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Old 11-04-2009, 10:38 AM   #1
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Hemorrhoidectomy and Pregnancy

Hello All!

So glad I found this board. I was just wondering if anyone could relate or give me suggestions....

I am almost 37 weeks pregnant and had a hemorrhoidectomy on October 22nd. I have been out of work since. Here's my story briefly as possible....

On Wednesday, Oct. 21st, I had a BM. I was not constipated and it was not a hard BM. When I went to wipe I felt a lump on my anus. I figured it was a hemorrhoid. And I know they are common during pregnancy and after labor, so I wasn't surprised. About 1/2 hour later I was in INTENSE pain. I couldn't sleep all night! I called the OBGYN in the a.m. and they referred me to a surgeon because they don't "deal with" hemorrhoid issues and were concerned because of my level of pain. I went to the surgeon on the 22nd and found out the hemorrhoid I had, had clotted (thrombosed) and ulcerated over night. So, he sent me to the hospital for emergency surgery.

Surgery went fine, and I felt great, since I had a spinal and couldn't feel anything for the first time in 21 hours since it started! Because of the emergency, I was unable to take fiber, stool softners, or have any enemas. I did not have a BM until Tuesday!!! It was the worst pain I've EVER been in in my life!!!! I even ruptured the sutures out of my incision!! I stopped taking my pain meds (percocet) on Monday because they finally told me they cause constipation. I have not taken them since due to the fact that I am too scared to get constipated again.... the thought of it makes me sick! I can't take anything besides Tylenol, since I'm pregnant, which does nothing for me. Sleeping seems to be a bit easier now, but I'm still waking up alot and uncomfortable (probably because of the surgery AND the pregnancy).

Since then, my BMs are alot better and I feel alot better, but my concern is that after I have BMs, whether they are normal or soft (even having diarrhea), I am in alot of pain post BM. I can't function for a while after having one. I immediately have to get into a bath tub or shower, then lay down for a couple hours.

What I was wondering is, when I stand, the added pressure of the baby (which is what they thought was the issue to begin with) on my rectum is causing me to be unable to stand for a long period of time. I also still can't sit for longer than 1/2 hour. So, just wondering if any other pregnant women have stories they'd like to share, or anyone that can give me an kind of idea as far as recovery from this. There is no way I can go back to work until I can have a BM and function immediately afterward. I don't know if my issues are directly related to the surgery itself or if being pregnant adds to my issues.

I am also EXTREMELY scared to have a vaginal delivery for fear of ruining the incision I have and the recovery, or more hemorrhoids popping up!

Any suggestions or stories would be appreciated!

Thanks!

 
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Old 11-05-2009, 11:25 AM   #2
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Re: Hemorrhoidectomy and Pregnancy

I am in almost the exact same painful boat! I am 32 weeks prego with my first babe and currently am recovering from my recent hemorrhoidectomy on Oct 26th.
It all started with one pesky hemorrhoid early in my pregnancy that I could not get to go away then about 3 weeks ago I had severe diarrhea for 2 days and it was like an explosion of hemorrhoids (pardon my bluntness). With me being an ER nurse I did everything you can possibly imagine to take care of this at home but was getting no relief. Finally after 1.5 weeks of sheer pain and agony at home I went to see my OB. My appt with her was at 1100am and I was admitted to the hospital by 1pm and signing a consent form for emergency surgery. Apparently I had the worse case of rhoids that my surgeon has ever seen. They were incarcerated, necrotic, and gangrenous! I spent the next week in the hospital recovering.
Like you, prior to this I had NO issues with constipation or irregularity. While in the hospital it took 4 days after the surgery to finally have my first BM. I pray that labor is easier and less painful than that was! Since being home I seem to be having the very same issues as you. Any time I have a BM I am in sheer agony! We are talking spasms of my back and rectum, blood, and a whole lot of tears. And also like you I go right to the shower for some relief then to bed with ice packs. It takes a good 2 hours until I feel human again.
I am petrified of needing another surgery. I am now so scared that I am contemplating having a c-sect to avoid another hemorrhoidectomy. I don't know what to do! I have been out of work using all my time off for the surgery that I am nervous what I will have left for the actual birth of the baby. Is it worth chancing another hemorrhoidectomy to have the experience of a vaginal birth equaling more time out of work or opting for the C-section and only having only that recovery to worry about?!
Any thoughts and advice would be appreciated!!

 
Old 11-05-2009, 12:41 PM   #3
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Re: Hemorrhoidectomy and Pregnancy

You poor thing....

I totally understand how you feel!

I have been trying EVERYTHING I can think of..... I'm doing the following.

