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I have had many excisions and and a hemorrhoid surgery around 5 years ago. Can anyone advise which treatment was most useful for
external hemorrhoids. Back again and fearing excision due to scar tissue, especially after reading the posts above.
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For me, my suspected complication is after a THD surgery
I am a 25 yr old male who suffered from hemorrhoid since teen. Whenever I have a bowel movement my rectum would slightly prolapse and will be uncomfortable for about 20 minutes until it automatically slowly goes back (or I physically push it). Some times, one of this "prolapse" would remain there and form a painful thrombosed hemorrhoid which usually resolve in about a week to 10 days. I do not strain for BMs nor push hard yet my rectum still prolapse and will still get those hemorrhoid. My doctors tell me that the thrombosed hemorrhoids are external.
Last time I decided I am fed up and after reading about THD I thought this is a good option for me. I went to an "experienced" doctor with this procedure (according to him he did about 200 THD operations). At the time of the visit I had a throbmosed hemorrhoid which was in the "shrinking" stage. It was no longer painful. Upon examining me, he said that I have three hemorrhoid. One internal (which I never knew about, as I never had bleeding), one external hemorrhoid and one internal/external hemorrhoid as he called it which is the recently thrombosed one. He recommended the surgery to avoid having the problem and he told me that he can "lift" the rectum as well.
I did the procedure and today is day 8. After the operation he told me every thing went well and he is quite happy with the result. The post operation recovery was very painful and uncomfortable. I have very vigorous spasms (involuntary contractions) during BM's. On day 1 after taking liquid Lactulose, it provoked those spasms and allowed passing some stool but the pain of straining was extreme to say the least. I stopped taking it since then because I thought, my body is forcing those spasms on me anyway. I wasn't sure how bad my constepation was. During the later spasms/BMs I don't pass stool but pass pieces of blood/clots. Some times small pieces of blood coated dark stools are passed. However, I did not have a decent bowel movement until day 6.
One the first week I did feel what could be a new external thrombosed hemorrhoid forming. When I say my doctor on day 4 he told me that this is not a hemorrhoid but rather a thrombosed hematoma which is supplied by a different network of arteries. He offered to lance it to remove the clot which will help relieve my pain. He did and that was taken care of. He told me that the reason I had it is that I am unlucky.
After that, as my bruise-type pain started to slowly ease, I started feeling like a foreign object is always in my anus. Before the surgery I would say this would have been a stuck stool ready to fall. However, obviously there is no stool. I did not put my finger to feel what is in there.
On day 6, and this is the important part, after getting really uncomfortable because of the constipation I decided to take a tablet laxative called Senokot. That did help with my constepation and allowed me to have a better BM on that day. During the night after a heavy dinner I sensed the urge to go and watched a video on the best position to pass stool while consetpated and applied that which helped in allowing a decent BM that night. However after that BM I felt like a decent size tube is prolapsing from my anus. It was very scary! I looked at the mirror and it was what I think is a new prolapsed internal hemorrhoid.I put my finger in and followed it along to about the second joint of my finger. It feels like a vein tube inside the wall of the rectum running from about 5 cm or more all the way to my anus and protruding. It is a very uncomfortable feeling but because I have been having all types of pain I can't tell when did it form.
This same prloapsed vein was seen forming in the next two BMs about 12 hours apart. Last seen, few minutes a go.
I went to see my doctor the very next day to express my deep worries about this new internal hemmerhoid. He examined me and said he could find any thing. I told him that I see it only after BMs and he told me that he can't find out for sure until he does a full colenscopy.
However, according to him he does NOT think that this is a new internal hemorrhoid. He thinks that this is a rectal swelling because of the operation. he told me that during the operation he lifted the prolapsed rectum and since I am still recovering this is likely to be a swelling rectum that will ease as I recover down the road and adjust to position. He says he can't confirm any thing until three weeks after the operation or even after by doing full colonscopy. I asked if he is wrong and it is indeed a new internal hemorrhoid how come it formed when he stitched the artery? He assured me that he stitched the main classical artery but told me there is a lot of arteries in the anus and he can't stich them all. It is possible that this one is supplied by different artery.
MY QUESTION is: Should I believe him in thinking that what I am seeing is just a post operation swelling or is it a new internal hemorrhoid that has formed which means this operation has in fact caused a new never existing before hemorrhoid despite?
On the positive side, my pain is easing to mild. The only pain I get is during BM. My other hemorrhoid seem to have "deflated" to a skin tag. It does swell a bit during BM.
P.S since the operation until now I am still bleeding. I see drops of blood every time I have a BM.
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I am still not sure the exact process of strethcing though
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Quote:
I too had the H surgery about two months ago. I think I am getting better and then all of a sudden a rough bowel movement and I'm sore for days. I am so tired of the pain. I don't want to go back to my doctor because there is no way I can stand to be touched much less probed back there. I bleed everytime I use the restroom. Sitting in a warm bath eases the pain a little but even a small cough and I'm screaming. I have honestly considered not eating long enough for my behind to heal completely. But I know I can't do that. I should mention though that I used to take alli and it would help make loose stool and (not meaning to sound disgusting) but if you eat a little fat it would make your stool greasy and easier to pass. Just have to be extra careful not to ruin your clothes. I know the pain and when you're on the toilet praying to God for some relief, you'll do anything to get it. I'm almost willing to have a colostomy bag put on me. No, not really just trying to laugh about it, if not, I'd be crazy right now.
