Hemorrhoids Support Group
Hemorrhoids are the swelling and inflammation of veins in the rectum and anus. Two of the most common types of hemorrhoids are external and internal hemorrhoids. External hemorrhoids are those that occur outside of the anal verge (the distal end of the anal canal). They are sometimes painful, and can be accompanied by swelling and irritation.
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I'm 35, male. I get a lot of exercise, and I'm fit. 6 feet tall, 155 pounds. I had been dealing with hemorrhoids for 15 years. It had gotten to the point where I had to physically take my finger and push them back into my butt every time I took a poo. Also, I couldn't walk very far without one or more hemorrhoids starting to come out. Over the years I developed a system, while out in public, of getting them to go back in temporarily. I would squat down and center my butthole right on my heel, then put all my weight on that spot and it would push the hemorrhoid back into my butt. But this would only give me 10 minutes or so of relief. I would have to seek out a place to sit. Finally, after years of dealing with it, and after it'd gotten to the point where I was bleeding a lot, everyday, AND after I finally got health insurance, I saw a doctor about it. I had a colonoscopy and he told me I had some of the largest hemorrhoids he'd ever seen. He sent me to a colorectal surgeon. Now, I'd gotten very good at managing the issue and to the colorectal surgeon it didn't look all that bad. So he did a banding procedure, but that didn't help at all. I went back to him to ask about the surgery, and he advised against it. I insisted, however, as a quality of life issue, that he perform the surgery on me. He told me that because I had internal and external hemorrhoids it wasn't an option for me to get the laser treatment. I had to go under the knife. I decided to go for it. The doctor told me I would be able to go back to work in one week. He performed the surgery and I woke up in recovery feeling no pain. I was on Percocet. I was able to pee and seemed fine. He sent me home with a prescription for 100 Vicodin. I began taking them right away, but as soon as the Percocet wore off I found I was in terrible pain. I ended up in the E.R. at 2am, screaming and crying and begging for pain relief. (I'd previously had a kidney stone, and found this to be much, much worse - and that's something I thought I'd never say.) The E.R. doctor gave me a shot of Morphine, which helped enough that I was able to stop crying and moaning for a few hours. They sent me home with a prescription for Percocet. Thankfully, this worked for the pain, some, but not as much as I would have liked. I found I couldn't stand to have my girlfriend sleep in the bed with me because when she so much as rolled over I screamed in pain. The worst was when I had to have my first bowel movement. The doctor had prescribed fiber pills and colace stool softener. I took this regularly, but I followed the directions on the fiber supplment bottle, to take 2 tablets 3 times a day, and I later found out this has the effect of bulking up the stool. This is not something you want. So, though I was eating very, very little I still having very large stool for the first several days until I figured this out. This problem was compounded by the fact that my butthole was sewn up very tight, it seemed to me. It was very difficult to get the stool out. I tried not to strain, but for the first 4 days I was in the bathroom for up to 4 hours a day, crying and yelling and screaming - and I just wanted to die, it was so bad. On a couple of occasions I just had to push the stool out, because I could feel it pushing on the inside of my butthole, where the incisions were and the pain of that was immense. Plus the anxiety over having to go was not at all minor factor. It was extremely mentally taxing. Once on the third day I couldn't get the stool to come out at all and ended up taking a hot shower, hoping for some relief. (I didn't have a bathtub at my apartment at the time, but I wish to God I had.) I ended up pushing the stool out while standing up in the shower, crying and yelling. I then had to clean up a big poo off the shower floor. It was one of the lowest points in my life, and very surreal. I couldn't believe I was feeling that much pain. I hated so much for my girlfriend to see me like that. She was great through it all, but it was unbelievably humiliating still. The whole time I was wondering if I had made the right choice by having the surgery. The doctor told me that my hemorrhoids were so bad that I wouldn't have gotten any relief if he hadn't surgically removed them - but I still questioned whether it was the right thing to do. I was that miserable. After 4 days of pain I called and begged the doctor for stronger pills, and he prescribed me dilaudid. That took a while to build up in my system, but once it did I felt much better. On one of these forums, I saw someone say that taking motrin and smoking marijuana worked very well for someone. So I tried that. I don't smoke marijuana