1) Drinking alot of water.
2) Taking a stool softner twice daily.
3) Taking Citrocil once daily in the morning.
4) Eating tons of fiber (veggies, fruit, whole wheat bread/pastas)

I just want someone to tell me when the pain after the BM will stop! I would say my pain level is now at a 5 out of 10, but it's probably only a 5 because I am am just used to painful BMs now! I can NOT function at work like this. I use a spray bottle to squirt on the area after I've had a BM and immediately run to the shower.... the wait even for the shower to get warm is shear agony. I just want it to be OVER! I'm not in too much discomfort throughout the day, but it does take about a total of 2 hours to recuperate from the BM until I'm feeling better again.

I'm also having problems getting up and moving around. Not only am I 37 weeks pregnant, but just the shear pain and fatigue is getting to me. I am really contemplating a C-section too because I don't think I can stand the thought of hemorrhoids again! My Dr. told me I have multiple internal hemorrhoids that are just not aggravated yet.... so, I'm sure with a vaginal delivery, they will be.

Uh, the frustration. I don't think child birth could be much worse than this if not easier to be honest. My first BM was worse than the thrombosed, ulcerated hemorrhoid and post op for sure! I wasn't sure I was going to make it!!!!

I know I don't have alot of advice to give, but at least we're in this together! Please let me know if you have any suggestions or find anything that helps ease your pain.

Luckily for me, I have Aflac insurance to supplement my time off.... BUT I too am worried that will run out before I want to go back to work after the baby.

Good luck and please keep me posted!

 
Old 11-06-2009, 01:22 PM   #4
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Re: Hemorrhoidectomy and Pregnancy

I would recommend the C-section. I ended up with a thrombosed hemorrhoid in my 38th week of pregnancy. I was miserable. My hemorrhoid luckily drained on its own and didn't cause me much pain until after the vaginal birth of my child. I then decided, 8 days after delivering my child, to have the hemorrhoidectomy. WORSE decision of my life!!! The pain from that hemorrhoidectomy was worse than childbirth. It took me months to recover from it which I think is partially due to having the surgery too close to the delivery. My stupid OB and the surgeon she recommended me to didn't tell me to wait until I was more recovered from the birth. I am surprised that you both had a hemorrhoidectomy while pregnant. I feel for you I do. I remember the pain and it is terrible. I also had no prep to clear out my system ahead of the surgery as my surgeon said I would be fine. I think, at the time of the surgery, I still had some of the effects of the constipation from the epidural the previous week. Then the pain meds from the hemorrhoidectomy really backed me up. That first BM after surgery I thought I literally was going to die.

You two have made it through the worst part of the hemorrhoidectomy though - the first week of recovery. Please take it easy and rest as much as you can. No one should have to go through what you are experiencing right now.

I would HIGHLY recommend the C-section. Stand up and be your own advocate!!! Tell your OB's that you cannot possibly tolerate a vaginal birth in the state you both are in. The pushing out of the baby vaginally will totally screw up your hemorrhoidectomy recovery. Because you are also so tender and raw down there, you could end up tearing yourself through to the rectum also which could cause you permanent damage and possible fecal incontinence. I am so sorry for what you are both going through. I hate to scare you but I just don't want you both to experience any more pain, problems, and suffering. Please feel free to send me a personal message through Healthboards if you need any more advice. Hang in there. I am praying for you both.

Last edited by beachlovr; 11-06-2009 at 01:27 PM.

 
Old 11-06-2009, 02:33 PM   #5
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goddesspits HB User
Re: Hemorrhoidectomy and Pregnancy

Thanks for the advice. I am going for my weekly check up on Monday and will discuss this further with my doctor. I was scheduled to go back to work on Monday, but there is no way that is happening. I still can't have a BM without immediately getting into a shower/bath.

I too did not get any evacuation before surgery. And, I had NO idea of the recovery and pain that follows this surgery. I had no time to look it up. I literally went to the surgeon and he sent me straight to the hospital. Once I got home and read up on it, I realized what I was in for.

It makes me feel better that someone has been there, even though your surgery was post partum, I still believe that it gives me a better sense of what I should do. My doctors really want me to have a vaginal birth, but I think if they know I'm still not recovering well that they will try to call in the approval for the c-section. My only concern is that insurance won't cover it and I'll have to pay out the wazoo for it.

Thanks for your post.... I really appreciate it!

 
Old 11-07-2009, 05:06 PM   #6
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Re: Hemorrhoidectomy and Pregnancy

Quote:
Originally Posted by goddesspits View Post
Thanks for the advice. I am going for my weekly check up on Monday and will discuss this further with my doctor. I was scheduled to go back to work on Monday, but there is no way that is happening. I still can't have a BM without immediately getting into a shower/bath.

I too did not get any evacuation before surgery. And, I had NO idea of the recovery and pain that follows this surgery. I had no time to look it up. I literally went to the surgeon and he sent me straight to the hospital. Once I got home and read up on it, I realized what I was in for.

