Procedure was done under general anaesthesia ,after an hour,came from theatre with gauze tampon at the back which was to be removed after 2 hours.I passed urine in the toilet after an hour.The tampon was irritating nd causing more pain,an injection(Pethidine 100mg) given imi for pain.fell asleep,surgeon visited nd discharged me home withRemicaine jelly nd Voltaren suppository(though very painful to insert),I was glad on that.Left the hospital at 17h30,driven home by my sister.Day 1,was able to clean my room,problem was with sitting.bowel acted,sitz baths done,pain subsiding gradually. All I can say if one can stick on high fibre diet,plenty of water nd sitz baths can conquer the pain.After each bowel movement or feeling pain,do sitz baths.I'm healing gradually ,stitches falling as I continue with hot sitz baths.I took Naproxen tbs nd applied Bactropen I had wuith also good effect,Still looking forward to proper healing.,little slightly blood stained watery discharge obseved,putting panty liner on anus.
zakara
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Feb 18, 2013 @ 3:15 pm
I AM A 37 YEAR OLD HEALTHY FEMALEAND JUST HAD A TRADITIONAL HEMORRHOIDECTOMY FOR 3 INTERNALS AND 3 EXTERNALS ON JAN.31ST 2013. THEY WERE ALL CUT OUT AND SUTURED BACK UP. I HAD THE 3 MAIN INTERNAL HEMORRHOIDS CUT OUT . I AM HAPPY TO SAY SINCE I GOT HOME HAVE HAD MINIMAL PAIN. IN FACT I WAS SENT HOME WITH SOME STON NARCOTICS AND NEVER TOOK ONE PILL. JUST USED TYLENOL FOR FIRST 3 DAYS AND HAVNT TAKEN ANYTHING FOR PAIN SINCE THEN! THE FIRST NIGHT I GOT HOME THERE WAS A LITTLE PAIN BUT BEARABLE. THE NEXT MORNING I DIDNT HAVE A BOWEL MOVEMENT. BUT THE SECOND MORNING AFTER SURGERY I HAD A SOFT HUGE BOWEL MOVEMENT. I WAS NERVOUS FOR THE PAIN TO COME AND IT CAME OUT BUT WASNT TOO BAD AND DIDNT BLEED. IT BURNED AFTER I WAS DONE SO I SAT ON THE SITZ BATH FOR HALF HOUR AND THAT DID THE TRICK. I AM ALREADY A HEALTHY EATER , EAT HIGH FIBER AND EXERCISE DAILY. SO I DIDNT HAVE TO CHANGE MY DIT AT ALL FOR THIS. TODAY WAS MY FIRST DAY BACK TO WORKING OUT AND IM ON DAY 18 POST OP. IVE BEEN WALKING ON THE TREADMILL AT A SLOW PACE EVER SINCE DAY 5 POST OP. BUT TODAY WAS FIRST DAY FOR WORKING OUT WITH WEIGHTS.I HAVE NOT HAD ONE BIT OF PAIN SINCE DAY 14 POST OP. I DONT KNOW IF I JUST GOT LUCKY OR JUST HAD A GREAT SURGEON. I JUST KNOW I WAS SCARED TO DEATH TO HAVE DONE AND ALMOST CANCELLED. IM SO THANKFUL I WENT THROUGH THE SURGERY. I FEEL SO MUCH BETTER NOW. MY SURGOEN SAID MY HEMORRHOIDS WERE THE WORST SHE'D EVER SEEN AND THE BIGGEST. MIE WERE STAGE 4 PROLAPSED AND I HAD TO PUSH THEM BACK IN. IM NOT KIDDING WHEN I WOULD HAVE BOWEL MOVEMENTS BEFORE THE SURGERY . MY HEMS WOULD FALL OUT AND ALONG WITH ALL THE EXTRA SKIN AROUND THE HEMS. IT WAS THE SIZE OF A SOFTBALL. AND THATS STATING IT NICELY. IT HURT SO BAD BEFORE TO GO TO THE BATHROOM. I DREADED IT! BUT NOW I DONT MIND AT ALL AND I LOVE THE FACT OF NOT HAVING TO PUSH THEM BACK IN EVERYTIME I GO TO BATHROOM. I FEEL BLESSED FOR IT TO HAVE GONE THIS SMOOTH. I PRAY AND HOPE THAT ALL OF YOU GET BETTER SOON AND HAVE A GREAT RECOVERY LIKE I DID! REMEMBER TO HAVE A POSTITIVE OUTLOOK. IT REALLY HELPS THINGS! GOOD LUCK AND GOD BLESS!
Desirae Pierce
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Feb 27, 2013 @ 6:18 pm
32 y/o Female who had suffered from hemorrhoids for about a decade. Had them before I started having kids and during my second pregnancy ended up with a thromboidectomy of a hemorrhoid that had become thrombosed. For job performance and hygienic reasons, I decided to have this procedure done. I had two 2cm x 2cm external hemorrhoids removed from between the 12 and 6 o'clock positions. I was in a lot of pain after the procedure and wasn't able to walk comfortably for almost a week. The narcotics I was given didn't do anything but put me to sleep and did little for pain control. I found that good old fashion Ibuprofen did the trick the best and of course a daily stool softner, which I still take. I did discover during my recovery that soaking in Epsom Salts was a miracle in the bath tub. It provided so much relief that I wish I had thought of it sooner than the 6th day post-op. Not only did is soothe the very irritated tissue, but it helped to calm a lot of the external swelling that was going on as well. I am about 5 weeks post-op, and while things are still not quite business as usual, I am about 95% completely recovered. I don't have any desire to have this procedure done in the near future, but in retrospect I am now starting to see some of the benefits it is going to provide. I would hope that anyone having this done goes into it well prepared and good luck!
dave
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Mar 6, 2013 @ 12:12 pm
I'm having hemorrhoid surgery in a few weeks, march 28th. I'm from Baltimore, MD USA. My biggest concern is pain having a BM afterwards. Can anyone explain to me what the pain feels like, is it similar to what i'm feeling now with the hemorrhoids, burning n itching. What can i do to make it easier? thank you, coming here is like a support group for me. I've read alot of negative stories and some positive stories.
mikhail
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Mar 8, 2013 @ 3:03 am
Had my surgery 4 1/2 yrs ago. The pain is tolerable after the surgery. But after 4 1/2 years, it is still very uncomfortable. Seems there are mucus leaking on my anus and its very irritating. I consulted 2 Gastro and they can't found any abnormal on their test. Even the surgeon don't know what am I complaining. They told me that I'm only thinking of it..But swear to God, it's not. It's really irritating, I can't sit properly and my back starting to feel pain. My legs are always numb because of improper sitting. Does anybody there who also expriencing what I am experiencing?
Jojo
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Mar 8, 2013 @ 6:18 pm
I had my surgery 3 days ago and today it still pains like hell! The doctor told me it will be ok but I never believed a word he said. After reading this forum, i decided to take actions on my own. I doubled my c-lium fiber intakeand took additional capsules of c-lium for good measure. I also drink 8 to 10 glasses of water everyday. The first BM was the worst - i know that i have a high tolerance for pain because i had a motorcycle accident before that tore the skin on my knee caps and took all 3 months to completely heal but i can bear the pain - but the pain of the BM was not like that. It is painful and gets you to that point where you ask yourself what you have done to deserve this pain.

