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Prolonged pain from Hemorrhoids

The time now is 08/26/08 - 14:18
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Jim C
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Joined: 18 Jan 2007
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Location: Pueblo, Co

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PostPosted: 01/18/07 - 17:59    Post subject: Prolonged pain from Hemorrhoids Vote now! Reply with quote

After a bowel movement, my hemorrhoids increase in size and hurt so much that the pain actually generates down my leg and into my foot on the left side. This pain lasts at times for a couple of days and I have a hard time getting up or walking. I have a terrible time turning over in bed. I have tried sitz baths and suppositories and ointment and these things help but only minimally. I had a colonoscopy recently and the technician said that my hemorrhoids weren't bad at all. I have had hemorrhoids since I have been 18 years old. I am now 60. This is the worst that they have been but as I said I am told that they aren't bad. I was told that I did not have a prolapsed hemorrhoid. I have looked at them in a mirror and when they are hurting after a BM, they are at least 5 times larger than before the BM. The center of the area is actually purple in color with swelling all around that. BMs are 2-3 days apart for me on average. I was told to try cold sitz baths and would like to know if this is accurate information. Any help would be greatly appreciated. What is the least painful surgery for hemorrhoids to date...if there is such a thing as painless hemorrhoid surgery.
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PostPosted: 09/01/07 - 22:12    Post subject: Re: Prolonged pain from Hemorrhoids Vote now! Reply with quote

Jim C wrote:
After a bowel movement, my hemorrhoids increase in size and hurt so much that the pain actually generates down my leg and into my foot on the left side. This pain lasts at times for a couple of days and I have a hard time getting up or walking. I have a terrible time turning over in bed. I have tried sitz baths and suppositories and ointment and these things help but only minimally. I had a colonoscopy recently and the technician said that my hemorrhoids weren't bad at all. I have had hemorrhoids since I have been 18 years old. I am now 60. This is the worst that they have been but as I said I am told that they aren't bad. I was told that I did not have a prolapsed hemorrhoid. I have looked at them in a mirror and when they are hurting after a BM, they are at least 5 times larger than before the BM. The center of the area is actually purple in color with swelling all around that. BMs are 2-3 days apart for me on average. I was told to try cold sitz baths and would like to know if this is accurate information. Any help would be greatly appreciated. What is the least painful surgery for hemorrhoids to date...if there is such a thing as painless hemorrhoid surgery.


I feel your pain. I am only 29 and am going through my first boat of them myself. My doctor says they aren't bad, yet the pain nearly makes me sick and my tolerance is pretty good. I have been battling them for nearly 3 months now & I feel as though my life has stopped, as walking, exercise, or just being generally happy doesn't exist anymore. I have not yet gone the route of surgery, but am feeling that it will have to be done soon. I believe in trying everything else first, but I have and to not much prevail. As for the sitz bath, I can't imagine sitting in warm water. All I want is ice packs.
I wish you well.
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liz_m
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PostPosted: 01/20/08 - 17:04    Post subject: hemorroids Vote now! Reply with quote

I first found out I had hemorroids about 15 years ago - i noticed blood, but had no pain. Now for the past 6 years or so I have been through (and am still going through) unbelievable pain. I have had hem "banded" at the hospital 3 times to no avail. I am due, in a couple of months, to go into hospital to have them "stapled". I can't help thinking that this won't work either! My doctor said they were not bad at all and certainly didn't merit surgery. He seems mystified when I tell him how excrutiating the pain is. I feel that my life is on hold and am at a loss what to do. On reading articles on the internet, I thought maybe I had a thrombosed pile, or an anal fissure, as my symptons fitted the descriptions. But of course my doctor assured me that I had neither. I am sure he thinks it is psychosomatic. I think he (or anyone belonging to him) has never suffered from hemorrhoids! I just feel like I am being told to get on with my life and put up with it. I think a lot of the problem is that colo-rectal consultants are only interested in bowel cancer and because hemorrhoids are not life-threatening they are trivial! Does anyone out there feel the same as me? I am at a loss what to do.
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Tham
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PostPosted: 01/29/08 - 12:37    Post subject: Vote now! Reply with quote

After my own experience and from further research
on Medline, I do not advise the stapled, or PPH method.

1. High rate of relapse (one hemorrhoid has grown back
after just three years)
2. Risk of bleeding
3. Fecal urgency and incontinence
4. Other complications, such as rectal perforation in some cases.

The staple doesn't really excise the hemorrhoid - it just
pulls or retracts it up into the anal wall. The only
advantage is lesser pain.

The instruments of choice, in order of preference - lesser pain
pain, bleeding and complications like stenosis, for third to fourth
degree hemorrhoids requiring surgery, in my opinion are :

1. Starion thermal ligating shears
2. Harmonic scalpel
3. Ligasure bipolar diathermy
4. Bipolar scissors
5. Laser, preferably the Nd-YAG type
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