in my regular life, but I made some calls and found some. Not legal medical marijuana. Just some kindbud that a friend was able to buy for me from a shady pot dealer. I found it worked amazingly. I was still in pain, but the marijuana had the effect of taking my mind off the pain. I could watch tv or a movie or read, finally. Previously, all I could focus on was the pain. Anyway, I was still miserable up through the 8th day, but somewhere during the course of that time I came up with the disgusting solution of reducing the amount of pain I was experiencing while going poo by filling the sitz bath with very hot water and epsom salts and actually going poo in that water. (This would have been much better if I could have gone in the bathtub, but, sadly, that was not an option for me.) Still, I found that for 2 hours after having a bowel movement I had to lie on the bed face down in the dark without moving one iota. I would just lay there and moan for a couple hours til the pain became somewhat bearable. After about the 8th day I was able to walk down the driveway to the mailbox and back. That felt like a major achievement at the time. It turned out that going back to work after one week would was unthinkable for me. At this stage I began to notice that a foul-smelling liquid was seeping out of my butthole, pretty much all the time. This lasted about 4 or 5 days, and it came out slowly but pretty much constantly. Then it began to taper off after a few more days. The smell was terrible, but luckily it stopped after a while. At about 2 weeks after the surgery I stood up one morning to go to the bathroom and a lot of blood starting dripping out of my butthole. I went to the E.R. again and it turned out a stitch up inside me had come out. This turned out not to be a problem and the bleeding subsided after a couple days. Somewhere along about the 10th or 12th day I began to ween myself off the Dilaudid, as both it and the Percocet I learned had constipating effects. I figured I didn't need that. So I continued to treat the pain with 3 motrin every 4 hours, along with lots of marijuana smoking. The third week after the surgery was much better. I was still in bed 20 hours a day, at least - but I could tell I was getting better. After about 3.5 weeks I was able to poo in the toilet like a regular human being. That felt like a major hurdle to get past. I went back to work after 4 weeks, but I was still walking very slowly, and I found I couldn't make it all day long, sitting at a computer. So I worked half days for that first week. Now, 5 weeks after having the surgery, I'm able to walk fine. I'm definitely still healing, but I'm much improved. I take a sitz bath after every bowel movement, and whenever it hurts at all, and when I'm at work and can't take a sitz I use tucks wipes to get my butthole clean after going poo, and then take a sitz bath first thing when I get home from work.
This was, without doubt, one of the hardest things I've ever gone through in my life. Probably the hardest. There were moments when I just wanted to be dead, the pain was so intense. It was a huge hassle for my girlfriend, to take care of me the whole time. I'm still taking 2 fiber pills every day and colace, and drinking tons of water all day long. I also have found that a chinese tea, Healthy King brand's "Easy-Going & Colon Clean" has been great for me. It makes the poo come out easily, and together with the stool softener, makes the experience much more pleasant.
In some of my lowest moments I took great comfort in reading other people's accounts of their surgery experiences, so I wanted to make sure to post mine here. I can honestly say that now that I'm rid of hemorrhoids I feel the surgery was worth it. The doctor says I'm healing beautifully, so I'm very grateful for that. I would just say to anyone who is considering having this surgery: know in advance how painful it will be, and don't expect to be able to go back to work after one week. Of course, everyone is different. But for me it was not even a consideration to go back to work one day sooner than 3 weeks. I was finally able to have sex with my girlfriend again a few days ago, and while it felt very weird up inside of me, it was ok. That was reassuring, to return to the world of the normal, living human beings. So, to anyone who finds him- or herself facing this surgery, please know what you're getting in to. One good thing to remember is that people don't die from this. ;) The main thing you have to deal with is the pain. Good luck.
This was, without doubt, one of the hardest things I've ever gone through in my life. Probably the hardest. There were moments when I just wanted to be dead, the pain was so intense. It was a huge hassle for my girlfriend, to take care of me the whole time. I'm still taking 2 fiber pills every day and colace, and drinking tons of water all day long. I also have found that a chinese tea, Healthy King brand's "Easy-Going & Colon Clean" has been great for me. It makes the poo come out easily, and together with the stool softener, makes the experience much more pleasant.
