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I had to have hems removed while I was pregnant.....my OBGYN and surgeon both said that I had to have them out before the baby came cause they were hurting really really bad and had inflammed..I couldn't sit or walk. I had tried all remedies upto this point. I am doing OK now with soreness lingerng on after the bowel movement. I was sedated and the operation done with local anesthesia. But I wish I had better pain management in the first few weeks! It was awful....but I saw my surgeon last week and he said that the heeling is going to be slow coz the baby is taking most of the nutrition. I hope to find somebody on the forum who had this when they were pregnant and give me some insight into the post op care and recovery.
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Hi all,

Seems like it's a devised strategy by the docs not to explain the actual recovery period, and the nature of duress involved, to the people who are prescribed this surgery. Though it does appear absolutely mean and heartless on their part, it is also probably a fact that hardly a few of us would go ahead in case the horrors-in-waiting are related to us beforehand. Not only would it be bad salesmanship, it would also condemn a large many scared sufferers to continue to suffer in painful silence.

So it was with my doc too, just a casual overview alongwith advise for taking 5-6 days off work. Thankfully I'd read a good many posts on this forum, that helped me brace up and be prepared for the worst. This has been the single most helpful factor in dealing with the ordeal mentally, the chilling but honest accounts of the excutiating post-op pains. Each time I had the pains, it was a great diversion to think that others have gone through much worse.

Fortunately it's been a rather forgiving journey so far. The surgery was on wednesday morning, two internal and a large external b****r were given a snip. Had a light meal the previous night, a normal BM in the morning and then an enema an hour before the cutting session. The spinal anaethesia wore off by the evening, and the bladder began began to feel heavy. A gradually rising urge to pee was meeting a viryual dead end, leading to a lot of frontal discomfort.

That was soon to be forgotten as the packing lovingly placed inside the rogue's gallery came into it's own as the night set in. Every breath seemed to be accompanied by a volcanic eruption deep in there. After trying to see eye to eye with this new dimension of literal 'pain-in-the-a**' for about half an hour (it seemed like two), all the valour deserted me. Called the nurse around 2 AM, she put some injection in the bum right next and finally was able to catch some sleep. Morning was again bombardment of anternal anguish, and carried on till the packing was removed by the nurse in forenoon. That took just an explosive second, and then there was descending and increasing peace and calm, relatively at least. Thankfully was able to walk to the loo and enjoy a slow but sure and long pee earlier in the morning.

This was thursday, began having oral foodstuff afternoon onwards. Regular glasses of water, fruits like papaya, orange, salads, porridge in daytime and some rice-lentil mix in the evening. Nothing more tha semi-solid. Had also begun walking and moving around inside the corridor during the daytime. There was a tight feeling, longer strides were discomforting, but slow walking was feeling fine. Peeing became regular and more normal. The doc was planning to let me go home on friday.
Spoke to him on his evening round, and he agreed to discharge me then.

Now I came for the procedure to this facility alone, and a friend came to be with me a lot of time, as my family is out of town for a few days and I did not wish to bother them. Late evening I drove 40 minutes to home without much discomfort. Of course I again sat on the cushion which I have been using on the car seat for a long time now, and avoided any bumps or jerks as if my life depended on it (it did of course). Reached home and slept normal.

Yesterday morning had a litre of water first thing, as has been a habit for many years now. Afterwards felt the normal urge to purge. Now the dread began setting in. Paced for a few minutes, let it built up. Kept remebering all the great helpful tips fellow have left here. And then with a drumming heart arrived upon the seat. Lo and behold, soon as I sat it began slipping out as if silently escaping. It was in small soft bits, and there was initial bit of pain. Later also a couple of time the glass-shard analogy came to mind, but gratefully was in the passing (pun it sounds like!). Things I could recall from this board were a lifesaver I believe - NO STRAINING and EASY REGULAR BREATHING. Soon as it stopped I got up immediately, and into the sitz immersed. There was hardly any bleeding.

Seemed too good to be true, I kept thinking this must be the lull before the storm. Desisted from posting this yesterday, wanting to wait until another day. There was a slightly heavy, unfinished feeling afterwards. Again the froum members have so nicely described about that, so did not let it goad me into a reckless suicidal bout of another round to push it out. The feeling subsided as I took a bath afterwards, or maybe I stopped paying attention. Had semi-soft vegetarian lunch, porridge in evening, lots of fruits and water. And most important - PSYLLIUM HUSK after each meal. That seems to be a clinching factor.