It makes me feel better that someone has been there, even though your surgery was post partum, I still believe that it gives me a better sense of what I should do. My doctors really want me to have a vaginal birth, but I think if they know I'm still not recovering well that they will try to call in the approval for the c-section. My only concern is that insurance won't cover it and I'll have to pay out the wazoo for it.

Thanks for your post.... I really appreciate it!
OMGGO FOR THE C SECTION!!!!!!!!!!!!!!!!!!!!!!! Insist on it!
Believe you me, pushing out a baby (my first was 10.5lbs, natural delivery, gave me hemorrhoids from HELL, but love her dearly) no matter the size will automatically give you hemorrhoids (ok I might be generalizing here but every mother I've ever spoked to who had vaginal deliveries has/ had hemorhoids) and if you have previous experience with 'rhoids' don't fool around. If I knew now what I knew then I would never have tried pushing her out knowing she was going to be a big baby but I was working with midwives, yada, yada, yada. Old story

I just had my hemorrhoidectomy and I'm six days out (and I only waited seven yrs after the first )and it's been hell too, I can't believe you are prego's on top of this nightmare.I wanted to have it done after my first, they wouldn't let me. Then when I was pg with my second I begged them to induce early but guess my horrendously thrombosed hemorrhoids weren't an emergency (I certainly cried my way into the office thinking they were) instead they sent me home with a narcotic pain killer till I reached 39 weeks and they could induce me. I could not stand, sit or roll over. I was such a mess. I just can't believe how much pain a person can withstand, especially when it comes to childbirth and the aftermaths. No one shares these stories and we should share them so moms don't feel so alone.
You are not alone in your pain, I wish you good luck. The saving grace to all this is "this too shall pass" and it does. Someday it will be a memory and a story to share and warn other moms about. It is not always pleasant, and mostly worth it I love my girlies but my body has definitely paid the price! GOOD LUCK!!!

 
Old 11-08-2009, 02:11 PM   #7
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Re: Hemorrhoidectomy and Pregnancy

Thank you very much for your response. I am going to try really hard to push for the c-section. Any good ideas for coaxing them into going with me on this decision, so that insurance will cover it??? That's my main concern. I definitely don't want to push a baby out, however big. Especially since I'm 2 1/2 weeks out from surgery and still feel crappy! I tried to attend a baby shower today and I could only sit for 45 minutes, then had to stand, which I could only do for about 1/2 hour because of the baby. I'm miserable!!!!! But, I am glad there are people I can relate to. It makes me feel like I'm not alone in this horrible process!

Thanks again so much for all your replies!

 
Old 11-09-2009, 08:41 PM   #8
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goddesspits HB User
Re: Hemorrhoidectomy and Pregnancy

Just to update everyone, because of my slow recovery progress, the doctors have scheduled me for a c-section on November 20th. Thank you to all of you who gave me some great advice!

 
Old 11-10-2009, 03:11 PM   #9
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beachlovr HB User
Re: Hemorrhoidectomy and Pregnancy

I am so glad for you!!! Your rear-end will thank you. It didn't need to go through all that pushing and the damage it might have caused. Will your insurance definitately cover it? I hope so. Hang in there. Like the previous poster said, "this too shall pass."

 
Old 11-12-2009, 05:00 AM   #10
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goddesspits HB User
Re: Hemorrhoidectomy and Pregnancy

Thank you! Yes, insurance will cover it because my doctor is requesting it due to a previous medical condition/surgery. SO, that's great! Looks like he'll be here in t-minus 8 days! Can't wait to hold him in my arms... I know all of this pain and suffering will be worth it once I see him! Thanks again everyone!

 
Old 02-23-2010, 06:33 PM   #11
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Re: Hemorrhoidectomy and Pregnancy

I am having a problem and was hoping one of you could help me out.I am 36 weeks pregnant with my 3rd child. I ended up having to go to the ER last night. My hemorrhoid was SO BAD I couldn't sleep, eat, drink--I felt sick. At the ER they sent me up to L&D. (the ER drs said it sounded like I was in labor. I said "no, I have a hemorrhoid" and they told me I was probably confused--didn't even look at it) Anyway, in L&D they were very nice. Checked me out and called in a colon/rectal specialist. He said it looks really bad and I need surgery. It has numerous blood clots in it. The problem is, he won't do the surgery on me since I am 36 weeks along. He gave me a RX for Ban cream (it is some sort of compound of 4 different drugs) and told me he is hoping it will work. He said if it works it would first take away the pain over the next week, then hopefully shrink it over 2 weeks and get me through having the baby. He said it will never go away, I would have to have surgery to do this. The surgery would be out patient but in a hospital and probably using a spinal as anesthesia. I ask him if we could just do this along with my c-section so I can have it all knocked out at once. He didn't seem to into this. Problem is, I am still in so much pain and I don't want to be like this when I have my c/s in 2 1/2 weeks. And I don't want to have another surgery right after I have a baby.

Is there any chance this could go away on it's own?

 
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