This post is an extension of the What is the recovery time for hemorrhoid surgery thread.
Please continue posting within this thread.
Here is my advice:
1) Find a good doctor and have traditional surgery. All the research I have done since my surgery indicates that a scalpel and stitches has the fewest complications, highest success rate, etc. Ask lots of questions and only go to a surgeon who you trust and is honest about recovery time: 2 weeks to be back on your feet getting stuff done and 6 - 8 weeks for the spot bleeding and minor pain/itching to stop.
2) Change you diet and BM habits BEFORE surgery. If you eat a high fiber low fat diet and drink plenty of water for a few weeks before surgery your recovery will be SO MUCH easier. You will not need stool softeners or enemas or laxatives. I wish I had done this. If your are used to quick, soft (not watery) BMs and a good diet you will not have to adjust to a whole new routine while recovering from surgery. I simply add psyllium to my favorite pureed fruit drink (Bolthouse Berry Boost or Blue Goodness) each night before bed and I am all set for the next morning. Also, I eat high fiber cereal every morning with non-fat lactose free milk. I usually have lentil or black bean soup for lunch.
I cannot stress how much better you will feel if you just have a nice smooth BM every morning (it will be painful but you can do it). Also, if you just eat the same things on a schedule you will have the energy and nutrients you need to get healthy. After I decided to suffer the pain and just eat right I got better very quickly. You need to eat real food and avoid chemical stool softeners and laxatives that are depleting your body of nutrients.
There is a difference between soluble and insoluble fiber! Benefiber will not help you that much with your BMs - raw Psyllium fiber will. Getting more soluble fiber is good too but I used Benefiber for a week and felt no better. I switched to insoluble fiber and it was like a miracle.
3) Exercise!! Go for a walk everyday. Do not stay in bed all day! I would make myself walk, even if only for 5 minutes, 3 times a day. Most importantly in the morning to help my body get started. You really do not need more than short walk a few times per day and you will really help recovery. And again, start before your surgery. Getting into good habits before you are recovering from surgery will help you get better faster. I actually find standing to be easier than sitting pretty much right away so if you cannot walk maybe just stand for 5 minutes every hour. Walk around your house or apartment if that is all you can do, but do something.
4) Take the pain pills. I would take them early in the morning so they would be at peak effectiveness for my morning BM - alarm at 6 AM to take pill, alarm at 8 AM to get up, drink a glass of water, go for a walk, have BM, warm soak or whatever makes you feel better. It took me a week to figure this out. Start right away.
5) Take a full 2 weeks off. Relax and focus on yourself. You will be able to get around the house to get beverages and food but not much else for a few days so plan accordingly. Movies, video games, Internet, whatever makes you happy and keeps your mind occupied. Take naps, do hot compresses, write a novel. There will be pain but it will be tolerable. This will give you some time to recover at your own pace. Also, tell work if it is at all possible. This surgery is fairly common and known to be difficult so they will be more understanding than you might think. Also, they will make bad jokes which might make you feel a little better.
I have lost 23 lbs and I am still losing weight. I hope to lose 15 to 17 more pounds and maintain my healthy diet and exercise for life.
There is no denying the recovery sucks, but with good planning and a good attitude I think you can improve your life. And if I had to do it again I would, but I will follow my own advice and hopefully I will not need another surgery.
If I think of anything else I will post it and I will give another update in a few weeks.
I've been living with frequently prolapsed 'rhoids for ten years now. Had painful externals twenty years ago, but I had them cut and blod clots with veins removed - which was very easy for me - I was only twenty then.
I've never had thrombosed 'rhoids, but my butt hurts me enough to have changed me as a person, I think. When I have a flare-up, I get irritable, and I snap at my kids, and wife. I'm a mean person, sometimes. That is the worst thing about this. I act sometimes like a total as****e. My temper just pops, and I don't realize why, until I notice that my butt feels like there's a screwdriver in it. Anyone else do this? Does this account for road rage and the like we see in our society?