Today morning was almost a clockwork repetition. A larger BM, soft and largely pain-free. Not a normal one definitely, but as mentioned earlier, the mind has been prepared for so much worse that this one hardly seemed to register. And no bleeding fortunately.

I'm a 37 yrs old male from India, fit enough, picked up the 'roids during my 11 yrs of Army service. The medications here would not relate to the ones there, so not dropping names.

Plan to join work, which is semi-sedentry, monday onwards. Hope it is not a rash decision, shall see.

Lastly, I've derived lots of helpful info from here, so thought I owed it to mention a relatively positive experience for all the fellow 'roid victims out there. The progression maght have been much more painful had I not been through the numerous candid posts here.

To repeat what I feel has been helpful - LOTS OF LIQUIDS, RAW FRUITS AND SALADS, MOVE AROUND, SMALL MEALS, TRY WATER IN MORNING, NO STRAINING, EVEN BREATHING DURING THE ACT AND PSYLLIUM HUSK if available.

Been a bit too simple so far, shall post if starts going haywire.

Good luck to all, and speedy recoveries.
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Wow... glad to see I am not alone. I am 2 weeks today for surgical removal of one monster that when protruded looked to be the size of my big toe as well as 3 others that were Colderized(sp?).
The pain is absolutely brutal. I really did not want to have to take time off work and expectecd to be in full swing by now. Not a chance. In fact while on the Percs and valium for the first week I was able to at least work at home and get the must do stuff done. The second week has been almost as bad as the first and perhaps worse because there are no more pain killers other than tylenol.
Similar to one experience posted I could have sworn my surgeon said that week 1 I will want to kill him, week 2 I will be indifferent and week 3 I will start to feel like a new man. Here on day 14 I must say that killing him still tops the list. I am at least going to ask for a no travel note from the surgeon as I cannot dream of air travel...or car for that matter right now. on day 13 my caring wife called the surgeons office to say that she thought I was getting worse not better...what up? The office said they ALWAYS tell people 6 weeks until they feel better and it is ALWAYS minimum 4 weeks. Also they said this is why they do not do this unless they absolutely think you need it...the recovery is demonic. One thing that helps is being grateful that I do not have colon cancer. The Surgeon was in and out of my but VERY quickly this time around (went 1 year prior) and I kinda thought ...oh my that was way too fast, did he find the big C?
Well thank God that was not the case however it leaves me no doubt that I had no other choice than to have this done.
After the exam he told me I had to have the surgery and told me a story to warn me about the pain. He said that a couple of months back he did a guy about my frame and weight. He went on to tell me that this guy was shot when serving in Iraq and told the surgeon after that if it was an option he would have rather taken another bullet than deal with this recovery.
It is a strange thing nowadays how people (me included) think that because something is "day surgery" that it also means "day recovery". Honestly I think that there should be a few days in the hospital after this on morephine.
Does anyone else feel like a freakin' wuss? I tried to sit at my desk today. ABsolute no go.
Thanks for the vent and good luck to all. BTW I find a warm bath (5/day) help and I have been adding some Equate brand (aveeno knock off) oatmeal. Seems to help but maybe all in the head which at least is in the correct direction.
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I am 24 hours post op, and so far it hasn't been awful.

I think it's important for people to describe their hemorrhoid condition before the operation. Results seem to vary, and I think much of it depends on the location of the hemorrhoid, and the surgical procedure -- but I could be wrong.

I had an external thrombosed hemorrhoid that was next to the anal canal and was located between the anus and vaginal opening. I developed the problem after I had a partial colondectomy, and post-op I had to take fiber supplements. Also post-op there were very frequent bm's, which resulted in this hemmorrhoid.

I was referred back to my colon surgeon who told me that the only way to cure the hemorrhoid was an operation, which most likely would be painful. I really did not want to hear that because I thought the colon surgery was as much pain as I wanted for a while. Someone I know located a highly regarded specialist in NYC, who told me that my surgery would not be that painful because of the location of my hemorrhoid.