I kow I will still be in for a few more surprises regarding the healing process. I will concentrate on gettign my liquid diet and papaya. They help soften your stool also. Until i am completely healed, i can say this with finality. Forget what the doctor say -- think about the bad experiences people suffered in getting the procedure done and weigh it against your choice. At the end of the day -- it will be your pain and not the pain of someone who'll say everything is going to be ok.
dave
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Mar 28, 2013 @ 2:02 am
My surgery is today, I leave for the Hospital in 2 hours, I am so scared
dave
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Mar 29, 2013 @ 4:16 pm
Well its been 24 hours since my surgery and I'm feeling a little better today than I did yesterday when I got home. My pain level yesterday was 10, today its more like 8. To describe the pain, well it's a strong burning feeling. It's hard to lie down and its hard to sit. Today however I've been able to lie down a little better and I've sat in a chair for a few mins
Santo
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Mar 29, 2013 @ 10:22 pm
9 days after surgery and am just starting to feel better. I suspect my condition was caused by stress.
The flight or fight scenario, in my case the run to the loo option. This was never discussed before surgery which made my recovery slow and painful.
I'm sure there are a lot of people that eat a normal diet that are not constipated but still get hemorroids.
What made my recovery slower than expected was everytime I knew a BM was coming I would tense up. The urge to push was overwhelming to the point I couldn't stop, this of course caused damaged that took extra to heal.
The trick is to eat a high fibre diet, drink plenty of water,ease back on the meds and salt baths.
Oh! the most important thing is to remain calm and in control during the visit to the loo.
Good luck.
dave
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Mar 30, 2013 @ 11:11 am
48 hours after surgery an I'm feeling worse. For some reason the pain has gotten worse overnight. I trouble sleeping an i was u p all night doing sitz baths. I've been doing the mineral oil, fiber, and ointment medications along with pain meds and so far no bowel movement. I hope tomorrow is better
Santo
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Apr 1, 2013 @ 12:00 am
To Dave,
I have heard from different people that have gone thought this experience and it varies greatly.
The recovery process/pain will depend on the amount of surgery done.
The first BM after surgery is when you will need to remain calm and in control.
I was talking stool softening medication that helped.
It's day 11 for me and I am returning to work tomorrow, light duties only.
Remember it will only get better from here.
Santo
dave
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Apr 8, 2013 @ 5:17 pm
thank you santo for your comment it'sbeen 11 days for me now and I'm feeling much better. I've been having regular movements but my biggest problem now is burning. I have this strong burning feeling, it comes and goes though. I had two internals and one external removed and I'm hoping after 14 days I'll feel much better. I haven't returned to work, I'm waiting till after my 4 week follow up to return to work. I hope by then I'm back to feeling normal, I hope in 14 days the pain is gone an I can move around better.
Jon
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Apr 9, 2013 @ 8:08 am
5 days after surgery - why I had this done, I've had large internal and external piles since I was 15 now 46 regular large loses of blood and daily pain and feeling weak and irritable, not fun for family nor me, around 2 years ago lost I so much blood ended up in hospital for week and need 5 units replaced, for some reason they did nothing to solve the problem just gave me blood and sent me hone (UK NHS) after 6 cancelled ops on NHS I decided to go private £2700 seemed cheap, wow what a mistake I have made, the op went well I am told, the morphine had little to no effect on the pain post op, they told me they had never given so much morphine to anyone before for this operation, this brought on vomitting which made me feel a bit better spent 3 nights in hospital which they tell me is not normal, (normally its day surgery).

Anyway the op and post initial op pain is the easy part, the hard and TERRIBLE part of the operation is the BM or lack of it, I managed 3 tiny stools 3 days after op, since then nothing, but I am getting constant urge to go all that comes is wind and fluid, (very little though) I have followed all the advice with fibre diet, drink lots of water, soften stools, etc etc but still can't get BM
and each visit to the toilet is agony that last for hours afterwords, the pain relief available does not work, I tried a tens machine last night and finally managed to sleep a few hours though not totally pain free, I'd say about 30% extra pain relief with the tens, to be honest 10% more is heaven 30% feels like just having the piles back and is bearable.

I have leakage every time I pass wind, and this is so demoralising but very little blood loss and it is diluted.

