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Well, I wrote here just a few days before my surgery and now it's been about 18 days since my surgery and for the first day, I'm actually doing well! I'm going to contribute and write my experience despite my laziness to do so, only because the help and writing of those before me helped me in an extraordinary way. That information made my recovery a lot less anxious and painful than it would have been had I been satisfied with the information that was given to me by my surgeon alone.

I had a hemorrhoidectomy and a sphincerectomy at the same time. Actually, I was in to only do the sphincterectomy to address a non-healing fissure and in the middle, the surgeon did the hemorrhoidectomy as well. Otherwise, I didn't have much symptoms otherwise from the hemorrhoids.. just the fissure.. well, let me tell you this, if I had known exactly what's involved afterwards I would have not let him do the hemorrhoidecomy! It's not a procedure you do just because you're in the area! 

I don't want to exaggerate the post op but you should basically write off two weeks of your life... The first week was still like a distant memory to me as I was on pain meds 24/7 and was just trying to pass time in bed. I was prepared since I had read all these posts here and knew it was not going to be a hay ride! So, I took it with the understanding of what to expect ... I tell you, just like the original person who started this thread I too have developed a healthy dose of empathy for people in pain and for humanity as a whole!... I would say this was a transformative experience for me. The suffering is a lot but you know there's light at the end of the tunnel and that you will eventually get better. That makes it more bearable since like child birth, you know it will be over and things will be back to normal at some point. Here, it's a 10 day long labor! 

The constant dull pain in your ass is something you wouldn't wish on your worse enemy! The other thing is that we as humans have an exceptional ability to forget! Maybe that's why we have multiple kids or something and that's why my unbearable pain two weeks ago is already like a distant dream (or nightmare!!) I guess that's good news for any one doing this procedure... it's very hard but it gets better. Today, I had a MB and didn't have much discomfort. That's great! The healing is progressing and I'm told I have to wait a good month for being in good shape.

Much like most people here the surgeon really didn't prepare me for what was in store for me. I assume no one would do the procedure if they knew ahead of time; but it's also true that most people are happy after it's done! It's like getting over a mountain to reach an oasis on the other side. You don't want to do it and it's hard; but on the other side, well, it's worth it. Just plan and be prepared. You shouldn't plan anything for two weeks. For some it may take longer and for some maybe less... but I doubt it anyone is ready to walk about sooner than a week if they've had the same procedure I had (Traditional Hemorrhoidectomy). 

For the first week, I was in bed the whole time.. only walked back and forth to the bathroom... That was the extent of my exercise. The first time I came out of the door of my place was a good 7 days after surgery. Some people apparently have a different experience but my surgeon told me immediately post op that my fissure was on the posterior wall of the anus and that's where he found clusters of hemorrhoids... he added this area is rich in nerves and then gave me an empathetic look! I was like sh*t, I'm going to be in trouble! Anyway... I returned to work 10 days after the surgery but I was in pain for the first few days at work! I would seriously recommend taking 3 weeks off for this procedure (If not a whole month!) But 10 days post op I was taking the occasional Tylenol and Advil. The pain in later stages is just a content dull ache.. it's not like it will kill you but it's distracting as it's relentless. But no lifting or heavy exercise in a while. I'm still not back to the gym.

Anyway.. this is my pain control recommendations for those going through this procedure. For the first few days, I did not take any Percocets at all! I just took a combination of Ibuprofen and Tylenol. Specifically, I took 400mg of Ibuprofen, then two hours later, I took 500mg of Tylenol, then two hours later I took 400mg of Ibuprofen, then two hours later 500mg of Tylenol and 5mg of Flexoril (a muscle relaxant). This was my own recipe as I'm also a doctor that deals specifically with patients with acute pain.... I didn't want to take narcotic as it would cause constipation and more difficult Bowl Movements. I worked out the plan ahead of time and the dosage is not toxic for an average weight individual. Your max dose of Ibuprofen and Tylenol is 4g (or 4000mg) each for an adult. The two drugs don't interact with each other and piggy back off of each other. Most recent studies have clearly shown that the combo of these two over the counter meds are as effective as a narcotic (but without the side effects!) So, it's safe to take them concurrently. The pain was bearable with this formula. The 5mg of Flexoril every 6 hours was very helpful as it helped me sleep around the clock for the first few days and relaxed the muscles down there. I definitely recommend it as the one prescription you should take. My iPhone's timer was set up to wake me up every 2 hours, where I would take my pills with water and go back to sleep (no matter what, even if I didn't have any pain!) It's important to combat pain before it arrives. Taking the pills after you have pain is useless. You must go on the regimen before the anesthesia from the surgery wears off and have to be on it for about 4 days straight! It's tough but it really makes the whole experience less painful. I only had some discomfort after the BMs in the early phase. After 3 days or so I would take a Percocet once in a while to see it it helps more, which it didn't for me. 

