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Each day is slowly getting better, but I highly recommend planning to be down for at the very least 3 weeks. And take it slow. Listen to your body, you know your body better than anyone else.
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Ive had good days and bad days but my main nightmare has been the bm. It took me until day 4 to have a bm but was fairly lucky on the first one as i had extreme nerves about the surgery that i had a nervous poo beforehand. After day 4 i continued to have a bm for the next 4 days with pain so bad i throw up and my legs trembled i even used my daughter foot stool to help squat which was very helpful but then went on to have no bm for 2 days until today when i passed a really hard poo from constipation im terrified of the next bm. Ive been using the lactulose but all its giving me is really bad wind. Ive even changed my diet and drink at least 4 pints of water a day not including tea or fruit juice.
I need advice on what will help relieve constipation.
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I had my surgery on Nov. 14th thinking that I'd be back to work in two weeks. Ha! I had both a hemorrhoidectomy and sphincterotomy. Four large hemorrhoids were removed (internal and external) and some sphincter muscle cut and removed due to anal fissures and scar tissue from previous tears, most likely gotten during child birth and over 20+ years of dealing with hemorrhoids. Will probably deal with some anal leakage from hereon but then again that would be nothing different than having leakage and more because I had a baboon's butt.
I'd like to say that I haven't had much pain but then I'd be lying. For the first week after the surgery I lived in a drug induced fog in which taking my 10/325 dosage of Norco was a blessing and a curse. As long as I took it on schedule I was relatively pain free but one night I forgot a dose and the pain was unbearable. I cried like a baby for two reasons, pain and fear of overdosing because I wasn't sure if I'd taken the dose or not. So from that night on I had my husband to make sure I took my nightly dosages on time even though I had an alarm set which I still am using these days. I still have pain meds but the dosage is 5/325 Norco and I only take 2-3 times a day depending on my activity level which really determines how much pain I'm in. I know when I've sat up or stood for too long because the pain in the rectal area starts to feel heavy and throb.
I had a BM on day 4 which was very watery but by day 7 something had changed and I had to call doc because I couldn't use the bathroom and could feel the pressure of the stool. He advised me to get some milk of magnesia and that did the trick very well. I must say that I've never pooped so much in my life and it's been this much of an ordeal. I hate leaving the house because I would hate to have to poop outside of my own bathroom where I have an arsenal of baby wipes, gauze pads, creams, sitz baths and complete privacy. I don't want anyone to hear me calling on the Lord because the pain and pressure gets to be too much sometimes or because it feels like someone has put a pair of tweezers to my anus and is pinching and pulling the skin back there. (For the times when I can't endure to sit for 10-15 minutes using the sitz bath but still need some relief, I use a large cup that I fill with warm water to slowly pour water onto my rectal area.)
By week two the pain and swelling had lessened and I was able to have BM regularly for the most part but there weren't full but still bits and pieces until about day 12 when I had almost regular sized BM's with minimal strain or effort. I went three times that day which is always shocking to me, that only happens when I'm sick so I was a little freaked out. But now, here it is Week Three and I'm constipated and thinking I may need to drink the milk again or just get an enema this time because I just can't and it hurts too bad to sit on the toilet and try. I've squatted over a sitz bath and that has saved my life and sanity by giving some relief and getting some of the poo out of the way. Messy way to go but the alternative is holding it in and that just can't keep happening but at the same time I'm not trying to pop a stitch. (I used a standing mirror and I can see that there are still stitches so I mean that literally.) Now I have these episodes of intense itching which usually precludes me having to poo, it drives me insane! I absolutely hate it!
There have been days when I get down because even though I experienced pain and bleeding with the rrhoids, I didn't have this particular type of pain and I'm hoping that it doesn't continue once I'm fully healed because then that would really suck. I've been told that I will most likely still have some extra skin flaps back there so my butt won't be all neatly puckered like I guess a normal one looks (whatever normal is). My goal was to be back to work by Dec. 12th which is reasonable considering that I still can't always sit up to do work and I get tired very easily after some rounds on the toilet. I can't imagine using the toilet at work right now in this condition, it's enough to make me want to quit my job because it takes so much to just go and then to get cleaned up.
This recovery hasn't been as bad as some of the others I've read about but it sure hasn't been the easiest either. Prayer, eating healthy fiber rich foods, getting some exercise (walking) in, fresh air, sunlight and the support of family and friends has helped immensely during this time. If you have someone to help by all means enlist their help, you'll need it. Take your meds as scheduled, use the sitz bath or any other relief available to you.
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One last remark, request visitors not to stay long in their visits, because of the embarresment of the patient and the frequent visits to toilet and the long time staying there. Good luck ......
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