In some of my lowest moments I took great comfort in reading other people's accounts of their surgery experiences, so I wanted to make sure to post mine here. I can honestly say that now that I'm rid of hemorrhoids I feel the surgery was worth it. The doctor says I'm healing beautifully, so I'm very grateful for that. I would just say to anyone who is considering having this surgery: know in advance how painful it will be, and don't expect to be able to go back to work after one week. Of course, everyone is different. But for me it was not even a consideration to go back to work one day sooner than 3 weeks. I was finally able to have sex with my girlfriend again a few days ago, and while it felt very weird up inside of me, it was ok. That was reassuring, to return to the world of the normal, living human beings. So, to anyone who finds him- or herself facing this surgery, please know what you're getting in to. One good thing to remember is that people don't die from this. ;) The main thing you have to deal with is the pain. Good luck.
I agree that the pain is unbelievable. People often comment that it's only piles and it can't hurt that much but if only they knew the extremes that sufferers can have. I, like you, am soo glad to have left these insufferable gremlins behind (no punn intended)
I am an anesthesiologist and i had the procedure under local with sedation, in other words i was out like a light without being intubated. The surgeon used the maximum amount of local anesthetic based on body weight and i did not even wake up until the recovery room and oh boy. i was in so much pain 20mg of morphine did nothing so i was given toradol, no relief. i eventually got pain down to a 4 and was discharged home with colace, percocet and motrin. well lets say that 800mg of motrin every 6 hours and 2 percocets every 6 hours did nothing for me until today. i was told to use dulcolax for the first day only so that i will move my bowels so the tissue would not adhere.
So at home totally miserable with 5-7 sitz baths a day helps a little but. i had 3 small enormously painful bowel movements for two days and the last 2 days hardly nothing. the pain is intense. i also got valium because its supposed to relax you and the rectal muscle with no luck on day 1.
i have IBS since i was 15 years old and always constipated and had taken zelnorm which is off the market and now amitiza. between all the fluid i consume and the colace and amitiza 2 days with 2 little plops. i also have this leakage that i need to change my underwear like 5 times a day. i clean with tucks pads and sitz bath after every bowel movement. i really think i am going to try and poop during a hot sitz bath. i am really screwed up right now. any suggestions. thank u
hang in there. it will get better. i know it's miserable right now. gross as it is, pooping in the hot sitz bath water and then showering afterwards worked best for me. a friend of a friend suggested pooping in the bathtub in hot water. this wasn't an option for me, but i think it would have been much more comfortable. also, if you poop while squatting, flat-footed, it will put much less strain on the incisions in your colon. that's the way the human body is designed, evolutionarily, to poop. this whole sitting on a toilet thing is a relatively recent development in human history, and is not at all physiologically appropriate. if you think of your colon as a tube, then sitting upright on a toilet, you see, puts a kink in the tube. this can actually make hemorrhoids worse if you have them. (side note: one thing that helped me a lot was psyllium. it's been nearly a year since my surgery and i take psyllium pills every single day, religiously. they make the poop slip out with no more sensation than being tickled by a feather. frankly, i have no idea why every human being doesn't take the stuff, because not only do they make the pooping experience much more pleasant but they give you an overall feeling of being cleaned out all the time. you just feel really light. i've found i'm getting psycologically addicted to this feeling. i don't think it's a bad thing, though. it's just a really pleasant feeling to have, and the psyllium does no harm. it's kind of like a natural high to have all the poop gone from your system so quickly--or, at least to feel like it is. i highly recommend psyllium.) but, anyway, if your bathtub is deep enough that you can squat in it you can poop that way. or poop laying totally flat - but this i'm not sure about because, though it will reduce strain on your colon, you'll also end up lying in poop water. no doubt about it, this is a degrading experience. as modern people we're not used to haivng so much interaction with our poop. but remember that many, many people have gone through it and you're not alone. my doctor told me that nobody ever dies from it, that it's just putting up with the pain that you have to deal with.
