I know your computer is probably the last thing on your mind, but if you can please respond to me on both this address(my hubby's work computer, which I am using now), and my personal address. It is _[removed]_
Sorry if this sounds intrusive, but I've been looking all over the internet and cannot find ANYONE to give some advice (REAL ADVICE) about what I'm about to face.....ECPECIALLY the pain!
Hope you are doing okay...and just think...you have it behind you, now!
I see most of these posts are a year + old. But, I recently completed this surgery. I am at one month + one day.
Do a full bowel prep before, a day or so. Some docs like mine, so only do an enema. Forget that. Do the entire bowel cleanse.
You'll be swollen after, and probably doped up.
When you get home, enjoy and use the Percocet they give you. Vital to use it. Since your bowels will be clear, no chance of constipation, which of course can happen with pain killers.
Get an OTC stool softener too, and stick to a bland diet; applesauce, wheat toast, a lot of water, and oatmeal. I ate practically only that the first couple of days.
Keep gauze or something similar as a packing. Also, when a BM comes (for me, almost 3 days - I was starting to get worried), use Tucks after. Not Prep H wipes. The meds on those could cause more pain. Tucks, trust me.
The stool softeners will also be vital, and to me, more so than the painkillers. I edged off of the Percs as much as I could. Got 25 when I had the surgery, and only used 13 over a span of about 10 days. There is a lot of pain, but it does get better.
Take baths. Regular baths. A lot.
I tried that sitz bath for a few days, but that can put unwanted pressure on your bottom so said my doc at my one week post op check.
And take powdered Benefiber too. I took one or two tablespoons a day, with two tablets of stool softeners and the occasional Percocet during or after a BM.
As to work - forget the first 7 days. You can walk around but even sitting can hurt. Pain spikes while laying down too can happen. Expect that. Keep clean as much as possible. Expect to take 3 baths a day.
Second week - it gets better it was hard to see the end. The end of this does come. I say about day 12 or so, you feel Ok.
But I am at day 31 and I still take Benefiber + stool softeners. No more percs after day 15.
Second week try to stay home too, otherwise you need close access to a bathroom.
Third week you can perhaps go back to work.
So it was worthwhile for me, a man aged 41. History in my family, but I also had a bad diet and strained a lot over the years too, and never did a thing right. Now I know. Eat well, go easy in the bathroom, and don't try to hurry. The Benefiber + stool softeners will do the rest. You will get thru it.
-For several weeks beforehand I played around with fibre supplements and finally settled on ground flax seed, 2-3 tablespoons per day (my weight is 120lbs). (My doctor did not say to do this, but I was forewarned by research on the web)
-I was not prescribed anything with codeine, but was going to refuse it (in theory) if prescribed because it constipates me terribly. I had a strong NSAID, which I needed only for the first 1.5 days.
-I have a very healthy diet anyway, no sugars, low on red meat, low on carbohydrates, no alcohol, and ate even more sparingly prior to and just after the surgery
-my surgeon prescribed sitz baths with Malva tea (a loose tea/herb I buy in a health shop). Malva has anti-inflammatory and antio-biotic properties (apparently)
-my surgery, which removed three hemorrhoids using laser, also involved a lateral incision beside my anus, underneath an external hemorrhoid. It will drain some pus for about a month apparently, and was left open for this purpose. Confusingly I find no mention of this on the web, and plan to ask my doctor to give me more details on it. It has been uncomfortable but nothing more.
-I was up and about immediately, and could sit without pain, and now (2 wks post-op)feel almost normal except for some gas, and not being able to walk for a long time
-the first BM was 2 days post op. They have been regular, and yes, uncomfortable for the first week, but nothing more
-my doctor was not expecting me to have pain so I don't think I'm exceptional. He has done 5,000 of them, 2,000 with laser. When I told him before the operation that I had been scared out of wits by this thread, he said it was hard to compare recoveries because the procedures can vary so much.
Perhaps there will be some surprises to come, but so far, the experience has been uneventful. Truly, though, my sympathy for those who have suffered above. What could account for the different experiences?
I'm at day 10 of having had this surgery, and I'm up and around. I went for 1km walk today in the park. Felt wonderful. Hope I've helped you.
I noted a couple of responses where people had uneventful surgeries and recoveries, so I thought I'd add mine.
I'm a male in my late 50's. I'd had internals and externals for many years and learned to live with them. Over the past couple of years, the bleeding became more and more annoying so I decided to have them lopped off.
After reading this and other boards I was pretty worried about the recovery and postponed the surgery once, but finally went ahead.
Had the surgery 9 days ago. The morning after I was up and did a couple of miles on the treadmill, walking. There was some mild pain, nothing alarming, and the oxycodone controlled it well. I took one pill every two hours instead of two pills every four hours.
I was constipated, probably a combination of the pain meds and the anaesthesia, but was told it could be 3 days before I had a BM.
I wasn't looking forward to the first BM, but it came and went the second night after surgery with some mild discomfort. I didn't pass out from pain, alarm the neighbors, or frighten the dog.
By day three, the digestive system was pretty much back to normal and I had put the pain pills away for good. Ever since, everything has been fine and I have really enjoyed not bleeding.