At this time wishing I'd not had this done, hoping this wish change as the days go by,
dave
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Apr 16, 2013 @ 10:10 am
It's been almost 3 weeks since surgery and I still have some discomfort. I've been off pain medicine for about a week now, but I still have trouble passing large stools. I've found that if I'm sitting in the sitz bath I can pass large stools. I still use a pillow when I'm sitting. My follow up appointment is next week one month after surgery, I'm hoping by then I'm back to normal.
dave
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Apr 22, 2013 @ 9:09 am
Well its been almost 4 weeks since surgery, I have my follow up wednesday. I'm feeling much better now, I'm sitting ok, and I'm standing ok. I'll probably go back to work monday, and I'm planning a weekend trip to Vermont after my follow up. I'm still feeling a little weird down there, always having this feeling I need to go but I don't have to. This will be my last post unless something happends unexpectedly. Thank you for all your support
Lindsay
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May 13, 2013 @ 2:14 pm
I had the surgery 2 months agao. One external and the other internal. Im still bleeding and in pain every time i have a BM. The doctor has recommended a 2nd surgery to cut the muscle to let the skin stop stretching from re-wripping the cut so it will heal. Has anyone else ever gone through this? I want to know before i do this second surgery.
dave
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May 13, 2013 @ 4:16 pm
Hi Lindsay sorry to hear about your issue. It will be 2 months for me May 22nd and I'm still having pain when I stand as well as after every BM, no bleeding though. I have another follow-up appointment with doctor May 22nd hopefully I wont need another surgery. I will ask my doctor if what you have is a common issue and will post his response to my issue as well as yours.
Lindsay
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May 14, 2013 @ 11:11 am
Thanks Dave for your response. It ment a lot. I cant believe after 2 months it still hurts so bad. Hope you find some relief too!
dave
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May 14, 2013 @ 5:17 pm
I can't believe it still hurts as well. I went most of the day feeling pretty good until I had a BM, then I started feeling pain an its been with me all day. For relief what I do is get into the shower and put the shower head on pulse setting an shoot water up there, I know that may sound weird but it works for me
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May 19, 2013 @ 1:01 am
I am a week post op, had internal and external removed after dealing with them for sixteen years due to pregnancy but became thrombosis two years ago after my last pregnancy. It is by far the worst pain I've ever had in my life, by day four I had no bowel movement but had the urge to go which was painful and caused bleeding. Five days in I went to the emergency room I ended up getting an Enima with a 40% effective rate, but it worked. But now the pain is minimal I'm no longer taking any pain pills at all. There just slight pain when passing gas and having bowel movements oh and I use doculax laxatives I just take one to two pills a day only as needed. Please eat a lot of fiber rich foods that will help you to pass stoll a little easier.
dave
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May 23, 2013 @ 6:18 pm
I had my final visit with the doctor yesterday may 22. Doctor says I'm fine, everything is healed up nice, although I have a lot of scarring which accounts for the pain I have after BM. According to my doctor that should clear up in a few months as the scars start to soften up. I asked my doctor about an issue Lindsay was having, according to my doctor it sounds like you have a fissure that developed which is a risk of the surgery and would require another surgery to repair.
Joseph
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Jun 4, 2013 @ 5:05 am
Hemorrhoidectomy is really painful. Most significant pain is during BM.
When passing motion, do not sit but rather bend knees slightly from standing position. This is actually an easier way to do it.
What most people don't tell you about fibre diet is how some fibre can make it worse.
Be careful to choose only the finest fibre u can think of. Even some fibre solutions with husks etc make it worse. You will actually br able to feel the tiniest
Piece of passing the anus. Every one is a needle. Btw I had internal and external and multiple roids.
No oily food... Will make it worse. No starchy food too - spells trouble.
When having any food, make sure u chew em and mash em up well. This will help.
Sitz is also a great help. U will get tired sitting there but necessary.
2 weeks recovery? Maybe for the least of roids but for me, at least a month b4 any light work was possible.
Just remember again, the most crucial post ops pain management in all this is having soft stool which means U must experiment with the food that works for u
Lindsay
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Jun 5, 2013 @ 2:14 pm
Yes it is a Fissure unfortuantly. Im trying to let it heal without surgery with muscle relaxers and laxatives. It's been getting better so far. Thanks Dave for the support.
dave
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Jun 6, 2013 @ 5:17 pm
Thank you Lindsay, If I may lend you some more advise, I had a fissure a few years ago and my doctor subscribed me nitroglycern ointment. The ointment slows down the blood flow to the anus to help heal the fissure. There is one major side effect though, the nitro will give you a major headache and make you feel lightheaded but those symptoms wear off after persistent use. Ask your doctor ok.
Paula
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Jun 11, 2013 @ 1:01 am
I had hemorrhoidectomy with lateral sphincterotomy yesterday, around 11am. It's 230am and I am in pain. Been taking pain meds and I can tell now that numbness has completely wore off, pain meds are not going to give me the relief I expected. I took my first sitz and passed some gas. I have this gauze foam in my rectum that my doc says will dissolve and/or will pass with stool. I feel like it sitting in there causes more pain and wondering if I will know when I need to pass stool with it in. I had previous problems with much pain for hours after movements due to scar tissue and rectal thromboses and right now it looks huge and purple! Anyone else had this and have advice? Oh i am in hella pain, any best lying positions? Thanks!
John
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Jun 12, 2013 @ 11:23 pm
I had my hemorrhoidectomy on June 7th and though these comments look like something only Edgar Allen Poe or maybe Stephen King on a bad day could enjoy I do have to say it helps to know that I'm not alone in this. I thought I was just being a baby with the pain and acting like things are worse than they really are. It's a comfort to know that others (you guys!) have been through all this too and are all surviving. I don't look forward to the pain yet to come but I know that by God's grace I will make it. Thanks for all the posting, friends!
dave
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Jun 13, 2013 @ 8:08 am
Paula and John, I know exactly what your going through but it will get much better after one week. You'll still be in pain after one week, but you'll feel much better week after week. Be sure to eat plenty of fiber, like frosted mini wheats for breakfast, fruit for snacks, fiber one bars are great. Paula I would consult your doctor about the gauze, that should have popped out as soon as you removed the bandage an took your first sitz bath. Good luck to you all, hang in there, i promise you after one week you'll feel better and after two weeks you'll feel fine just a little sore.
John
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Jun 16, 2013 @ 1:13 pm
Thank you, Dave - other than a nasty bout of vomiting/nausea, I'm glad to say that I finally see some light at the end of the tunnel. I appreciate your kind words. Paula - I hope you're doing better, too!
Brenda
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Jun 24, 2013 @ 7:07 am
Oh my gosh ... Why didn't I google "most painful surgical recoveries" BEFORE I had the surgery? I had the surgery on May 17, after my gynecologist was alarmed by what she thought was a prolapsed rectum. The surgeon said the good news was it was NOT a prolapsed rectum, rather prolapsed hemorrhoids. Bad news was that they were very bad. I can't begin to describe the horrors associated with this surgery, including clay stools (despite 3 stool softness and a full cap of MiraLax DAILY) which caused a fissure, 14 days in BED because it was too painful to sit or stand. I should have realized something was up when I was sent home with Loritab 10 with instructions to take 2 tabs every 4-6 hours. Then, I developed a "tolerance" to the Loritab and had to switch to percocet. Suffice it to say, if I had do overs, I would NOT have this surgery again. My only issue was hygiene. The hemorrhoids very rarely swelled. I was just tired of the "chore" of cleaning after a BM. I should have installed bidets and left it alone until I had other symptoms. I still have issues if I am vertical for over 4-5 hours. FYI -- you can purchase perineal cold pack by Medline from Amazon. You simply fold them to activate, they are particularly suited for that specific area (for women anyway ... Not sure about guys) and they make sitting or driving bearable. I didn't realize how difficult icing that area would be. Thank God for my RN friend who is a childbirth nurse. She supplied me until I could receive my order from Amazon.
John
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Jul 7, 2013 @ 11:23 pm
Just an update - I'm one month (today) from surgery. The first week and a half were absolute hell, I won't lie to you. Like most of you I wound up here because I was trying to understand if what I was going through was normal. Sadly, it appears that it was. However, I wanted to let you know that there is hope. I'm now mostly out of pain, other than the occasional bad day where I overdo, and I don't take pain pills other than tylenol and ibuprofen every so often. BM's now are accomplished pain free. Sitting is mostly pain free. And most importantly, the problems that originally led me to the surgery (all night pain, no sleeping, bleeding) are all gone. You WILL survive this - the pain WILL go away! I know there was a moment when I truly wondered, but thank God, IT DOES GET BETTER! :)
Marie
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Jul 26, 2013 @ 2:14 pm
How to survive a hemorrhoidectomy from a doctot's perspective:

