I hope my experience has helped you,
It will be O.K.!!!! ;-)
It hurts. But that is normal.
I was reading a lot about this. It seems to me that hemorrhoidal circular stapler set is a very trusted alternative to conventional hemorrhoid procedures according to some statistics.
My good friend told me that once you do this procedure, every patient will experience a quicker return to normal activities compared to those treated with standard treatments that you can do. I think that you doctor can explain this better to you than I am doing now.
Anyway, when we are talking about this procedure, you should also know that PPH is performed above the dentate line inside the anal cavity, and so it affecting fewer nerve endings than traditional procedures.
Once you do this, all that you will have to use in your recovery process are hemorrhoids creams.
Good luck there.
I was told, by my surgeon, that the recovery time for PPH is remarkedly less than that of traditional surgery. Mainly because the work would be done above the more intense nerve areas (where the internal hemorrhoids mostly "reside" and the external ones begin). He further said that the internal work would prevent the external from reoccurring, by drying up their source.
I also have external "tags" as a result of years of thrombosis. Was told these would improve dramatically but might not disappear completely. Also told that the pain would be rough the first few days.
I am now 6 weeks out and the part about rough pain was only partially true. Will not address the veracity of the statement comparing PPH recovery tie to traditional since I have not had traditional. It is perhaps too early to definitively judge the other statements but they appear to be more true, no problems with thrombosis so far and the tags are minimized. Not to be gross or too explicit, but, when I clean myself, it feels entirely different, the skin is much tighter ... in a good way.
Now, back to the pain ... a few days is the most exaggerated statement ever! Try a few/several weeks. I was still taking Lortab in my sixth week. Had tapered down to 3/day (took up to 12/day, 7.5 and 10s, for the first 3 weeks, partly because of catheter related urinary problems (another story for another day but it involved two ER trips and several more to a urologist), ran out of Miralax (my surgeon recommended Miralax and mineral oil and they work wonderfully to keep the stools soft) and fell back into the pain. Bought more Miralax and 2 days later was able to stop the Lortab for good ... exactly, to the day, 6 weeks after the surgery.
Hardly any pain now, more like the minor discomfort that you feel in the early stages of a hemorrhoidal flare-up. But, now I enjoy the comfort of knowing that the pain will be growing less, not that resigned fear I used to have.
One more point ... even though I tapered down on the Lortab, I still had withdrawal symptoms (won't bore you with the details, but those scenes in the movies are more accurate than I had ever imagined). Could tolerate the daytime but the insomnia was rough (even when hurting badly, sleep offers some respite). Doctor prescribed clonazepan and I slept wonderfully last night. Feel great today. Took my dog, who has been hiding from me, for a long walk this morning.
Was it worth it? Three weeks ago, I would have said, hell no! Today I say, without a doubt.
BTW, I am a 63 year old male, who had his first external hemorrhoid while on a senior year high school spring break beach trip, had no idea what it was but assumed the worst (a deadly tumor, most probably caused by beer - damn, the parents were right - had to wait until I returned home to learn the truth), and stupidly waited many, many years too long to have it corrected.
My top recommendations:
Sitz bath - the one thing you will never regret having ... helps with pain and bowel movements (and, perhaps surprisingly, the gas ... believe me, that hurts too) ... you get over the grossness quickly ... enough pain will do that
Miralax and mineral oil (both OTC, keeps the stools soft)
Tub soaks (helps with pain)
Hydrocortisone Cream (OTC, soothes raw exterior anal area ... tried lanacaine and it did not work for me, burned more than no cream at all)
Taper your pain medication ... do not stop cold turkey. If your doctor does not mention this (as was the case with mine), you bring it up.
Bullet to bite on (always wondered why they did this ... now I know, it's not for your pain, it's for theirs ... you can't scream as loudly when you are biting on something, LOL)
Patience and a sense of humor ... otherwise you will be just another pain in the butt! Sorry, I could not resist that.
My main question is about fixing the internal hemmies and that "fixes" the problem of the external hemmies.
I'm going with the traditional surgery and I believe the doctor said that he's going to fix internals by cutting and that would result in the external hemmie (the one that causes me great pain every couple months) not to hurt anymore.
Is that pretty much what your doctor said also?
And is it working the way he said?
With the caveat that I am only 6 1/2 weeks out, it does seem to be working that way. I have had no external protrusions so far. IMHO, the true test will be when I am back on a regular diet and not taking the miralax and mineral oil.
BTW, I should have put another recommendation (VERY IMPORTANT) that I learned by reading other posts:
For a couple of days before surgery and as many days after that you can stand, go on a liquid or soft diet ... I actually bought baby food. Also, diet shakes, jello, yogurt, soup, broth, pudding and ice cream. Mixed in oat meal and cereal.
I actually lost 18 pounds (gained back 3 already, but 15 is not bad in 6 weeks. LOL).
so 2 years later now and with regular diet, does the problem comes back?
my wife is considering for a PPH soon and she is scaring to death of the pain...
I do have one more suggestion. After a trip to Japan I started shopping for a bidet. The first ones I found were very expensive but I kept looking and found an "add on" on Amazon made by Hyundai (it was on sale for less than $100). I am not very handy but I installed it myself on my toilet ... and it works ... well. No more handi wipes. Toilet paper is used only for drying, the spray of water does the cleaning.
praying hard for my wife!
I had stapling done on Friday. It is now Monday. I am three days post-op, and I can say that every day, the pain lessens. I stopped taking Lortab two days ago. I now take an Aleve every once in a while. The best comfort is a very warm bath. The first time I passed gas (yesterday) was a bit painful, but isn't anymore. I've been on a soft diet, have been taking Colace (stool softener) and I just started taking Milk of Magnesia. I am prepping for the first bowel movement, which I dread...but I know that once that happens, I will be in the home stretch!
I can say this... The pain I have felt since the surgery is NOTHING compared to my worst day with Stage 3 & 4 hemmorhoids. I'm three days post-op and I would recommend this surgery to anyone who has bleeding thrombosis to the point of crying. I am looking forward to a new, pain-free life!
Hi,any new updates? How was your first bm