I don't think my pain has gotten so bad that I'd risk what I've read about in the above pages. My heart goes out to all of you - and I feel blessed by having read your stories. Patch - especially - I'm rooting for you, buddy.
I found this page because I'm sick of living with pain, and I was considering going in for the knife, but now, I doubt it.
Can anyone tell me if waiting will make the inevitable surgery in my future worse? I don't have thrombosis, and I don't fear my daily morning BM. It's not at all painful.
But frequently, I have increasing pain and irritation through the afternoon and evening. The build-up of feces resting on my hemmorhoids is irritating. Like having something stuck in my butt all day. Oh, yeah. I always have brown seepage after a BM. I usually try to wipe about 15 mins. after, and again in an hour. It's sort of like Patch's butt pea syndrome, but I haven't had the surgery yet. It's very irritating.
So how much worse will it be if i wait? If I get "fixed" now, will my risk of complications and relapse be better than if i wait ten years? I'm 45 now.
Thanks for all your advice!
See a doctor because there are other options to treatment that may help you avoid surgery yet get you relief.
Let us know how you do.
I went on a business trip to Thailand and Singapore for 10 days. The natural enemy of the post operation butt is an airplane seat for 10 hours. To be honest I guess it was ok but I was VERY relieved to get off the plane.
The reality is that as much as I say I am ignoring this and it is going away it really is not the case. I have a few good days and then a few shockers. I dont know what is normal anymore. I have 2 new (or missed) internal rhoids which the specialist wants to band in the surgery (yeah right) but I am in no hurry to go there at the moment.
We develop new technologies, mostly in renewable energy or energy effecient technologies and we are in the middle of negotiations for the 3 biggest deals of my life so I keep telling myself to forget my butt. The pity is that I was sitting in a meeting with the Singapore Government last week and I was in enough pain that I lost concentration. I am not being a wussy boy here, .......this hurts......
SO what should I or anyone else do? I really dont know. I had no choice but to have the operation. I was lying on a gurney in my doctors surgery and I could not get up. She rang a specialist and 2 hours later I was in an operating theater so I had very little choice.
I guess that if the situation is managable then I would put up with it. If an operation is really needed I would RESEARCH every doctor in the area and find who was getting good results and outcomes. Unfortunately I did not have that opportunity. I am not saying my specialist did anything wrong. He seems to be a good guy and very caring, I just dont know why I have had this outcome.
So for the time being I am going to put up with the bad days, love the good days and hope that I have more of the later then the former. I can still ride my motorbike on all but the very worst days and for the most part it is just this background "annoying" pain in the butt.
I will keep you all posted over the next little while and see if my situation improves. In the meantime I am going to look back through the posts and follow up on the natural remedies that have been listed. I have a deal of faith in alternative health treatments so I will try that.
Keep well all
PS want to see me patchmusic.net
This is me in another part of my life (not the corporate life)
I can only say from my experience, which may not be typical. I put this surgery off for over 25 years, until the bleeding became alarming. I had the "skid marks" after a BM, and the oozing and all, but when it began bleeding often, I went for the surgery back in January.
Can anyone tell me if waiting will make the inevitable surgery in my future worse?
I shopped around for a surgeon with experience with the harmonic scalpel, and the recovery -- while a lot longer than I was told -- wasn't all that bad .... except for one thing.
After 25 years of trying to control the hemorrhoids by clenching the butt cheeks, I now have a spastic muscle in the rectum. This caused unusual amounts of pain in the recovery, and still causes periodic bouts of constipation.
It also tends to be sensitive to both stress and barometer shifts. I'm sitting here at the moment bloated with gas pains. Yesterday, they doubled me over, and I couldn't pass gas. After taking a day of recovery, I'm getting some gas out, but it's still bad.
Whether this is a scar issue or just the results of putting off the surgery for a while, I'm not certain. But it's no fun.
But as you put off the surgery, you lose track of what's a "normal" bowel movement. Getting back to "normal" can be harder when it's been decades since you had "normal".
The different outcomes that people have with this operation would fill a book so be careful not to judge.