I didn't know whether or not to believe him, because everyone else from the first surgeon to my internist to many people on this board, described it as very painful.

Anyway, I had the operation yesterday, so far it hasn't been so bad. I took the pain killers twice yesterday, but today I am delaying taking any unless things get worse. My pain is tolerable.

I realize that things can get much worse when I have a bm. After reading these boards, I prepared by eating less the last 2 days and going vegetarian. I also started taking a stool softener. I will continue to do that until I know I can have an OK bm. I have been passing gas, and it hasn't been painful. I am optimistic.

What has worked for me is a special hemorrhoid pillow like this one. I'm not trying to sell pillows, and the one I have was given to me as a gift. It resembles the one in the link, but the one I have is manufactured by someone else. Anyway, I placed ice chips in a surgical glove tied with a rubber band and then placed it in a baggie. It fits perfectly in the hole and offers me great relief. I almost slept upright last night using it, decided to try the bed which worked out.

I will post again to let you know how I am recovering.

By the way, this was day surgery, so I went home after the operation.

***edited by moderator*** web addresses not allowed
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Hello everyone,

I'm a post hemmy survivor! It's been about two months now. I would just like to sympathize with everyone in pain, believe me, I totally understand! It has got to be the most painful surgury ever created. I was told it would be painful by my doc, but it wasn't until I was admitted to the hospital for pain control that I realized how painful it could be. I had pain killers up the ying yang.
Recovery was about 5-6wks for me.
Something that helped me greatly, of course I didn't realize this until the end of my recovery, was a product called Veganique. I don't sell this stuff, you can find it on the web or if you want to pay higher retail prices, at GNC stores. There is another product similiar called Vegan (I think that's the name). These are whole food supplements that regulate the bowels and with lots of water, your bowels will be soft. Be careful, however, not to start out with the recommended dose. Try one fourth of it and build from there (otherwise, too much gas and this is NOT what we want after surgery!) After I started taking this, I was able to stop all laxitive use. I also take liquid B-complex that has a high amount of B-12 for energy.

I bid everyone a fast recovery! Wendy
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You will find my first post after the post above this one.

Today is Friday, my second day full day after the operation on Wednesday.

And I think I will remain one of the lucky ones.

Yesterday I was fine without any pain medication. I took one pain pill at bedtime to help me sleep. And I took Tylenol during the day. By the way, my doctor said that opiate pain killer can harden stools, but they not necessarily do it.

Last night I had my first bm, and it was OK. This morning I had 2, and they were both OK. They were mushy and easy to eliminate. I have been taking mineral oil (up to 3 tablespoons) post-op, and I took a daily stool softener 2 days prior to the operation. I am discontinuing the stool softener today but will continue with the mineral oil. I reduced the amount of food I ate and went vegetarian starting 2 days prior to the operation. I've been vegetarian ever since, but tonight I might make a soup with a little meat.

I do feel some pain, swelling and burning, but it is tolerable.

I plan to take it easy, and give myself at least a week to heal. I suspect that I can continue normal activities after a week, but I am not a super active person. After 3 weeks, I think I will be able to do more active things.

The cushion and ice pack I described above continue to help me. I didn't realize that I could not post links. If you are interested, just google hemorroids cushion. In fact, I like it better than a sitz bath.

After reading these posts, I realize that experiences are different. I just wanted to post mine so that others could know that not every outcome is bad. I don't think I will post again unless I have something significant to report.