and, again, i simply can't overstate how much marijuana helped me. i haven't touched it since, because it made my head feel cloudly and it made it difficult to keep focused on anything. but it helped not just with the pain of pooping and the pain i pretty much felt all the time. but it also really, really helped with the anxiety i felt about pooping. i'd smoke a whole bunch and then sit on the toilet and it was like an out of body experience. it was like i didn't even have to go through it. like it was happening to someone else. i remember at one point thinking to myself, as i was pooping, that if this was happening to me right now i'd be miserable because the pain would be so bad. of course, it was happening to me! ha. in a manner of speaking, it just really put the pain over on a shelf. i could see it over there and knew it was there, but i just didn't feel completely absorbed by it. i really wish that medical marijuana was available in NYC because if it had been I would have been able to choose a strain based on the particular effects of it, rather than just going with just whatever i could get my hands on. also, for someone who doesn't smoke it regularly or smoke cigarettes, the smoke can be really harsh and it can make you cough. as you can imagine, coughing when you have incisions inside your butthole, is very much NOT something you want to do. i quickly learned to suppress my cough reflex as best i could. i think the best thing is to cook with marijuana. evidently you can dissolve it in butter and make cookies or brownies or whatever, and eat those. they say the effect can be much stronger on your body if you eat it, rather than on your head. i didn't try this because i just didn't realy know about it at the time. but it's a sure-fire way of avoiding the coughing.
god, i wish you and anyone else who has to go through this experience, all the best. it sucks, but it'll get better. 2 more crappy weeks (bad puns seem inevitable when discussing this issue) and you'll begin to feel closer to normal.
take care, will.
it's quite possible for the hemorrhoids to return after the surgery. it's been almost 2 years since i had my surgery and mine have not returned, which i'm thankful for. i take 4 psyllium husk capsules at lunch every day, with a full glass of water and this has the effect of making my bowel movements pleasant and quick. this is the best way to naturally avoid hemorrhoids, and to naturally deal with them without having the surgery.
think twice before having this surgery. seriously. get a 2nd opinion, and make sure a colonoscopy is done before you go under the knife. doctors can be shockingly cavalier about how painful the recovery is. unless it's absolutely a major quality of life issue for you then do not have the surgery. that's my advice anyway.
good luck.
Thanks for the words of wisdom, but even before I read your reply I went ahead and cancelled my surgery. I came across a site called sensitivecare dot com and after reading about their procedure and the fact that they are hemorrhoid specialists, I decided to cancel the surgery and go get an opinion from that doctor next Monday 3/21. It just seemed to me that my family doctor was too eager to send me to his buddy the general surgeon and that the surgeon was so quick to state that I was in need of surgery so quickly, especially since I have NO PAIN! If I were in severe pain and having problems having a bm, then I might have gone ahead with the surgery. Glad I found the other doctor and re-thought the entire thing. The bottom line is that all doctors are a business...and they want to make money...and sadly enough...sometimes they will recommend procedures that you may think you need...even when not absolutely necessary and only vaguely warrented. I'll keep you updated after my consult and exam :)
I am definitely going to have to have surgery. I have 3rd and 4th degree internal and external hems. The issue is that I have to heal first from when the last doc attempted to do infra red coagulation on them 3 at a time. As a result I have many more bulging external hemorrhoids and my butt is burned.
It turns out he was never to have done this. It is only for grade 1 small internal hemorrhoids, one at a time, and NEVER on external hemorrhoids. Guess he needed the money. He also removed 2 polyps during the IRC procedure.
So, once I am fully healed from this mess, I will need a full colonoscopy and surgery. The new doc was at a loss when he saw what the other doc had done. He would not even touch me.
I had to be admitted to the hospital for 2 days as I was bleeding continuously after the IRC procedure which normally when used properly on small hemorrhoids stops the bleeding.
So, now I sit looking at these posts and dreading the day when I have to have this done. There are no other options now. I look like an orangutang with all the lumps on the outside. The new doc gave me medication and the bleeding is almost completely stopped except for when I have a BM. I am also taking full baths with lots of epsom salts. That is working well.
I pray I don't have the serious pain some of you speak about but I am grateful for your sharing as I am preparing myself mentally for that haul.
I am hoping to put this off until July after my family reunion in June.
Since it is a 2 month recovery, I don't want to miss the annual family reunion with over 40 relatives.
Thanks again for all of your stories. I wil keep in touch.
i would consult an attorney if i was you. that was an egregious wrong that was done to you. unbelievable, in fact. literally EVERYONE who knows anything about hemorrhoids knows that that procedure can not be performed on external hemorrhoids. frankly, you should have educated yourself about that procedure. i feel for you, and i certainly understand the temptation to simply trust the doctor. but especially in the US, where profit is often prioritized above quality of care, it behooves everyone to research their condition and any procedure that is going to be performed on them. sheesh. good luck, and my heart goes out to you. will