I have just returned from a business trip to Asia and there is a hospital I was told about (Singapore I think) that runs classes for post op hemm patients to tech them how to poo again so go figure. these people are not wimps, they just have different outcomes. My mother had this operation 30 years ago and it ruined her life. She is now 85 and is in pain every day.
If you had a great outcome power to you buddy but dont dare to be so smug regarding others.
A radial hemorrhoidectomy is a pretty massive change to the "equipment", so there is a "learning curve" to figure out the changed signals.
... there is a hospital I was told about (Singapore I think) that runs classes for post op hemm patients to tech them how to poo again so go figure.
Update on last week: I'd been steadily losing weight since the surgery. Apparently, the recovery threw my G-I tract bacteria out of balance, and, after a possible infection last week, the whole system shut down on me. I've been taking acidophilus capsules to let the correct digestive bacteria re-colonize my G-I tract, and I've actually gotten back 5 lbs since. (I may be the only person in America happy to be gaining weight. ;))
So for those going into the surgery, apparently the talk in the previous thread about sticking to a consistent diet during recovery is good advice. I varied my diet and didn't notice it going wrong.
OK so I've been told by my doctor that I have hemorrhoids. It only took him about half a second to know exactly what I had, so I'm guessing they're easily noticable. I can definitely feel one big one hanging there if I feel around back there. I haven't had any pain (yet), but I have had blood turn up on the toilet paper maybe 3 times in the last 8 months, which is why I got checked out in the first place. Sitting down isn't painful for now either, but my job requires me to sit at a desk for 8 hours a day. I'm 28 and expecting the next few years to be pretty busy, any advice on what I should do? My doctor told me that they would probably use the rubber band technique to get rid of them, and I have an appointment scheduled at the hospital for August 8th, which is when I was going to take my 2 week vacation. Should I do it just to get it over with ASAP? Have it removed using other methods? Postpone it? How long should I wait if I choose to? Any advice it appreciated.
Firstly I will mention that my surgery was August 28th at 1pm. My Doctor was nice enough to sort of walk me through what he was going to do to me. He drew a picture of it so that things were absolute.
Secondly, I would like to wish everyone who is currently recovering the best wishes. I know you need it because I am still recovering. My recovery has been completely unbearable and I will never defend it in a mild manner. No one knew how bad they were until I chose to take pics of a couple out breaks and showed them to the Dr's and paralyzed the with shock because when examining me that was not what they saw. They did not even think I needed major surgery, but after seeing the pics put me on the priority list so put your camera's to use if need be.
One thing I have observed is how many hemorrhoids people mention they had and had removed or taken care of. No one so far has mentioned my number. I don't know if that means that my experience has and still is more painful than yours. I think so though. I had 4 hemorrhoids; 2 internal and 2 external removed or cut off and then stitched. It was definitely no cake walk. I sort of feel cheated because before hand I was never told how much pain I would endure afterwards.
Once I woke up from the surgery I felt OK. I was in pain which was bearable, but I managed to go home fine. In fact I remember being so happy because of how I felt which was not so bad. The reason for my happiness was that one of the nurses clearly told me that the worst pain I will ever feel will be what I feel when I wake up from the surgery and it gets better after that. SHE WAS ABSOLUTELY WRONG.
Everything was fine as I took the meds and all until the next morning when I was woken up by severe excruciating pain that was beyond unbearable. I was screaming and crying in the kitchen and there was nothing I could do. I was shaking from the pain. Mind you I already had taken the meds necessary. What happened here was that the anesthesia had pretty much completely worn off so I was basically left alone to handle the pain.
I tried to call my Dr, but could not reach him and my sis was so worried because in her life she had never seen me like this so she skipped work that day. Finally when I got a hold of my Dr. and the nurse they told me to take 2 pills every 3 hours and yet the bottle said take 1 every 4 hours so you can imagine how much pain I was in after taking the wrong doze thanks to some human in perfectionist. (By the way that med I was given that did not work is called Tylenol #3.) It was absolutely accurately useless for me. Now still I insisted that that medication did not work so after meeting with my Doc he prescribed a much stronger medication from Rite Aid (or any pharmacy) called ESGIC PLUS which I take once every 8 hours, but in my case 5 hours. I get refills on it with his permission every time I run out.