My diet consisted of vegetable soups and lots of fruits. I had the surgery on Thrusday morning and I had a first BM Friday night. I think that's because of not taking narcotics and taking a healthy dose of fruits and vegetables. I did not take any laxatives at all. Completely natural (except for the Tylenol, Ibuprofen, and Flexoril!) Well, as you've heard here everywhere the Bowel Movements are the single most unpleasant experience of one's life during the recovery phase. Since I wasn't on narcotics and taking a lot of fiber via vegetables, I was having three fairly large BMs around the clock since that Friday night!! Well, very quickly I realized I don't need to be fibered up that much! It's not worth the pain after a BM! I regulated it so I would have one BM a day thereafter, which was my routine from before surgery. 

Here's what I would do for the BM every morning (my routine): Wake up and immediately apply some topical anesthetic to the anus area. Then turn the hot water in the bath tub and start filling the bath (hot water!) Meanwhile, have some high fiber cereal. Then get a Sitz Bath going on the toilet (the water in the Sitz bath as warm as I could tolerate without burning my ass!) As soon as I would sit on the Sitz bath this would trigger the relaxation of the sphincter muscle and initiate the bowel movement. I know it sounds gross but the best way to make your BMs painless is to just go in the Sitz Bath! Hey, it's your own sh*t and if you're doing fiber it's really not a big deal! I would have 3, sometimes for passings of stool during each bathroom session. So, after each passing I would empty the Sitz Bath bowel and its content into the toilet, flush, rinse and refill the bath with hot/warm water. This process would take a couple of minutes, so but the time I would sit back down into the newly filled fresh hot water of the next Sitz Bath it would immediately trigger the next BM. So, this would repeat 3-4 times and then I would finally sit down in a fresh water Sitz Bath with just lukewarm water and activate the water bag that would work like a bide and clean up the area. Didn't require wiping as a result.

This way, the actually passing of stool was not as painful as the pain after the passing when the sphincter would go into contraction again. So, once I felt the area is clean I would move to the bath tub which was full at this time. In the bathtub I would watch a couple of episodes of Family Guy on my iPad and just relax! Yes, you have to distract yourself 24/7.. if you think about the whole experience then it becomes overwhelming... but if you just think of it mechanically and understand your goal is to pass time and let your body do what it needs to do... then it's a lot easier. My recommendation is get NetFlix and watch a thousand old shows on their instant streaming! You can't really get comfortable sitting in the early phase of healing (or at least I couldn't!) So, I was always lying on the side in bed... and watching these shows on my computer or tablet was all I could do to distract myself, or sleep. 

Anyway... it gradually got better over time and while it still hurts it's much much better (Thank God, or whoever or whatever is in charge of my butt!)... actually, today, I didn't take any pain killers at all. I haven' done so in a couple of days and seem to be healing well. I'm still having my BMs in the Sitz Bath though! Yes, gross... and I tell you, the thought of it before this surgery would have caused nausea for me but it's amazing how we are as human beings and how WE CAN deal with adversity! The Sitz Bath BM, in my opinion, is a key, key factor! Get over it! The hot water relaxes your sphincter and allows for a much easier passage... Almost immediately after you sit in it you'll have your BM! Just make sure it's hot enough.. obviously you don't want to give yourself third degree burns and getting the right temperature is a whole art into itself... but you'll have time to master it during your recovery!
 
Anyway. This whole experience has been metaphysical for me. Not only I've come to learn a lot about myself, my ability to deal with adversity and have now developed a very healthy dose of sympathy for my patients in pain, I've also developed some philosophical insight about life. Basically, where there's hope on the other side of adversity, we can all get through it. When you know what you go through will eventually be rewarded and things will be fine again, then the struggle is not as horrible and life is worth living. For those of you about to have this procedure, make sure you do your research, have a loving support system who will care of you during the first two weeks. And know the recovery is not easy. But also know that the there's light at the end of the tunnel and things will be back to normal. Then you'll have a new outlook on life and are hopefully a better person because of it. 
I wish you all good luck. 
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I wanted a follow up to my previous post here. It's now been 6-7 weeks post op from my surgery and since all the posts here focus on the surgery itself (and frankly scare the heck out of people... including my own during my healing phase!) I wanted to have this addendum for those of you who are going through it within the first two weeks (or reading before you decide to have the surgery) and wonder if the whole thing is even worth it... well, let me tell you this.. while I was going through it I seriously doubted if this experience is worth whatever relief would come afterwards; but having endured the experience and having fully recovered now at 6 weeks post op, I can say unequivocally that the experience is definitely worth it!