I wish that all of you could have the recovery I am experiencing! :-) However, I think it varies by type of operation and location of the hemorroid(s) :-(
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I normally don't post on message boards but after reading everyone's quotes felt I should tell my story as well. I have been suffering for over 10 years of hemi's with them getting worse and more thrombosed. Finally got the nerve to go to a Colon/Rectal Surgeon who indeed said I needed them cut, internal and external. It was affecting my sex life with my husband also, very uncomfortable at times. My day surgery was 9/22/2009 and thank God my Mom was here from out of town to take care of me. I think the pain was worse than giving birth to my daughter 22 years ago! Like everyone else I was mortified about having my first BM, but after 3 days finally something happened even though it was a small amount I felt like a cow came out of my rectum. Did the sitz bath religously every day several times a day. My doctor told me to take the mineral oil twice a day and a fiber drink twice a day. My mom and I came up with what we call the "fiber cocktail" so I could get it down. 8oz. apple juice heated with a tablespoon of fiber supplement like metamucil, stir real good and drink it with a straw. I was doing good with that the first week, but this past week just into my 2nd week, I have been going to the bathroom way too much sometimes 3x per day which sends me through the roof. I'm eating alot of veges, fruits and fiber bread with the supplements but man you want to die after going BM, so you have to jump in the tub if you have the energy or just lie on the couch or in your bed for a bit. I do think it is getting better but concerned because it still looks like I have hemi's back there but at my 2week checkup this week the doctor told me it's normal because of the swelling. I have to go back in 3 weeks because I have one area that is still really sore and a stitch left. I had over 6 large internal/external hemi's and the doctor said he didn't know how I was functioning for so long. It's called just putting up with it and hoping the surgery will make it better wthout being a sissy through it all. I am still hoping this surgery was worth it, just taking it day by day, along with the supplements, and an occasional pain pill (percoset), mainly I am taking extra strength tylenol. Thanks for listening.
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Flagirl, I think we're all very grateful that you told your story especially since you said that it's hard for you to talk online about such things. Thank you very much for sharing your story.
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I thought I'd just contribute because I really think that the post-recovery phase following this operation is under-sold by the medical profession.

I am 42 and had a small pile removed surgically on 19th Sept. I had several bouts with small internal piles over the past 7 years, and this is partly due to IBS-linked constipation. Nothing seemed to be a permanent fix and I was getting fed up and demoralised by passing blood, feeling sore, itchy and uncomfortable and generally under the weather.

I would say this loud and clear to anyone contemplating this surgery: avoid it if you can!

Two days after the operation, I was in so much pain that my husband took me to A&E where I virtually passed out onto the patient table (gurney). The site of the surgical excision had become so swollen, it looked like I had an enormous growth on my back passage. I couldn't lie, sit or stand comfortably for a week.

I was given Co-codamol to alternate with Diclofenex and paracetamol, resulting in mild constipation. I wasn't too hungry anyway but drank gallons of water but didn't pass a BM until day 5.

It was excrutiating, felt just like giving birth to a very large baby that had glass on its' head!

Eventually, the swelling subsided, and all the while I was also taking Lactulose (stool softener) plus Aloe Vera juice and eating a high fibre diet, with loads of water. BM were soft but still very painful.

After 4 weeks, I got itchy. Really itchy. And worse, after every BM, I felt horribly "wet" from my back passage which was oozing. Back to the GP, nothing abnormal about the oozing, she said, it's to do with the anal mucosa attempting to keep the wound area free from germs as it heals. Great, so why did she tell me this in advance??? Struggled on for another 3 weeks, but just couldn't cope with the itching. GP gave me a steroidal cream, Xyloproct, which eased it as it contains Lindocaine, but still wet, sore and in mild discomfort after every BM.

Back to consultant last week, and it seems that the wound site had hypertrophic tissue granulation.....basically, the skin had healed and become sore before the underlying tissue from the wound area had fully healed. So, he cauterised the tissue with silver nitrate,

One week later.....much, much better, virtually no itching, very minute amount of noticeable wetness after a BM and I am praying that I have turned the corner finally. I'm still taking 2 teaspoonfuls of Lactulose a day, with 25ml of aloe vera, as both safeguard a soft and comfortable stool, soothe my IBS tummy and generally feel right for me and my poor digestion. Diet is still high fibre, still drinking lots of water and intend to do for life.

So, my personal view is: this is an operation that can mean you'll have a protracted, painful and extremely taxing recovery. I've not had sex since the op, because not only didn't I feel like it as I was in pain, but it made me feel deeply unattractive. Needless to say, I'm raring to get back to "normal" with my man, because this operation really de-humanised me.

My top tips: avoid the op!
Consider a less invasion surgical operation, research HALO surgery for piles, it's achieving very good results in the UK, and the recovery is vastly less than normal surgical excision.
Ask your GP to be very honest with you about recovery.
Take at least 3 weeks off work and do absolutely nothing but rest, drink water, eat light, talk the odd little walk, take painkillers, etc.
Keep going back to your GP/medic if you think something isn't right for you.

