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Laxitives and possibly stool softeners to ensure that the bulk is not "painful" bulk (fiber tends to create bulk, but not necessaily firm stools). Find a better doctor, none of the ones you described seem to be good ones. This was my problem as well. I learned more from internet research. 1 year out and still trying to find answers here. Later, if you have tightness due to scar tissue, find out about anal stenosis and look into anal dialation. As you can see the surgery for stenosis in my earlier post did nto helpthe other party. I am going to see Dr. Cranford at the Sandy Clinic next week about stenosis and hemmorrhoids that came back after my hemmorrhoidectomy. Life goes on, pain continues, solutions and ideas are growing, so not giving up.
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ll I had my hemorrhoidectomy sept 4th then on the 12th I went back to hospital for internal bleeding. It was so bad I could not walk more then a few feet without almost passing out. hen in Oct i went in for stenois surgery. They cute into the scar tissue that was causing the narrowing. went to that follow up just to be told I had to do the stenoises surgery again. now one day after round two I am in more pain then after the first one and incogont. I asked about thiat being a complication and was told no that they wre not going into the muscle so that would not happen. Well Not So Sure now. My doc has not done an exam on me except for one time and that was it. I asked if it was done during the last stenois surgery and was told that it had not. even after I had to go back to hopital for internal bleeding a week after the hemorrhoidectomy. well the first stenoises surgery I was in and out in 15 minutes. this time it took 1 hour. I am in more pain and bleeding then last time and I am incognet. I am hopping that it goes a way but not holding out much hope at this point. The Doc said every thing llked fine when she did the exam but what took 45 extra minutes and why am I having more trouble after thes second one? anyone have some input??
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hi i have gone with the surgery and its been almost 4 weeks stool is normal but lower side swells up when ever i pass stool and gets normal after 5 mins having no pain swelling gets better when i take sitz bath i take apple in the mor ning try fruit like orange pear after meal .i regularly take fibre at nightTone thing more i am taking herberl medicine i think its working. Things are fine but the pain and haemoroid that i have gone through can never be forgotton but thanks God i am at ease but affraid this swellig will not become a problem in future.

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I HAV UNDERGONE HEMORRHOIDECTOMY...it will be a yr now..i pass stool properly evry tym..but not wen i eat junk heavily..wen i sense burning ,i hav to dilate..i think der must b a prob wid ur diet..drink fluids..sleep on tym n all that..hav u tried dat?

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after my surgery ,my doc tld me i wud b expectin pain after a week.i think it is normal to hav pain.but i had smooth motions then

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Anal dialator will help. We can get anal dialator of right size from laboratories and on line. Injecting warm water with mild soap in to the rectum right befor the excreation with enema injector we can get on line or from cvs.

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Use Anal Dialator. Inject enema or warm water to increase bulk . Use Fiber or laxatives as needed. eat fruits and vegitables.
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There is no single solution for Anal Stenosis. Use Anal Dialator, you can buy it on line. Inject warm water or enema with tube to increase bulk.. These tubes are available in CVS or on line. Use fiber or laxatives . Eat lots of fruits and vegitables.

If an inventor could invent some device or equipment to flush out hard fecal matters safely and efficiently that will be a breakthrough. That will avoid all kinds of problems connected with constipation which is a huge problem due to this modern busy life.

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Yes, it has been 13 weeks and I have serious constipation problems. I go once or twice a week and it is a 2-3 hour procedure when I do. I can't go without enamas and now, today, starting stool softners. Before the surgery, I went 1-2 a days and never in my life had constipation.

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I had my hemorrhoid surgery 10 weeks ago tomorrow and still can't have normal BMs either. My doctor didn't say I had anal stenosis, but does think scar tissue has caused it to be narrow. I've been using anal dilators for 2.5 weeks, starting at 8mm diameter (he had to order pediatric dilators to get them small enough). I decided to get a second opinion from a colo-rectal surgeon (my surgery was done by a general surgeon) just to make sure I'm on the right path. That appointment is for Friday.

I take stool softeners (Mag O7 - a magnesium supplement that pulls water into the digestive system to keep it soft) every day. When I try to back off on the softeners, I get stopped up and have to resort to fleet enemas and magnesium citrate. I feel like I'm becoming obsessed over my bathroom habits and routinely wake up at night worrying about if I'll have a BM the next day.

It's not easy to deal with as you know. Hopefully I'll get answers on Friday. I hope everyone else does too
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Did you get the answer? How is it doing?
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I do have anal stenosis. I've had 3 dilations under anesthesia and also had a colonoscopy with the 2nd dilation. He did find a large polyp (benign, thank God!) so I was glad he talked me into that. I'm better, but nowhere near normal. I think I've forgotten what it's like to have a normal BM. I'm currently taking a dose of Miralax every day, plus eating lots of fruit, vegetables, prunes, etc. and drinking lots of water. Most days I'm fine and my BMs are about the size of a cigar. The dilators I had purchased are all too small now, in fact. I had a checkup last week and while it was not painfree when he did the digital exam, I didn't want to squirm away like before.

He wants to let things sit for a bit. Dilations done too frequently can cause the muscles to get stretched and not work right. So I have 3 months of no probing. Most days I manage okay, although I'm apprehensive every morning as to whether I'll have a BM or will need some additional help from an enema. My doctor hopes that over the next 3 months my BMs will both soften the scar tissue and stretch it out a bit. If it doesn't help, then my only option is more surgery (anoplasty) where he'll remove part of the scar tissue, take tissue and skin from my butt cheek and use that as a flap to repair things internally. He said the recovery for that is 2 weeks of doing little to nothing and another 6 to 8 weeks before the pain is gone.
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So you are now in 3 months waiting for improvements. How is it going despite this stenosis? Do you feel ok during the day? I mean is there any discomfort or pain? Is only BM a problem in your life now?

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I have no pain. No discomfort either unless the poop isn't soft enough to come out. Then I have this intense desire to push, but nothing comes out. Like yesterday. I waited till the afternoon and then gave myself a mini-enema. I basically just needed to loosen it up a bit. I worry about straining too much and getting more hemorrhoids.

As far as the actual hemorrhoid surgery went, I felt much better after a couple of weeks and had little to no discomfort after 4 weeks. That was as long as I kept my BMs soft enough to come out.

I would recommend to anyone getting hemorrhoid surgery that you monitor your BMs and let the doctor know right away if it seems too narrow and get it treated quickly. It wasn't until my 3rd post-op visit that the doctor finally examined me and verified the problem. Before that he just kept saying to give it more time.
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This is something I got as reply from him as well. Moreover I was using enemas to get movement quicker and make a schedule so I am not suffering from pain in work. I did enema every eveninig in order to know, I don't have to have BM in office next day. I think that is sort of problem, I was too afraid from pain, so made BM very soft, and it caused stenosis now.

I have to push hard as well and my poop is like big finger of man, 1.8 - 2cm I think.

I had external hemorrhoids removed, which were located on the right side, so almost all right side tissue was removed and had open wound, which is still not healed up. (2.5 months). Now it feels better in regards of pain, but this stupid stenosis makes me worry more and more. After today pushing I got left external hemorrhoid enlarged! I am going to call my doctor tomorrow morning.
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