I am not a colorectal or general surgeon, but I am a surgeon in a different field. I thought I would have this down, no problem. Let me tell you that hemorrhoidectomy has long been known within the field of medicine to be one of the most painful recoveries for recovery. There are some that say the treatment is worse than the disease. That thinking is 100% correct as I am a pretty tough woman- no problem with natural labor, stage 4 endometriosis and multiple surgeries to correct that, horrific care accident and facial surgeries which were none too fun for recovery.

I am now day 7 after this procedure. I had this done due to lifelong hemorrhoids that worsened with childbirth and thrombosis of some internal prolapsing ones 3 times at the end of pregnancy and right after. I was sadly, induced at 40 weeks due to uncontrollable pain and had an I&D of the clot just before delivery room (in the LDR) and the day after delivery due to recurrence of the clot. Two weeks later I had a third and an I&D in the colorectal's doctor's procedure room. I then had banding done 6 week post-partum, which is not comfortable by any means and the GI physician would only do up to 2 at the time due to pain. I used only Tylenol because I was breastfeeding which did not help the experience. It has been two years since then. About six months ago, I noticed recurrence of the internal prolapsing hemorrhoids. Thursday evening I suddenly had recurrence of clot and immediately called my surgeon. He called in some pain medicine and I had some Marcaine (local anesthetic) on hand which made it so I could sit and sleep.

Friday I saw him in the office and we discussed that with failed banding, my young age, and desire to have one more baby, it was time to bite the bullet and have it done. Here is what I have learned and my survival guide for getting through this.
1. If at all possible, do a bowel prep or an enema prior to the surgery. If pain is a limiting factor, ask your surgeon about at least doing an enema in the OR.
2. If you have low pain tolerance, staying overnight is not a bad idea.
3. Most surgeons are already doing this, but before your surgery bed, plead and barter for injection of a local long-acting anesthetic (Marcaine is great). A Marcaine after surgery helps to control bleeding and will keep you numb for most of overnight of the first night after surgery.
4. Do not overcommit yourself after the surgery. Plan on staying recumbent for about a week. Gravity- standing, sitting, bending all increase swelling at the site. Since that swelling has impact on your pain and ability to have a BM, this is very important. Interposing 20 minutes of an ice pack and 20 minutes of heat by heating pad on a medium setting will help get swelling down.
5. Try very hard not to get constipated!!! This is almost impossible. I had to return post-op day #6 to be dismipacted, but I also have a rectocele which greatly contributed to being unable to pass my first BM. Surgeons do not always evaluate for this, so if you are a woman and have ever had to use a finger in the vagina to help evacuate stool, you probably have a (cont...)
Marie
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Jul 26, 2013 @ 2:14 pm
(sorry for the typos! Let's blame that on the dilaudid!)

rectocele. You should discuss with your doctor any individual issues that will pose a challenge to recovery. Other ways that are musts to avoid constipation: use around the clock non-steroidals (ibupfrofen, aleve, diclofenac, etc) instead of narcotics as a mainstay for pain. Take the non-steroidal at the time interval prescribed, whether you are having pain or not. Use narcotics for breakthrough only (which you will use plenty). Hydrate yourself incredibly well. Have some level of mild exercise daily (a short walk as a rest from lying down all day). Walking will help the bowels move. Eat all high fiber until you are healed. Use daily or twice daily fiber additive like Metamucil. Colace (stool softener) to its maximum dose is recommended (ask your doctor how much you can safely take.) For those with bowels very sensitive to narcotics (like mine, as in instant constipation) may also want to consider taking a small amount of a bowel prep daily as a laxative. Ask your doctor what is recommended. For me, I am now taking 8 0z of Go Lytely daily to keep my bowels watery until I am healed!

Best of luck. This is a very painful recovery process so be sure that you have exercised all forms of more conservative therapy. The post-operative pain you will experience will also depend on the type of hemorroidectomy done (open versus closed, stapled), +/ sphincterotomy, so be sure you discuss all of these details with your doctor to know what you are getting into..