Good luck!
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Hi all,

I'm going to post one of the "happier" stories from having this operation. I had been suffering for about 15 years (I'm a 30 year old male), and they became unbearable in the past 5 years or so. I tried infrared coagulation therapy with some success on the smaller ones, but the big one persisted. I finally sucked it up and went to a surgeon and he signed me up right away for surgery. Had I known, I would not have waited so long between deciding to do it and actually have it done. I found this site and had the living you-know-what scared out of me.

I went in Friday morning , 11/13. I think the surgeon got more than he bargained for because when he came out to talk to my partner who was waiting for me, he said, and I quote "wow, that was VERY, VERY, VERY, VERY big." I had one MASSIVE internal hemorrhoid removed. He actually used the word very 4 times. I woke up got sent home and was good to go. One of the most painful moments was the short time between the anesthesia wearing off and me getting two percocets in me. I was given both percocet and vocidin, and I have to say the percocets were the best. I slept off the rest of Friday and most of Saturday. I was very regimented about taking my meds every 4 hours as prescribed, and supplementing them with three advil in the middle of that time. I also got lidocaine cream which helped, and can NOT stress enough the usefulness of a hot bath. I fortuately also have access to a hot tub at home, so that has been a big help.

I have to say that all in all, this surgery was nowhere near as painful as I was expecting, and I can't express how thankful I am for that. The worst part of the whole thing is the BMs, which can bring you to your knees in pain. I'm now not even a week out and up and about just fine. I'm just a bit uncomfortable sitting, and am still terrified of BMs, but otherwise, I'm doing great. I'm SO glad that I had this surgery done. This board was very helpful. A few tips I'd follow:

2 Days pre-surgery, go to a liquidish diet (soups, etc).
Eat lots of fruit and veggies. Double fiber bread is good too.
Plan your BMs around your pain meds. Trust me on this one. Have a hot bath waiting for you and hop right on in when you're done.
Stock up on Maxi Pads (the self adhesive ones). You'll need them.
Take Metamucil, Stool Softeners, AND a gentle laxitive such as PerDiem daily.
Drink LOTS of water
And like I said, supplement 3 extra-strength advils with your pain meds, and I'd recommend percocets.

Good luck everyone! Based on my experience, I'd recommend the surgery, but I now each person is different. I learned a lot from this site and just wanted to throw in my $0.02 to help out and give back a little, althogh I'm pretty sure nothing I've posted here is new in this forum.
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Nice to hear things will get better. Thanks for the encouragement. I am a 51 year old woman. I had a hemorrhoidectomy almost a week ago. I gave up on the pain killers and I'm taking Advil. Not great but tolerable. So here's my issue. I would be okay with one or two BMs a day but I'm going a little bit many times a day. It's awful. I'm trying to walk 5 minutes several times a day to see if that will help. I just need to get regular. The other issue is lower leg cramps. I am going to bulk up on bananas in case it's a potassium issue. Any ideas? Otherwise, I am active and exercised regularly (pre-surgery).

Get this. I called to set my follow up visit with the Dr. I can't in until 5 weeks after the surgery. Don't you just love it.

