As a result of the postponement of my THD procedure a month ago, this week I had an appointment to discuss it properly with one of the specialists at the hospital. I was surprised to be told that my hospital doesn't actually do it ultrasonically as they can't afford the ultrasound device used to locate the arteries. I asked if this affects the accuracy of the operation, and the specialist said that the surgeon doesn't really need it as he knows where the arteries are. I also asked if there is a difference between THD and HALO, as somebody had left a comment on the NHS website saying that they thought THD sounded better than HALO. He wasn't familiar with the term THD, so it could be that it is the American name for the HALO procedure, which is what it seems to be more popularly called here in the UK. My main reason for postponing was because several posts on forums indicated that most people had been given advice about how to prepare for the operation (I'd had none), and also that some people had found their recovery took 2 to 3 weeks rather than a few days. He assured me that they give advice for what to do post-op, but taking stool softeners etc. in advance, while not essential, wouldn't do any harm. However he also said that although the recovery is usually quite quick, some people just take longer to return to normal, and there is no way of guaranteeing what the outcome might be, although a week off work is recommended. He said he could book me in for a new appointment, or just leave my case open so that I can take more time to decide if and when I would like to have the op. I went for the latter, as my piles aren't at their worst at the moment and I would like to get some more advice before going ahead. It seems that this procedure is now the preferred treatment, not only over the old surgical removal (which sounds like a hideous experience), but also banding and stapling, which he told me they no longer do as they are too painful. In most cases patients have returned to the hospital the following day to have the bands removed; even doctors themselves who have had it done have got colleagues to take the bands off again because the pain was too great. So, I'm glad I didn't have that done, which is what I was expecting when I was originally referred. Anyway, has anyone else been offered, or actually had, THD/HALO without ultrasound?
I just tried THD in Denmark and I arrived at the hospital 9:00 am
I was scared and did not sleep well the day before,after what i have read here..:-)
now I'm treated and have no pain and home 1:00. pm
i dit get a full anesthesia ,,even when i woken up no pain!!
i have tried every possible treatment and this it the best..
so go for it..
puma
Good Luck with your procedure next month. keep us posted.
Well, I'm only 23 but it seems I had some sort of hemorrhoids from my early childhood. Maybe the reasons for this are my chronic high arterial pressure, stomach problems, excessive sitting and biking. Previously, when I felt pain in my bottom or noticed blood I used to buy some ointments to stop them, but 2 years ago after a long hot biking summer I felt afwul - blood was streaming like fountain, my bottom hurt, and my mood became quite fatalistic... When I went to a proctologist he stated - "hemorrhoids 2nd stage, and acute anal fissure", he prescribed me some medication and told me to return to have rectomanoscopy done. Surprisingly, after two weeks of taking pills and everything, my problem seemed to have vanished. I decided not to go in for a rectomanoscopy, and lived happily for the next 2,5 years until...
Last March I noticed blood in my stool and started to feel little discomfort. I turned to my classic remedy - suppositories of sea buckthorn oil. However, my pains got worse and I didn't manage to cope with inflammation within almost a month so I had to go back to my proctologist. This time I had a rectomanoscopy done, and Doc told me I had a small fissure and chronic 2nd stage hemorrhoid complexes, and that the medicine won't do any good so THD would be a great option. I didn't know what it was, but he explained that comparing to the traditional hemorroidectomy this kind of surgery is less painful and even more effective at my stage. The only drawback at the moment was its cost. Ukraine is not USA or Europe; only few clinics do such surgeries and the price equals to double mid-high monthly salary of the capital city inhabitant.
Nevertheless, the decision was to go for it. Firstly, I was told not to eat anything a day before the surgery (Tue), and I spent this day in the hospital taking 2x2 fleet enemas etc. On Wed at 11-00 I was taken to the operating room and given a shot in my spine. They did not give me any option except to take a spinal anaesthetic which cut off my lower part. During the surgery I was awake, talking with nurses, wondering whether the post-op period would be as nice as operational.
At 11-45 I was back in my ward feeling nothing except numbness in my pubes, legs, and feet. I was quite happy with the surgery but something disappointing waited me ahead.
As my blood pressure climbed 140/100 they inserted me a dropping glass (not sure it is called like that in English, sorry) with something and left me for about 3 hours alone. The problem was that noone asked me whether I want or can urinate, nor they gave me a urinal. The anaesthetic wore off and I began to feel burning pain in the rectum. Thank God, my parent came and insisted the nurse give me a shot with anaesthetic and bring the urinal. However, my relief was quite vague. I was not allowed to get out of bed so I had to try to urinate when there where other 4 patients around. I could not strain my lower part and was insuccessful in peeing... When night came my pains got worse and nobody would even propose my some sort of painkiller (despite the fact, I seemed to have paid for all necessary medication). Thanks to my mom's insistence at 22-30 the nurse mumbling and bubmling gave my a show of painkillers and a sedative so that I could at least sleep that night.
The next morning, at first, seemed to be better. I got out of the bed and went to the toilet (my ward didn't have one so I had to take a short walk). I reached the toilet, strained myself, and... nearly passed out. I clutched the walls and got back to bed to find myself feeling a little bit better. Later I asked my doc what's with my head, and he replied that it was due to hunger (I hadn't eaten for 3 days by that time) and being in bed. "Eat, walk - it will go off today", he said. But it turned to be a lie. I only manage to get a leak for half a minute and then rushed to bed so that I wouldn't faint.
I didn't receive any painkillers that day too. The pain wasn't awful but I even didn't try to defecate. They change my some bandages in the cursed point (awww, painful) and it was all the process. In the evening I felt urge to defecate, and it was quite painful, with very little blood though.
Half of the Friday I didn't receive any medication or bandaging so my parent decided to take me home due to such an "intensive" therapy in the hospital. My doc agreed and on the question about my head stance he replied again "You're hungry - eat" (LOL?)
We hardly managed to get home by car and ended up the ambulance giving me some shots of painkillers. At home I fell asleep but pain and head dizziness returned as soon as I opened my eyes. My pressure seemed to head to normal - 120/85 but the strong smell of acetone coming from me was another sign something was not good. At that time I could urinate a little so a passed an acetone test and it showed medium intoxication. Some friends-doctors told I should drink cola to lower the acetone in the organism but the bubbles would have then hurt me from the inside so I just drank a lot of sweet water. Acetone smell went off the next day but me head was the same. Another problem was that my back decided to to drop in for some pain. Form that point I couldn't sleep because of the freeky feeling in my musclues along the spine - the felt somehow strained, not aching, but the feeling wouldn't allow me to relax.
Some of my mom's friends whose husband is a cardiosurgeon asked his companion anaesthesiologist about my headaches. That was when we realized the cause of my dismay - I suffered some complication of the spinal anaesthetics, and the only way to cope with it - was to lie in bed until it got better. So I did.
On Monday - the 5th day I finally could get ot out of my bed to walk and go to the toilet without difficulties... not mentioning pains in the bottom during defecation. Sometimes it went with blood, sometimes without. At first, the pain was like somebody cuts you with a knife, but later it gradually tailed off. Just to mention, no painkiller so far, only some vein-tonus pills and suppositories for local healing.
It is the 6th day after my surgery now. The headaches have gone, my back feels normal. Now I can fully concentrate on my bottom soreness :D Another "joke" is that my laxative seems to have started to work just now (after more than 72 hours of taking it in), at last I don't give out boulders. I hope it will get better.