I'm basically back to how I was many years ago, when I never thought about my behind! When like chewing, swallowing, or digesting food, a bowel movement was nothing I consciously thought about!... I'm now living life how I want it and am not worried the things I used to consider on daily basis regarding my bowel habits! Things are beautiful again and I feel like I can close this chapter of my life and move on as though it never happened. The stupid sits baths, worries about adequate fiber, bleeding, pain, tucking, leaking, all that stuff is GONE!!! I'm very thankful for doing it and am I'm glad I did not chicken out after reading the descriptions on these pages before my surgery. Don't get me wrong, it's a tough two weeks... but you know, it's so good now that there's no way what I was going through before the surgery is acceptable compared to now... so why have a chronic problem when you can just resolve it with two weeks of discomfort. Remember, what doesn't kill you will only make you stronger! I'm a better person for my experience and recommend this procedure for anyone, whom after surgical consults and second opinions, has been steered through surgery by their doctor. My doctor, who's a very competent colorectal surgeon at Harvard told me in very direct fashion, that I can fool around with all the other procedures and go through them a bunch of time... but the most predictable and definitive procedure is the traditional hemorrhoidectomy procedure and he was right. I'm glad I went through it! A couple of months down the line, provided you have the procedure by a competent doctor you won't regret it either.
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I had banding done on 3 heomorroids which the bands fell off by early hours that morning I have been in pain since day 2 I have been put on tramadol 100 mg twice a day they want me to go back next month to talk about surgery but I'm so scared I will be in more pain than with the banding they still pop out each bowel movement I have to push them back up there sore throbbing and feel grazed any advice I would be grateful of
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I never had banding but I did have a hemorrhoidectomy done December of 2010. I had 8 total 6 internal and 2 external. It is painful but you will survive. I doubt that it would be any worse than what u are going through now:) good luck!
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The fear is normal. I was deathly afraid of what was about to come as well. It's funny that I no longer remember it and have obviously survived it fully and recovered 100%. I tell you, I just can't tell you how much better things are... when you're in a chronic condition you almost forget how bad things are because you just keep adapting and adjusting.... I'm back to how I was a long time ago, when I never ever thing about my bowl habits again! So, I definitely thing it's worth it... if you have the support you'll get through it... just two weeks of hardship and you'll have the rest of your life to look forward to! :) Best of luck!
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Giving birth to a child is very painful, too. But remember that our bodies are created to take pain and we produce a hormone to cope with.

The best is to breath deep and face the pain and you will get over it.

After that experience you feel relief - literally :)
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You have to go asap, if you need to get mineral oil from the pharmacy and drink some of that. Its disgusting, but works. You should probably just go and hurry up and take the pain because you'll end up in the ER impacted and that's not good. If you have to just stay in the sitz bath to do it. Anxiety is the worst part, i stopped myself also, terrified of the pain, or breaking a stitch, but i had to go and that was that, i screamed and cried, but i did it anyway. the first is the worst, ask DR for valium to keep you calm. I should have but only learned about the anxiety part of it after the surgery, nobody told me about that.
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In reply to the 26 yr. old with the recent hemorrhoidectomy who's afraid of going to the bathroom due to excessive pain, I disagree with the use of mineral oil recommended by All Organic. Minteral oil works well if you don't have a wound. It's high density oil particles can get into the freshly surgery wounds and retard healing. That's the latest info on that topic in the colorectal surgery department. But insofar as a technique to make the bowel movements more comfortable, make sure you stay off the narcotics at this point, drink plenty of water and fiber during the day, and sit for several minutes or an hour or so in a very warm (borderline hot!) bath or Sitz Bath. You'll have to go in the bath! Don't be shy or disgusted. It's just food that went in from the other end is now coming out. There's nothing disgusting about your own poop, just other people's poop!! LOL!
But seriously, one other thing you can do is to have an anesthetic cream applied to the anus area about 10 minutes before you sit in the warm bath and the combination will make it go. Anusol is good but your physician could even prescribe a Lidocaine cream or so. I know what you're going though... don't worry, there's light at the end of the tunnel and you'll be fine in a couple of weeks! Good luck!
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I am 22 And i had a surgery myself i felt the same exact thing as you except i took around 10 Hyrocodones everyday for 1 month and 2 weeks i still tend to bleed its been almost 2 months now and i still have sevear pain down there when i go to make a bowel movment i cannot walk for around 8 hours i cannot go to work go shopping or do anything the pain hurts reallllllllllly bsdly this is what my doctor didnt tell me they said i would be back at work within days not months
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had mine yesterday one bm n none since then lots of pain and fiber n liquid laxative not working pain minimal atm but does get extremely painful eating salads bath i salt like said to have not working i feel tired alot also
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I am a 31 year old male who underwent a traditional Hemorrhoidectomy exactly two weeks ago today. I wanted to post this to give a different account of surgery as mine doesn't seem to be the "normal" compared to all the other posts here. After reading all of the posts on this and other sites, I was terrified to have the surgery but the bleeding and pain during BMs on a regular basis had been enough for me, so I decided to stick to the surgery appointment. 