A couple of tips that helped me:
Another poster mentioned psyllium husk. I seriously recommend giving this a try. It bulks up the stool, cleanses, and really makes BMs a lot easier. Do a little research and experiment with it. The stuff I use is whole husk....don't know if the powders work as well or not. Tastes lousy but you get used to it. Drink lots of water with it. I had planned to use it only before the surgery and during recovery, but now I'm using it daily.
Another poster suggested getting pretty well cleaned out before the surgery...using the psyllium and eating less. As my only problem was post-surgery constipation, that sounds like advice I wish I had followed.
We have a bidet in the house so I didn't have to deal with the whole sitz bath thing, but the warm water really is soothing.
Finally, I was able to have my surgery done at a Mayo Clinic. Not an option for everyone, but I guess the obvious point is to find a well-qualified surgeon.
Anyhow, I mostly want folks to know that the surgery doesn't always result in a month of post-op agony....though of course my heart goes out to those who have suffered.
All I can say to anyone wondering about this surgery is:
IF YOU HAVE THE CHOICE, DO NOT DO IT!!!
I was skeptical of all the bad experience posts, assuming mostly only those with trouble would post.
This was (and is) the worst experience of my life. I had cervical spinal fusion surgery last fall, and it was NOTHING compared to the pain and agony I have been through with this.
First day post op was spent on the floor of the bathroom, sweating, shaking, crying and vomiting, until my husband was able to pick up a stronger narcotic (Percocet to replace Vicodin) I was suicidal, but not able to move enough to swallow all the pills to do it.
The Percocet eased it a tiny bit, but I continued vomiting until the 3rd day, when I was able to convince the dr to prescribe something.
4th day post op found me in the ER, desperate for relief, they were unable to help, despite IV narcotics and oral and rectal enemas.
6th day post op found me in the drs office having a Ischioanal Abscess drained under local anesthetic. They are apparently fairly rare (he had never seen one before) but when they do happen, are frequently caused by the trauma of this surgery
9th day post op I finally had my first bowel movement (had 7 different enemas administered before that day, none worked, except to add toxins to my already stressed system). It was so painful, I vomited and nearly passed out.
10th day post op found me in the hospital having a 2nd Ischioanal Abscess opened and drained under general anesthesia, the first one was re-opened and re-drained as well.
I am now 13 days post op, and can barely stay in one position for more than 10 min. Sitting, standing, laying, all must be changed constantly. I have had little to no real sleep in almost 2 weeks. It has taken me 20 min to write this, as I have to keep standing up.
Thank god for my husband, who ended up taking over a week off of work to help me through this, and to do the frequent dressing changes on the opened abscesses.
DO NOT, repeat DO NOT have this surgery unless your literal life depends on it, and think that through carefully.
I wish I had taken others experiences seriously.
As for the pain of passing BMs post-op... right now, I use Calmol suppositories (zinc oxide and cocoa butter) along with Desitin zinc oxide paste on the outside, in order to minimize pain, bleeding, and irritation during BMs (and during cleanup afterwards). It makes a big difference. Is it possible to use this strategy after the operation? Would it help to reduce the pain?
As for bowel incontinence, has anyone experienced this as a side effect after the operation? Apparently, the sphincter muscle can get loosened by the trauma, leading to the inability to control BMs and/or leakage. Living with that might be worse than just living with the hems.
I am a 47 year old male. I have two or three internal ones, and about four external ones.
I know am probably too late writing on this forum, perhaps that's the only available thread on the internet discussing this subject. So I felt I'd like sharing my experience.
I am male 28 and I've had my open hemorrhoidectomy surgery 10 days ago, I had it both internal and external and the doctor made four cuts. And as everyone has said before, the pain after the surgery is unbelievable. Although I can honestly say that I will never do it again if it ever comes back but I'd like to convince myself that I don't want to spend my life with it.
The first few days after the operation is painful. I don't even know how to describe it. But it gets better and better everyday (I wanted to stay positive :-) perhaps it was my stupid mistake that it took medicine for constipation and I never had any. So I kind of spent half my day in the bathroom and I think I had phobia from the bathroom after that.
After 10 days from this operation, the pain is still there but I am getting better (at least the bleeding is almost over :-), here are few things that might be useful:
- Sit in warm/hot water ... A LOT. This is really helpful.
- Lots of fibers. (I am eating normally..that was the doctor's orders but with extra fibers)
- In my country, there's a medicine called "Voltfast" (perhaps you might have it with a different name), this one used to do magic with me. It releases the pain for like 7 hours
- Pray :-D
- I read this from a previous post. Not being able to control yourself. A relative doctor of mine asked me if I have it because this is usually a mistake by the surgeon that he cuts a small part of "i donno what" that controls all this. So i really suggest talking to your doctor on this.
As for anyone reading this before the operation, perhaps my case was different (having four cuts) but I think it is totally worth it, and the pain will eventually go away. I am not completely recovered but at least I am able to sit on my computer.
i wasnt too worried about the surgery, until hitting this site, now im scared to death. i've had 4 C-sections, and an abdombinal hernia, which was the worst pain i ever had. my presurgery instructions have a note at the bottom (no pun intended) " Exam under Anesthesia/excise skin tag/hemmorrhoidectomy possible''.
....what does this sound like to you all?