Happy healing!
Chris
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Jul 29, 2013 @ 10:22 pm
I am a month out from my surgery which removed 4 (2 internal, 2 external) that were not bringing me pain, but bleeding me out. I was pretty close to death. So I really had no choice but to get rid of them. Surgery was quick and pretty painless as I was knocked out like most of us on here. I went home same day and it was very hard to sit even with the Percocet they gave me. My doctor pre-warned me my first several BMs would be like pooping razorblades, and he was right. I couldn't go for 3 days between the antibiotics, pain meds and iron pills I was taking to get my blood levels up. But when I did, it was like the worst sunburn ever but concentrated on one spot. After, I had the spasms down there for a bit, but a nice hot sitz bath helped that a little. After 2 weeks, I can say that my BMs were bearable, the pain was minimal, but I used to be a regular guy and now I seem to be stuck on bad-smelling gas. Could be the combo of everything I'm still taking (I've added Activia to the mix yesterday). It hasn't been that long, and I've only bled when I've sat too long and strained (it's still hard getting to know when my body's finished cause I'm dealing with new plumbing), and the bleeding was very minimal, a few drops compared to a toilet full before. I can't say it's the answer for everyone or will cure me even for life (time will tell)...but I can sit with no pain on or off the toilet. I can walk and run (I'm an athlete and have been off my regular training for 2 months now, so that is bugging me), and lift light weights with no discomfort during or after. I'm still doing several baths a day (wastes so much water, but I really feel it helps). I wish you all good luck whether you're going in for surgery, just had it, or are years post and dealing with a myriad of issues. Just know you're not alone, and for everyone like me who may seem to have it easy (after 15 years of trying to convince doctor's something was wrong, that it wasn't just average bleeding hemis, there is someone who is still in intense pain years in...I'm a 41 year old white male who used to be obese 6'7', 375lb. but has been out of that market for roughly 10 years (down to 260lb., though normally 250lb pre-op), if that helps in any way.
Mark
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Aug 13, 2013 @ 5:05 am
I'd actually counter what most people on here say and recommend going ahead with the haemorrhoidectomy if recommended. I've been suffering for so many years with grade three (internal that become external on bowel movements). It really affected my quality of life, social life and every aspect even down to the type of job I did. There's nothing more embarrassing than being out somewhere to suddenly find you are bleeding rectally and it's soaked through your clothes and onto whatever you are sitting on or having to constantly wait until just before bed to have that much needed bowel movement so you can lie on your front with padding!

I never really siffered with pain, just a discomfort and had tried rubber band ligation to no affect.

I had surgery five days ago. Yes you do get immense pain that first night and for the next couple of days. Now it only hurts when I have a bowel movement. I am still passing a little blood but only when on the toilet and a slight difficulty in urination as my bowel seems to 'spasm' when trying to pass water so it is a bit painful.

The secret for me for to have, again, a good fibrous diet and TAKE YOUR MEDICATION REGULARLY. Don't wait for the pain to come on before you take it, but take it religiously as directed even if there is no pain. The other thing I did was to make sure I had a nice warm bath run before I went to the toilet so that as soon as I was done I could hop straight in it.

I went into a Surgical Short Stay ward in the hospital here in the UK, was kept in for about 3 hours post operation and sent home with Codeine, Ibuprofen, Paracetamol, Lignocaine (to numb the area around the rectum after a bowel movement and bath), antibiotics and Lactulose.

The short (but painful) duration of the pain for a few days is absolutely worth going through for the quality of life afterwards.

I'm a 35 year-old male, average height and weight with no past medical history if this helps.
kiliver
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Sep 1, 2013 @ 2:14 pm
this is 5th day of my haemorrhoidectomy I feel pain after try to BM and found the annual in narrow cause the bowl out like a snake style. I take a lot high firbre food and stool softener as well it seems not really help enough . every bowl run out I feel extremely pain . I'am worry if it will improve in annual space day by day . Cause I need extra energy to push out . Please give me advise if possible
Lisa
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Sep 7, 2013 @ 9:21 pm
I have now just hit my 4th day post op. I had 3 x 4th degree internal haemorroids, 1 smaller external and skin tags. I underwent an open haemorroidectomy and stayed in hospital for 1 night. I was booked in for 2 but asked to go home as I was up and about within an hour of waking from my general. The pain the first night made me unable to sleep until the nurse brought me an Endone which knocked me out for an hour and a half and then I woke up buzzing. I had my first BM the second day post op. yes it was painful but manageable with a warm bath and more endone. I only seem to need the stronger medication during the day with my BM's. in general I am in less pain than I was before the op. I had my 4th degree haemorroids for 11 years after child birth but was told to not bother undergoing haemorroidectomy until I had finished having children as they could easily return and it's not the sort of operation you want to do more than once if you can avoid it. Apart from the BM's I am much more comfortable now than I was before. Very bad haemorroids cause you such uncomfortable daily pain and to be rid of that is wonderful. I am only 39 and weigh 53kgs. I really look after myself and am very fit still even after my 3 children. The haemorroids really restricted my lifestyle not to mention made me feel embarrassed for if my husband or kids ever caught a glance. Yes it is a very painful op but at this point I feel it is totally worth it. Keep up your water, stool softener and medication. Make sure you meds have kicked in before your BM and that you hop into a warm bath straight after. I have had weeping and small amount of bleeding and today, 2 small blood clots. From what I read this all sounds normal. I am happier already than I did this. Don't let the pain factor scare you off. Just manage it as best you can and listen to all the advice. It's honestly not as bad as the two Caesars I had with my last two kids. They were way more dibilitating. WATER, LAXATIVES AND MEDS. You will get through it and be so glad you did it.
Robert
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Oct 6, 2013 @ 8:08 am
It's been 4days now since surgery. Still haven't had a bowel movement and in worst pain of my life. Do they honestly believe I will be back to work in 2 weeks? When will the bloody leakage stop? This is really bad.
jenny
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Nov 11, 2013 @ 8:20 pm
It's been thirty years since my surgery and yes it does hurt after but it's better than having blood-clotted hermorroids inside and out and being in constant pain. My problem now is having rectal spasms about 2 to 3 times a year. Wonder what causes it and what can be done. mentioned to my doctor but,can't get a good enough answer. Anyone out there know of this condition???
Melissa
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Nov 18, 2013 @ 9:09 am
I had my surgery 7 days ago. I am still in so much pain. I have had 2 sinus surgeries a neck fusion, 2 c/s and hysterectomy. This pain is so much worse! Also when I have a BM I have shooting pains down my legs and I violently shake. It is so bad that I have a hard time even walking when I get up. Does anyone else have this? I work at home and I thought that I could go back to work 2 days after surgery. NOT! I am going to try to work some today but it hurts to sit and I am sitting on a pillow. I know I needed this surgery but this pain is unbearable!
Miguel
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Dec 22, 2013 @ 3:15 pm
12 1/2 days since haemorroidectomy. I think most post here if they experience significant pain and other complications. Wanted to post to let others know that the procedure works and not all experience the same complications and pain. I had an internal and internal/external hemorrhoid removed. Luckily I experienced mild pain after procedure and did not need to take pain killer prescription. I did take advil at night or after some BM's. I was unable to have a BM until the 4th day which turned out to be extremely painful due to constipation and hard stool. Important to take stool softners and watch diet very closely. Double stool softners prescription but ask doctor. I had to do this. Probably had 3 sitz baths and just took warm showers and one hot bath. All helped. Mild exercise like walking is important and drinking 8 glasses of water, prune juice and aloe mixed in water seemed to help me. As others mentioned watch the type of fibre diet because some will cause constipation. BM's are still a little painful but pain wears out shortly after. Diet is very important and would help if one plans diet before surgery. Want to avoid constipation at all costs. Returned to work within 5 days and started jogging on 11th day. For me the surgery was worthwhile having lived with hemorrhoids for 10 years. I am 46 but been mountain biking (may have contributed to hemorrhoids) and running (used to run in HS) for past 15 years and go to the gym once or twice a week. I think being fit helped with recovery but I am sure everyone reacts differently. I wish everyone a painless recovery.
Briana
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Feb 22, 2014 @ 10:22 pm
I had a hemorrhoidectomy a little over a week ago, of both internal and external hemorrhoids. The pain was excruciating after the anesthesia wore off, I developed severe nausea and vomiting, and I also had horrendous muscle pain and weakness from the anesthesia for nearly two days. I was convinced that I would die or someone should kill me. Then a lightbulb went on! I needed to start taking an NSAID like ibuprofen for the inflammation. The Percocet was barely managing the pain because I had so much inflammation. I started ibuprofen and my life was changed hours later. Of course, I still needed to have my first BM. That happened the following day and I was again convinced I would die. I'm pretty sure I was close but managed to survive five BMs that day. Things were MUCH better the following day! I have cut back from six to two Percocet per day. Stool softeners, Metamucil, lots of water, extra fiber in my diet and a bland diet in general has been the recovery formula for me. The only thing that I struggle with right now is this INTENSE
itching that began last night - I might lose my mind!!!
haart@aol.com
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Mar 6, 2014 @ 8:08 am
I had skin tags removed, rubber band ligation and skin tags removed yesterday, same day surgery. I am on pain meds and some numbing cream. It is 7am the next day and I have to say I have had a little discomfort but nothing that bad. I have not had my first bowel movement yet so that may hurt. I have had a moderated amount of bleeding so perhaps as that heals it may hurt more, so far so good, I pray it does not change. I have had horrible pain for 5 years because of this and have had to miss a lot in life so it was time to have this done. For me not bad at all so far. Good luck to all
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Mar 16, 2014 @ 2:02 am
First off, I am sympathetic to anyone going through a hemorrhoidectomy. I am a white 42yr old Male and have been suffering from internal and external hemorrhoids for about 10yrs with severe pain after BM. My surgery was on March 5, 2014 after going to the ER for the most severe pain I have ever experienced, or so I thought. I've always considered myself to be a tough guy and have always been able to deal with pain. But I was seriously contemplating suicide which prompted my trip to the ER.