It only got worse because soon afterwards I needed to pass a bowl movement and when I fearfully tried I thought I was going to pass out. Here is my description, all the blood and pressure rushed to the top of my head and I became so hot I started gasping for air and banging on the window because I was so hot. I just could not do it so made an immediate decision to push my bowls back inside of me and hold off. I did that successfully. You can imagine I pretty much vowed I was never going to be put in that position again.
I immediately told my sister to go to Rite Aid pharmacy and explain my situation to the physicians and ask them for a laxative for Diarrhea. They gave me something called Bisacodyl which is what I have been using until today and though bowel movements are still painful they are a lot less painful when having Diarrhea instead of a normal stool. That stool medicine that the Dr. recommended called Collace did not work at all for me. Simply my butt hole was way too small obviously. The Dr. said that the laxative I got is fine to use. One thing I also decided to do from the beginning after my nightmare of an experience with my first attempt to have a bowel movement was to only have one when I am in a sitz bath. As gross as it may seem, it is a much better feeling that taking it raw. Everytime I feel it coming I quickly get my sitz bath ready and sit inside until I release and then stay there for about 5 mins more to ease off the pain then get up and clean up thoroughly.
I have been doing this every single time for the past 14 days and it is working for me. One other mistake I think my Dr. did not, but should have told me is for at least the first 4 days to pretty much feed on just soft foods and liquids because what you eat has to come out and remember it will whether you like it or not and the softer or less you eat, the easier it will be. Now since day 1 I have been bleeding and still am which apparently is normal. The first 4 days I was bleeding really badly and then it pretty became what they call, spotting which I still am.
It is only 3 days ago that I started with the itching which again was unbearable. I could not believe how itchy it was and every time I touched it, which I could not help it would hurt me so what I would do is when the itching starts I go into my sitz bath and touch it there because it feels much better and hardly painful. I stay there for a while. Another thing I did not mention is that my pain was so bad where the Dr. told me I just needed to be in the sitz bath for 10 to 15 mins I was there for hours at a time because it would take me that long, but once I got out I was practically pain free or could bear the pain so take advantage of a sitz bath and make sure you have one. You will need it, you will need it, you will need it.
I can tell that I am at least 2 weeks away from any sort of full recovery where there is no bleeding or pain involved (14 days later.) I tried to walk a 1 block distance to the pharmacy 2 days and realized that I am far from recovery because I barely could do it. I would also suggest that during recovery you when sleeping you switch off your phone because you will realize as I did that the only time I was able to escape the pain was when I was knocked out.
I went through many hours and days where I could not sit, sleep or lay down or anything so had to stand and walk around my apt until my feet got sort or until the meds kicked in properly where at that point I had cried myself to sleep.
All I have to say is you will need to do your homework on how to help yourself which is why I am trying to be as descriptive as possible because if you cannot reach your Dr or anything you may need to be creative or you are in trouble. Make sure you have a sitz bath with you before you leave the hospital, fill it with warm water and use it for all your bowl movements and stay in there for about 10 mins longer afterwards so the pain settles no matter how gross you think it is you need to heal yourself. Also for the first few days and perhaps other days make sure there is someone around you who can do the shopping for you or help you with things. You will need it. Like I said it is no where near a cake walk. I have a high tolerance for pain, but this??????
I'm currently at the 3 month mark and I'm still bleading with every bowl movement and spend hours in the bath after. My Dr told me that I had one of the worst cases he had ever seen and he call it a 360 degree condition and to this day don't know how many total that I had but it was alot. I was suffering from both internal and external. this is the first suergy i have every been through and i hope my last ever.