IM IN THE SAME BOAT, AFTER TWO MONTHS OF MY SURGERY , IM STILL IN PAIN WHEN USED THE BATHROOM, IT HURTS ALOT AND THE SAME TIME BLEED.
8 WEEKS NOW AND DUE TO SCAR TISSUE MAKING THE OPENING SO SMALL I AM GOING IN AGAIN FOR ANOTHER SURGERY. A WKK AFTER MY LAST ONE THE BM WOAS SO PAINFUL AND DAMAGING THAT i STARTED BLEEDING INTERNALY. I LOST SO MUCH BLOOD THAT I COULD NOT WALK MORE THEN A FEW FEET BEFORE PASSING OUT. BUT THE PAIN FROM THIS SURGERY IS THE WORST I HAVE EVER FELT. I HAVE EVERN BEEN RIPPING WHEN I DO GET SOMETHING TO PASS THROUGH. I TAKE MIRALAX EVRY MORNING AND 4 STOOLSOFTNER 3 TIMES A DAY AND IT STILL IS NOT ENOUGH TO MAKE IT ANY BETTER.
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Jubilant wrote:
I'm suffering from anal stenosis following hemorrhoid surgery (8 weeks now). My surgeon has told me that this problem is serious and that I must (or have someone else do it for me) manually dilate myself in order to pass normal size stool. Right now I pass stool no wider than the size of a dime.
I've been doing this everyday for the last three weeks. While there is slight improvement (less burning during bowel movement / slight thickening of stool), my surgeon isn't satisfied with my progress and has now told me that scar tissue has started to develop. If this continues, fibrous tissue could develop and I'd need surgery again (which, he explained, it more painful than the hemorrhoidectomy!!!!)
Has anyone else had this problem / treatment? Any success stories out there? Any tips / suggestions to recommend?
Thanks. I can use all the help I can get.
Jubilant
what you need is a small procedure called anoplasty . which only takes 15 minutes under anaesthesia. contact a colorectal surgeon and not a general surgeon.
I am 1 year out, with Stenosis now. What is anoplasty?
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hi, I had my surgery 7 days ago and have not been to bad for the past 2 days but only I between stool movements. I sit my butt in the basin of hot water so not to have to wipe after a going to the loo. I told my doctor to give me Lactulose solution so I did not suffer from constipation. that worked. I also take tissue salts every hour ( CALC. FLUOR) which I know help
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Try self dilation before doing this. I am having some relief from this after 1 year of misery. I finally found out about self dilation after talking to Dr. Cramford at Sandy Clinic in Oregon. I might go up, he has a treatment that he says work without much pain and no cutting. But, since it is a plane ride away, he said I could try self dilation (basically buying a set of hard plastic butt plugs) and stretching out your anus and the sphincter. Not pretty, but it has begun to help me. Dr. Cramford is not a physician, but trained under one. Sorry, a bit too much info to pass here, but read the posts here if your issues continue. Surgery, as you now know, should be the last resort - PAIN - unbelievable pain and more complications!
I went to 3 doctors and kept describing the constriction. Not one of them ever mentioned Anal Stenosis. Hope you did not have the surgery, but if you did, can you post an update???? Some of us are still watching for answers.
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This is hell, I had an op 4 weeks ago to remove internal and externals leaving a few behind. I was given a spinal anastetic not general due to the fact that I have heart complications. I live in Spain and was done at a local hospital. The specialist did not tell me about the pain and let me go without any prescriptions of any sort, just saying that it would take about 15 days to heal.
I managed a few days in so much pain I thought I would die. I visited my doctor who just told me to take parecetomal and go back to the hospital if the bleeding didnt stop. I was bleeding during my BMs but not excessively. Exactly one week after surgery I had a BM and then another or so I thought after 10 mins which turned out to be a hemorrhage and my husband had to call an ambulance. I was taken to hospital kept on liquid diet for two days and then discharged again even though I tried to tell the doctors that the hemorrhage only occured after a bm, which of course I hadnt had during my stay. Two days later the same thing happened again and once again I had to go back via ambulance and this time needed three blood transfusions. I had a colonoscopy done to see where the bleeding was coming from and was told that I had an ulcer that was caused during the surgery. This investigation was done at a different hospital which i transferred myself to due to me having little faith in the hospital that did the operation. Who caused the ulcer and how and what does it actually mean.
After 2 weeks I was discharged again but although I have no bleeding now apart from a tiny bit of spotting, the bms are so painful I feel like topping myself. One doctor told me to keep to a bland diet, another told me to eat fibre, another to take laxatives and another to not. I am so confused I dont know what to do. All I know is I cant continue having so much pain. Any advice would be great.
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