They immediately admitted me and scheduled my surgery for the next day. I was given Morphine which made the pain manageable. I was feeling better and thought relief would soon come. I don't remember the surgery, I was put under. I was given something right after surgery which made me stop breathing a couple of times. By the time I got to my room, I wasn't feeling too bad. The doctor used a long lasting local which allowed me to sleep some through the night. I had trouble urinating but could get some out with minor straining. I had no appetite, just drank alot of liquids. My colon surgeon had the worst bed-side attitude, most of the nurses and ward doctor did. They always reminded me of this being an Out-Patient procedure. Well, I'm sorry to say I don't agree with that at all. Anyways, they allowed me to stay for 1 day, still no appetite, still a struggle to urinate, and no BM yet. They practically booted me out, even while I was getting dressed, I almost passed out, got all dizzy, dripping with sweat. The nurse called the ward doctor and she said it was just because I was lying in bed all day. Anyways, I got dressed and the nurse practically was running me out in the wheel chair. I was given some prescriptions for pain, mineral oil and was told to start taking Metamucil.

I was in so much pain and practically lived in the bathtub for the first 3 days, started a liquid diet. I had alot of gas, leakage and had a good BM while in the tub(could stop it- very runny) the 2nd day. The pain with the BM was manageable because it was so loose I guess, but alot of burning. The easiest way for me to urinate was in the tub. On the 3rd day I felt the need for another BM and decided to try the toilet. What a mistake that was, the pain was so excruciating I almost passed out. It was still soft, kinda pancake batter consistency. I immediately jumped in the tub and soaked in cold water which helped with the pain. I never really bled alot, just leaked poo mixed with a little blood.

I decided that I didn't want another BM for a while so I cut out solids and went back to a liquid diet for a couple of days to promote faster healing. Really wasn't feasible for me, got too weak so I started eating small meals. My next BM was in the tub, still loose, still burnt like hell.

I know it sounds gross but I'll take gross over that level of pain any day. Here is what I do for a BM which is helping me alot.

1) Soak in a hot bath to relax the lower region and it kinda relaxes the mind. I feel the mind has alot to do with the constriction down below.
2) Let some water out of tub, just keep it deep enough to keep anus covered while lying on back. Keep your head and shoulders up higher due to whats gonna happen next.
3) Have a cold wash rag & bowl of cold ice water next to tub.
4) Have your BM (I normally urinate about the same time), start draining the tub and put the cold wash rag on the anus. Keep it cold by dipping in ice water periodically.
5) When you feel a bit better, do a quick shower to clean the waste off of you and clean the tub. Keep using the cold wash rag if needed.
6) Run another hot bath and soak a while longer to calm the muscles down in the rectum. Keep going back to the cold wash rag as needed.

So far, doing the above I can stay off of the pain meds with an occasional Tylenol. It hasn't been 2 weeks yet, but I've been able to manage the pain with the BM.
Tiff
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Mar 18, 2014 @ 3:15 pm
Please someone tell me i'm going to be ok!!!