I would appreciate any help. Thanks.
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Im a 26 year old female. Have been dealing with hemorroids for a long time. It started when I was 15 years old. Itching like crazy, I would scrub way to hard in the shower and thats when I noticed a small one, nothing severe at that point. But then I started having troubles keeping the area clean after BM, so I would wipe and wipe... witch made the problem Bigger... It started bleeding and I went to see a few doctors who prescribed me different creams (nupercainal, anusol) witch used to help for the swelling but the actual hemorroids dont dissapear at all. A few years ago, fed up by the pointless creams, one of the doctor I saw told me about the surgery, gave me a reference to see a surgeon, but warned me that some ppl are incontinent after the surgery; witch scared the hell outta me so I never used that reference. Anyway at that point I was still able to manage to push them back in most of the time, the bleeding only happended 1-2 times per year. Now since then Ive been having more and more problems. Since approximately 6 months ago I wasnt able to push them back in at all, and hurts like hell, Ive been ruining alot of underwears because it was difficult to keep the area clean. Now I have a new boyfried and I wanted to get rid of this issue since I cant push it back in anymore, and they were OUT THERE!
I went to get another surgery reference. I was lucky, the surgeon I saw for consultation that day checked it out and by chance had an opening for surgery the day after. So basically I had time to sign the papers and I was already under anesthesia!
Its been 2 days since the surgery now and I did my first BM today, I was soo scared to rip my anus off but everything went fine, in the end. Im still afraid because alot of the post mention that the first 3-4 BM are the worst... Im eating alot of fruits and veggies, hole grain toasts and tons of water. I have codeine acetaminophen pills for pain (witch work perfectly), I have 2 mild laxative; Mineral oil + Metamucil. I use Nupercainal as ointment for the itchyness swelling. I take 3-4 sitz bath per day. And I always make sure to keep the area clean, by gently cleaning with Tucks wipes. Im very optimistic, specially since my 1st BM today... It was very painfull but wow I just had to go lol.
The pain was really unbarebal the 2nd night, I has anus spasms witch felt like electric shocks, woke me up in swet 4 times during my sleep. I would say the codeine pills reduce 70% of the pain associated with the spasms in my case. I hope I wont be getting alot of those spasms because they are really painfull. But other then that I feel like I will recover soon enough. I hope the bleeding from the incision will heal quickly because these pads arent very discreet.
I hope everything will heal soon... I cant wait to have sex again... Im going to see the doctor on monday so he can fill out my sick leave papers for work (1 month, 1 month in half) and will ask if oral or 69 is ok. My new man is soo hot... I cant help it I feel like raping him but im scared of hurting myself lol.
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I had the surgery 5 days ago and seem to be getting off lightly compared to others on here. The first 24-48 hours were the worst, apart from the constant burning/throbbing pain, i was getting 'spasms' which would cramp up and cause a sharp 'orrible pain. This was every minute or so for the first 24 hours then gradually decreased there after.

Day 5 and i'm feeling more or less the same as the previous 2-3 days. I'm getting a bit of throbbing/burning pain aswell as feeling the need to c**p all the time. I'm also getting really bad trapped wind with which i've not been able to find anything that helps.

I've only had 2 BM so far, the first one resulted from overdosing on laxatives so was painless, albeit discomforting and frustrating. The second one was fairly painful from straining and trying to get rid. It's only since reading on here the fact you always need to go so 'ignore the feeling until you know'

I was prescribed Tylex (5-days worth), Voltanol and a laxative. I've just run out of Tylex and can feel the pain increase so think i'll be on normal ibuprofren for another week.

Thanks to all those that have shared their stories on here, it's good to read. Those that have had extremely painful (and rare) experiences shouldn't be so quick to rant on about not doing it. My hemorrhoids weren't causing me any pain (only discharge causing me discomfort and stopping me participating in activities most of the time), but would still recommend this surgery IF i come out of this hemorrhoid free. People experience it differently, so best thing to do if your going in for it is to prepare yourself and have things ready for the post-op recovery.
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Day 6 (I posted the above comments too)

Worst day of the lot of them so far. Woke up in agony this morning with stabbing pains aswell as horrible pains & cramps in my gut.

Tried my best to go to the toilet but just couldn't make it work. Have spent all day drinking water, laxatives and plenty of fruit. As of 2 minutes ago, i had today's BM. I'm a happy guy, 'tho now in quite a bit of pain from it.
The best advice is just to ignore the sensation of 'needing to go' until your brain sends a few signals down giving you your final warning. Sit, don't strain & take regular breaths. Works a treat...

I've now finished my prescribed painkillers (tylex and Voltanol) and have consumed far too much laxative (lactulose solution). I've been looking for mineral oil but it seems this is more of a US thing as Europe class it as unsafe? anyone want to expand on that?

As for now, i'm in the comfort of knowing i have another 24 hours before going through all that again and am going to make sure i drink plenty of water, high fibre foods aswell as prepare myself mentally for the near future.. o.O
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Day 8

Feeling much better, almost back to normal infact. Movement is still slightly restricted due to pain but feeling alot better.

BMs however... are still terrible. I'm no longer taking laxatives but instead using a soluble-fibre drink twice a day aswell as eating plenty of fruit/veg and bran. The pain when trying to pass a stool is unbearable at times. Stools seem to be small and hard so i might try going back to laxatives for another week to help me.

Still having 3 baths a day which seems to help with the pain after a BM too.

Hope all those going through this recovery feel better soon!
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