I have to say I was 100% mis lead on the recovery time and I have to tell you from what I have read sure some people can be better 2 weeks later and then other like myself it can be months. I'm currently taking Tylenol number 4's and about 4 times a day.
bottom line... the recovery is 10 time worst then the pain prior to the suergy and the only plus about the suergy is the very low chances of the riods ever returning. and at this point in my life Keeping in mind i'm a 24 (at the time of the surgey) 25 now year old male I will never do this again for just about any reason inless it life and death.
Its something I dont talk about to friends or anyone else for that matter except my wife. My chirporactor gave me the best advise to take chewable fiber pills every day and to rest as much as possible when Im not working. I have a desk job and I could imagine anyone who does hard labor having this.
Anyhow Im there with everyone with the pain and being deprssed about it and all. 2 weeks, yeah right. Hopefully the pain will subside. I did not take the pain meds until that bad BM 2 weeks before Xmas. I have only taking 3 since then, Jan 05,2008. I dont think they help other then wanting to put you asleep for 15 minutes.
I know Im all over the place here but Im just not with it as I am normally. Pain,depressed,frustrated you name it. I dont wish this on anybody.
I was beginning to feel like there was something wrong with me as two weeks after the op to remove one internal and two external roids I was in intense pain and all I was told before the op was 'my botty may be a little sore for a few days' - ha!!
I am from the UK and the op is day surgery over here and I was told this was 'minor surgery' and the only after-care advice I was given was that I may need to take time off work, and to eat lots of fruit and veg!! I feel totally conned into not being told about the seriousness of the recovery time required for this op and the lack of info.
I have had to learn the hard way about recovery. Here is my story in brief:-
- After op in lots of pain despite pain killers recommended (neurophen and paracetamol which didn't touch the pain) + bleeding loads
- First BM (solid poop) was two days after operation and I began to find out what pooping razor blades felt like - nearly passed out with the pain
- After second week had to plead with GP for prescribe me oral morphine for the pain (downside causes constipation) but was also informed I need a laxative (senokot) and a stool softner (magnesium hydroxide) - why was I not told this before???
- Things improved a little after this as 'Mr Whippy' poops although stingy and painful are alot better than passing solid bullets like I had to endure in the first two weeks. Also didn't feel like I was going to pass out/shake uncontrollably/sweat profusely at every BM as I had previously.
- Tried very hard to come to terms with the 'two steps forward - one step back' (sometimes it felt like one step forward - two steps back!) type of recovery this was going to be.
- For me keys for recovery management (self learn't) were warm salty baths after each BM, hot water bottle under bum thereafter, pain relief in the form of morphine/codeine when pain gets too much, but make sure laxative and stool softner used at the same time. Also, hard for me to say this as a bloke, but the investiment in an ample supply of pantyliners essential to mop up those unwanted leakages!!
- Stuff learn't from this forum:- pressing down on your coxix does wonders for the pain during a BM - I wish I had know this earlier. Also stool softners should be used from day 1.
- Anyhow I could write an essay on all the problems I have had during this recovery but I am at 7 weeks after the op now and consider myself to be about 75% recovered. I finally don't dread each BM, and although it is still painful and unpleasant, and I am still bleeding, it is nowhere near as bad as before. It usually takes about 3-4 hours before my bum feels 'normal' again but when it does all discomfort totally disappears most days.
- This has been a horrific experience for me and I feel I have been given no warning by the medics about the recovery required from this op. It is good however that I found this forum and know I am not alone with this- and thanks to all for posting here. I feel you really have to go through this to fully appreciate the trauma involved!!
- Finally can anyone out there tell me roughly how long it took until they achieved a 'full recovery' - I dream of that day......
-Warm Sitz bath
-Epsom Salt for Sitz bath
-Drink lots of water
-Prop legs up as much as possible
-Take Fiber Con Chewable pills
-Use heating pad
-5 minute walks
-stay away from food that may bind you up
-eat lots of fruits/veggies
-no skin on food like potatoes,chicken, etc....
-little to no read meat
-take pain killer when needed but not often
-if stopped up,Senekot could be taking
-check out supplements
-eat less qty's in your square meals a day,stay away from sweets,eat fruit instead
-Try to follow the fiber diet that works for you the rest of your life.