I'm in my late 20's, fit, super active, constantly smiling and enjoying life with my two beautiful boys and hubby that was until last Friday (14-03-14) when I underwent a hemorrhoidectomy. I honestly cannot cope with this excruciating pain any longer. My pain threshold is high, I can't stand sitting about but let me tell you, this has knocked me for six. I can manage with the pain between BM's and am doing so with no pain relief (perhaps a couple of ibuprofen) but wow, when that instant pressure comes on i'm straight for the cocodamol, running the bath and getting the gel ready. The pain is like nothing i've felt before (i've had two babies, one natural with no pain relief and one c section!) I am literally screaming out in agony. I'm surprised my neighbours haven't called the police in concern for what the hell is going on!!! The pain I then suffer afterwards for approx 4 hours in unreal. Tonight my husband wanted to call an ambulance as I was literally hysterical. I can't go on like this, I'm scaring myself with the level of panic and sheer despair that i'm feeling. So far this forum has helped me to see that there's light at the end of the tunnel but when I read that people are still experiencing pain 6-18 months later it sends me into a blind panic.

As others have explained, definite lack of info. My surgeon was realistic and said 3-4 weeks recovery but no mention of the side effects (leakage) or anything else. I just thought a week of stinging and soreness, NOTHING ON THIS SCALE

To anyone considering this surgery, I wish I had seen this forum first. People say that people only discuss the negative experiences but read and digest the experiences carefully. I am no shrinking violet but this experience is literally destroying me and that's on day 4!I feel that nobody understands as it's described as a simple op and done on day surgery. I just wish I knew when this hell would be over, that or transport myself back in time!
J-me
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May 15, 2014 @ 1:13 pm
Went to my family dr 9 years ago about my internal hemorrhoids. All he could say was wow and called a surgeon from up stairs and tell him he was bringing me upstairs to his office and when we arrived he had a tray layed out with a few tools and some rubber bands that looked like someone would use on their braces. He then asked to see and when he saw them he said he had heard of some being that big in books but had never seen one. They talked a few minutes then tried to get me to surgery then, but there was no available operating rooms. Had to wait til next day. This is where the he'll began. I've raced motorcycles with many crashes, I'm also a welder and machinist. Been burnt, cut you name it I've done it to myself. I have never and I repeat I have never been through this much pain. Dr said could be back at work (light duty) in 2 weeks. I thought I was tough and would go back in a week. Wrong!! Incisions burst open and I almost bled to death. I had to more short stays in the hospital. I stayed drugged up for 4 weeks before I could go back to work. Still lots of pain and seepage. Years later these problems still persist. All the dr had to say (before he most conveniently moved away) was that I will need to take stool softeners for the rest of my life. If I take stool softeners it makes the seepage worse. If I dont take them I have some very painful bowel movements which is followed by more seepage. If I do a lot of walking it gets worse. If I even help my wife carry in the groceries it gets worse. It's seepage and makes my bottom end so raw it starts to bleed. I have to constantly take showers and keep some preperation h wipes with witch hazel. In my line of work it's hard to even hold a job. I catch a lot of grief from my employees about why I'm walking funny or for why I go to the bathroom so much. I'm bout ready to give up and just apply for dissability
J-me
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May 16, 2014 @ 10:10 am
Went to my family dr 9 years ago about my internal hemorrhoids. All he could say was wow and called a surgeon from up stairs and tell him he was bringing me upstairs to his office and when we arrived he had a tray layed out with a few tools and some rubber bands that looked like someone would use on their braces. He then asked to see and when he saw them he said he had heard of some being that big in books but had never seen one. They talked a few minutes then tried to get me to surgery then, but there was no available operating rooms. Had to wait til next day. This is where the he'll began. I've raced motorcycles with many crashes, I'm also a welder and machinist. Been burnt, cut you name it I've done it to myself. I have never and I repeat I have never been through this much pain. Dr said could be back at work (light duty) in 2 weeks. I thought I was tough and would go back in a week. Wrong!! Incisions burst open and I almost bled to death. I had to more short stays in the hospital. I stayed drugged up for 4 weeks before I could go back to work. Still lots of pain and seepage. Years later these problems still persist. All the dr had to say (before he most conveniently moved away) was that I will need to take stool softeners for the rest of my life. If I take stool softeners it makes the seepage worse. If I dont take them I have some very painful bowel movements which is followed by more seepage. If I do a lot of walking it gets worse. If I even help my wife carry in the groceries it gets worse. It's seepage and makes my bottom end so raw it starts to bleed. I have to constantly take showers and keep some preperation h wipes with witch hazel. In my line of work it's hard to even hold a job. I catch a lot of grief from my employees about why I'm walking funny or for why I go to the bathroom so much. I'm bout ready to give up and just apply for dissability
Don
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May 29, 2014 @ 9:21 pm
Im having surgery in the morning and i have been warnwd of the pain the main thing my Doctor told me is to stay ahead of the pain he said to take the pain pills every 4 hours on the dot and to set the alarm clock to make sure i dont miss it he also mentioned that missing it by even a hour could end up in a E.R. visit so dont try to be manly take the pill at the exact same time every time till your done
j Diaz
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Jun 20, 2014 @ 6:18 pm
Hi, I'm a 28 year old male who had gone through a hemorrhoid ligation procedure about a week ago. The procedure was done for three hemorrhoids at once. I was put under anesthesia and upon awakening found I was under an extreme amount of pain. I was given oxycodone and sent home to recover. I had an immediate bowel movement which surprisingly didnt hurt but had some trouble after that. Everything seemed ok till one night about three days later I woke up after two hours sweaty in bed having a major panic attack. I paced around my house and tried going back to sleep. Only sleeping in two hour intervals, awakening in panic mode. The next day I woke up and I wasn't myself all day I kept dozing off and waking up panicked all day. At night same story. I visited the dr fearing I had toxic shock or a bad reaction and all tests came back negative. The dr told me the anasthesia might still be in my system but its been a week already and still trouble sleeping waking up in cold chills falling back to sleep and waking up sweaty. Although my anxiety is somewhat controllable during the day I'm still not myself. And I still can't sleep through the night. Has anyone else gone through this? Please let me know. Im married to a beautiful wife and I have a baby girl. I need to snap back to normal and feel helpless please help me.. Jesus
CJ
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Aug 13, 2014 @ 1:13 pm
I'm a 45yo male, have been dealing with external rhoids for past 10 years at least, internal for at least 3y (grade 3 and some prolapse). They used to just annoy me. I remember the doc when he first saw them saying if they don't bother me that much, leave it be. He said I'd know if/when they were needing surgery. Over the last year or two the seepage in my underwear (blood and mucus) has been annoying and weekly. The pain from the external rhoids was the worst--sometimes even bleeding through shorts and other stuff. A royal pain. I had internals banded twice, which stopped the bleeding for a while but then it came back. Finally, my gastro doc looked at them and first prescribed two weeks of suppositories, cream, psyllium husk and stool softeners 2x day. That really did help--mostly. But the rhoids were still there and didn't go anywhere, especially after the morning BM (which I started to dread). When I went back to the gastro, he actually told me that he'd just had his own rhoid lanced/removed, so at least that seemed like I was in "good" company. He looked again and said they definitely needed to come out--but only two at a time (I had 3). NOTE: he really discouraged too much surgery due to the risk of "pinhole anus". I went in for surgery two days ago and right now I have to admit I'm quite glad I did. The surgery was outpatient, I woke from anesthesia with some serious pain. Was given morphine and I tried to pee--didn't work the first time but some came the 2nd time (if not, they'd have cathetered it). Went home, laid down, dealt with anesthesia all day (nausea mainly), took Norco 3 times (12n, 4p, 8p) then stopped as at midnight I didn't find the pain too bad and knew that painkillers constipate. Next a.m. just more pee and LIQUIDS ONLY all day (as well as the day before surgery and day of), as well as 2x mineral oil, psyllium husk, stool softener daily. Started taking ibuprofen, which has been fine. The pain really has been quite manageable--not nearly as bad as many on this site write. Last night (day 2) I had first BM (prior to that was gas and just adjusting to the feeling) and was SO PROUD of my two little turds. Laid in the tub afterwards, very little bleeding. Went to bed (it was about midnight) and couldn't sleep for several hours, primarily due to pain. Yikes! I thought, and read the posts on this forum and got seriously worried (that alone probably kept me up more than the pain). Finally slept but not well. It is now day 3, had another BM this morning with significantly more poop, well-formed and solid, and I have to say the pain was no worse than a sometimes "prickly" BM. I'm totally amazed. I don't know where I'll be in two weeks, but at this point I have to say it was worth it. That said, make sure you talk with your doctor/surgeon and he/she understands, has done plenty of surgeries, and can give you good advice.