Once in the operating room I was told I'd be under Twilight Anesthesia, and once the told me they were giving me something to relax me, I woke up in the recovery room. From the time I went under to the time I woke up was a total of maybe 1.25 hours tops. I had a little stinging feeling right away, but on a scale from 1 to 10 (10 being the worst) it was a 1. Mainly uncomfortable. I did chose to take a Percocet at the hospital right when I woke up, since all the things I've read had told me this would be some bad pain I figured I'd start off ASAP with pain killers. 

Day 1 - Day of Surgery
The Ride home was fine, and once home I continued taking the Percocet for 4 days every 4 hours as well as 3-4 Advil for the inflammation at the same time (was told this was OK by the Dr.), and 1 stool softener with each dose of pain pills. Day 1 went with minimal eating and drinking. Had no problem urinating which I know some people have problems with, I was so thankful when I had to pee I could have cried because I didn't want to go through a catheter! I went to sleep (setting alarm for more Percocet every 4 hours). 

Day 2 - Day after Surgery
Here is where my experience is different than others. Continuing with the Percocet and Advil, I had pain on a level of 2-2.5 at the absolute worst. I'm equating this to having a hemorrhoid in the first place. The only time it might have went to a 3-3.5 is when I would clench my sphincter muscle. This didn't happen often but it happens when making certain movements naturally. 3.5 was the worst pain I had through the entire process. Today I even went to the park and walked the dog (my friend controlled the dog, I just walked slowly). I was amazing it didn't hurt too bad. I was still waiting for the pain to happen to be honest. I thought it was going to happen, but it just never did. This was stupid on my part but I decided to eat a cheesesteak on night of Day 2. I was so hungry. Again, I probably wouldn't recommend it, but it didn't impact me at all in the end.

Day 3 - First BM
I thought I had packing inside as I was told this was normal prior to the surgery from my doctor, but when I had the urge to evacuate I didn't have packing. The first BM hurt a bit, I can't lie. It was probably again at 3.5 pain level. The worst was the involuntary clenching at the end of going. That was like a shot of needles in the sphincter muscle. But it was a second of pain that went away as soon as I forced the muscle to relax. Got in the sitz bath and washed up for 10-15 minutes. The BM was soft from the softeners but not liquid. I was so happy still not to be in too much pain.

Day 4 - through - Day 14
To be honest, it was OK. I took the pills for 1 more day and stopped the Percocet but continued with some Advil every 5-6 hours, and finally stopped that on day 6 or 7. Had the surgery on Thursday went back to work on Wednesday the following week. Blood during BM continued for about 8-10 days, but it was very minimal... and only appears on my stool, not in my toilet paper after day 3. I didn't use the sitz bath after day 5. 

Honestly, I'm so glad I did it. Today is my first post-op appointment and I'm hoping to get the stitch removed as I still feel that and it's causing itching, but I can deal with that if I have to. Otherwise, the entire event only produced a pain I'd equate to a max of 3-3.5 The worst again was clenching your sphincter muscle, but that didn't even happen too often. Overall again I'm so happy it was done and I don't have to worry about it now, and I cannot imagine all the pain that so many other experience. I can also assume my case of 'rhoids were not as bad as others. I had one rather large external and 2 internal that were very minor. The Dr. told me he didn't remove the internal ones, just the large external.

I hope this helps someone with a similar case of hemorrhoids to mine. Do the surgery and hope for the best. I was terrified from all the people's stories of excrutiating pain. Treat your butt right and learn from the past. Eat a better diet, exercise and move forward... its the only way to live. I hope they never come back! I wish you all luck and minimal pain. Good luck all thanks for listening!
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Guest on 5/5/12 I had a stapled hemroiidectemy 8 weeks ago. And a fissure repair. I still have bleeding about half if the time after a BM. Still hurts while having the BM most of times. However my biggest prob is that I have pressure and pain that starts 45 minutes after the BM and last about 3 hours. It use to to last 4-5 hours but getting slightly better. I have been told it is muscle spasms. It ruins half my day. Anyway I just feel after 8 weeks post surgery I should be pain free. If anyone can share a similiar expierence I would greatly appreciate I have tried flexerill diazapam and painkillers but do not seem to help. Thanks
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Blue374 I feel for you. I didn't have the same type of surgery but I've read so many times that sitting in the warm/hot bathtub relaxes the muscles and might help? While it might not be the sphincter muscle itself it might help the others relax too, just a thought. Some people add herbs to the water, I can't remember which ones, but there is one in particular that I had read about that people said really helped. I think there's even something I saw at CVS that was in the area of the enemas and tummy products. 