It looks like the 7-10 days my doctor told me will be accurate--at least (and if you can afford to take the 2 weeks off work, I'd probably suggest it). I did go to work (teacher) for a few hours today and then home to sleep. Walking is annoying and certainly the pain is always there still, but it's really nothing compared to what I expected.

Day 1 pain for me was a 5/6, day 2 was a 3, today (day 3) probably a 3--but it comes and goes.

I think some of the posts on this site are perhaps "premature" in their worries about pain. Everyone is different and everyone's body responds differently to surgery/pain, so I don't think there can be a "predictor" of what you will go through. You might want to go easy and only do a small surgery--one hemorrhoid--first through. See how it goes. But it seems to me that the comments on this site might be the "worst"--my gastro never said anything like these posts (duh), and told me about one man my age who'd lived with them for 20 years who just couldn't believe what it was like to have an easy-to-cl (...)
John "Ouch" Doe
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Aug 30, 2014 @ 10:10 am
I'm a 41.5 yo man who had his hemorrhoidectomy on the 15th of August. My expectations were that I'd be working from home beginning the Wednesday following the surgery. Things were still too painful, for that arrangement to work, so I decided to skip work until Monday. On Friday (07-22), things felt significantly better, so my wife made a more substantial meal than we'd been used to eating for the week (Tuna Steak, Mashed Potatoes with her awesome mushroom gravy). We also shared some wine. By the time dinner was over, I had to make a BM. I raced to the toilet, started getting the tub ready, and let loose.

The BM come quickly and... Pain free! Sensing that was strange, I looked into the bowl immediately and saw only red. I quickly moved to the tub and felt the need to release again. The entire bath turned red instantly. I was laying in the tub, soaking in water, my own blood and feces, and some Epsom salt.

By the time I was admitted and in a room in the ER, I could barely maintain consciousness and, in fact, passed out at least twice, once almost landing with my head on the toilet. The doctors moved me to the ER immediately. After the now familiar burning sensation from the IV, the next thing I remember is waking up in a shared hospital room with an older gentleman. It wasn't difficult to fall asleep again.

When the sun woke me up in the morning, I need some pain medication. The nurse was having trouble understanding that I can't take NSAIDs, which is why I was on Oxycodone the week before. It took hours to get the doctor to order more. Until the early afternoon, all I could do was writhe in agony. These few hours were some of the most excruciatingly painful in my life. Two of the trio of doctors who worked on me showed up at some point. They told me they'd stitched things back up and that I was given two units of blood in the OR and would probably need more.

Throughout the day, I finally got some pain killers and some reasonable food to eat. I even had a BM: soft, wet, dark, and a lot less painful than what I experienced the week before. It felt like the sutures were done better this time around. I also got another unit of blood. The pain killers and my exhaustion meant I could sleep that night and I did, waking up a couple of times to try for #1.

The doctors stopped by the next morning and told me I look a lot better. I replied, “Yeah, I thought I was going to die!” His expression unchanged, one of them paused and replied, “ You lost more than 40% of your blood.” It appears I was on the verge of death upon admission. The doctors kept me there that day and ordered another unit of blood.

I was released the next day and, aside from a couple of small complications, my recovery this time around is going much better than the first week. I do have a small fissure and more hemorrhoids to remove, however. I'm not sure if I'll tackle those the same way. Anyway, I'm happy to be alive, pain and all!

Good luck, everybody.
Nixon
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Oct 17, 2014 @ 3:15 pm
I am a 46 hr old Blk male with 28 yrs of military service. I have deployed three different times for a total of 30 months. Five days ago I had the external hemorrhoidectom. I thought I was emotionally and mentally prepared for the "SURGERY". To help physically I received Percocet for the pain, Valium for the spasms, Collapse as a stool softener and had to take fiber twice daily.
The first 72 hrs was more difficult than the 30 months of deployments total. When deployed I knew who the enemy was but in this case the enemy was me or my butt. The post surgery pain was extremely excruciating. In between the pain, the spasms, being backed up for four days, the ER visit, laying on the
on the tile bathroom floor for hours and scaring the hell out of the Chick-fil-a customer by screaming Oh My GOD, Oh My GOD in the bathroom. This was the toughest thing I have ever endured. My antidote was taking three Colass in the a.m. and p.m

. and drinking about 90-100 oz of water daily. Accom

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