I posted right above yours about my experience which was completely the opposite of so many others experiences. At my 2 week check up the Dr asked me, "So, did you survive OK?" I told him I had such little pain and how I read so many other's accounts that terrified me of the pain to come. He actually said, "you're very lucky." Then he stuck his finger in and then the speculum thing and I had more pain that I did from the surgery or recovery process. The funny thing is since he did that 2 days ago, any last bit of pain is gone. It's almost like he gave me a final stretch that put everything in it's place. Strange, but it feels perfect now.

I wish you all luck. I hope other's experiences are similar to mine or at the very least are worth the pain in the end.
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Thank you for sharing and I too experience what you are saying to the "T" - this is day 7 for me and I've never experienced anything like this.... glad to know I'm half way to becoming normal again - this is a nightmare.
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I am a 51-year-old male who first started to experience prolapsed hemorrhoids 14 years ago.  At first they were barely noticeable but later progressed to prolapse at each bowel movement.  I dreaded having surgery, as I could reinsert them manually without too much difficulty. 

 

But things reached the breaking point when an episode of prolapse resulted in the tissues unable to be reinserted and the pain unbelievable.  A trip to the emergency room got things back inside but the problem came back with the next bowel movement, at least I got some good pain meds……..  Local specialists were not of much help as I was unable to secure an appointment in a reasonable amount of time. 

 

Thankfully, I had contacted a well respected Medical Clinic, a few days before the emergency room episode; I had to wait out several days in bad pain then endure a 3 hour road trip.  This was the best thing I could have done as the colon/rectal department was staffed with 7 competent Surgeons, 5 of whom were Professors at a nearby medical school.  Unlike other hospitals I have visited a wonderful Surgeon, with over 30 years experience, promptly greeted me at the exact time of my appointment.  He stated during the examination that they usually did not admit and/or perform surgery on patients who came in for examinations/appointments.  He changed his mind when he saw my condition and said the hospital was having a light day in surgery and he could get me in the OR in a couple of hours.  The surgery went well and I was discharged 5 ½ hours after the time of my appointment, feeling much, much better.

 

Apparently they administer a strong long lasting local anesthetic besides the general that knocks you out during surgery, since the 3-hour ride home was nearly painless.  I even ate a cheeseburger on the way home. About an hour later I realized why they sent me home with a large prescription of pain meds; the pain came back but it was different than the pre-op pain, the worst being when my rectum felt a certain pain then spasumed.  More pain meds did not seem to help and finding a comfortable position sitting or laying down nearly impossible: no sleep night 1.

 

The Surgeon had mentioned that having a bowel movement was important and to keep my stools loose.  Have some stool softener and milk of magnesia handy if I did not have a bowel movement within 2 days, also that the pain meds cause constipation.

 

The next day I drank LOTS of fluids, water green tea and apple juice, and also had some foods that had lots of roughage the next day: V-8 juice, my homemade canned beets and beans, and a couple of bananas.  Also went off the pain meds to avoid the constipation issue.  That evening I had my first bowel movement.

 

This was quite painful and felt like I was trying to pass golf balls.  I almost gave up several times both before and during passing the feces.  I knew it was not good to strain but did so anyway; the ordeal lasted nearly an hour.  Upon clean up I noticed two minor hemorrhoids that had prolapsed but readily were reinserted.  The Surgeon had mentioned these and that now was not a good time to deal with them.  The worst was over.  In retrospect, much of the constipation may have been caused by my not drinking any fluids on the day of my appointment as I had hope that a surgical correction was forthcoming, and that could not happen without an empty stomach.

 

The bowel movement greatly took pressure off my colon and the pain was much less.  I drank more fluids and some V-8 juice then went off to bed.  The first restful, although not painless night in well over a week.  The next day I kept up the fluid intake and added some more foods to help my digestion: yogurt and sauerkraut (fermented not canned), along with some more V-8 juice.  That evening I had a 2nd bowel movement that was much more fluid with only a couple of “chunks”, no prolapse of remaining hemorrhoids.

 

 To be continued......

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