About 3 years ago I had a PPH procedure done to fix my hemmorhoids (internal and external). My dr told me this would be virtually painless and I'd be back at work in about one week. When I woke up from surgery I was in the worst pain I've ever experienced (even worse than when I had a tumor removed from my pituitary gland at the base of my brain). The doctor and the nurses couldn't understand why I was in so much pain and kept doping me up with more and more morphine. Finally, it eased off enough with the drugs where I could get up and try to urinate. That took quite a while, but they sent me home after I had emptied my bladder. Instead of being out of work for the one week I was told, I was out almost a month (and really I didn't feel physically ready to go back). When I went back to my dr for follow up, he laughed and asked if I'd "taken a vacation". I told him that I had not had a vacation, but that I'd been lying around the house in agonizing pain. He responded that some patients, a small percentage, have a lot of pain with PPH and I must have fallen into that category. He told me not to worry and everything would eventually get back to normal. I've had more pain and discomfort since the procedure than what I experienced before it. I started bleeding during bowel movements again and I assumed the hemmorhoids had just come back so I picked a different surgeon to perform the banding procedure. After two of those procedures I'm still in pain, still having some minor bleeding, and getting no relief. My current surgeon says he thinks I may have a fissure but he's not sure. I've followed all of his suggestions short of finding a new job due to the lifting and constant standing/walking at my current job (I've been applying but no luck yet). I've tried everything to correct the problem. I've changed my diet (35+ grams of fiber/day...no suppliments or metamucil just high fiber foods,... and 2-3 liters of water), I've lost 31lbs, I've tried the tub soaks (those don't do a damn thing for the pain), I'm using a Rx cream from a compounding pharmacy, changed my schedule so I'm not working more than 3 or 4 days in a row (I'm on my feet all day at work and walk between 8-12 miles per day on hard concrete there), and of course tried every otc product you can think of. My current surgeon says it also could be that the PPH stapling wasn't performed correctly and the staples ended up in the nerves. Not sure what to do at this point. I can't take much more of this pain, really can't afford to be out of work or the cost of another surgery, and don't want to be on pain pills. My wife could care less as she's "sick of hearing about it" and work is getting funny about the number of days I've been out due to pain. I had to fill out an ADA form and request intermittent FMLA just to protect my job this week. I swear, most mornings I'd rather just not wake up and die in my sleep than to have to take another day with this pain. Anybody else had a similar experience or have any suggestions? Thanks.
I am sorry to for the pain you're going through. I have suffered with both, so you have my sympathy. It sounds like you may need to find yourself a new doctor, are you seeing a Colon/Rectal Specialist? A good specialist would be able to tell a fissure from a hemmorhoid! As far as I know, hemmorhoids will never go away, whereas the fissure might heal itself. If it were me, I would be looking for another specialist, you might also consider trying Citrucel or Metamucil to your diet, it helped me immensely. I hope you get some answers soon.
Thanks rufous. I'm going back to the surgeon tomorrow morning to discuss the issue. One of the things I plan to do is have him refer me to a proctologist for a second opinion. It's looking like I'm going to have to go through yet another surgery. If this is a fissure (and from everything I've been reading this is exactly what it sounds like) then it would have healed itself by now. I've had bleeding and pain since 1998 or so. Regardless, at the very least I'm going to have to have another colonoscopy which will require sedation for me due to the pain. As such, they might as well go on and fix whatever they find while I'm under. Thanks for the citrucel/metamucil reccomendation. I've actually tried those in the past with no success. I've found my digestive system does better if I eat foods high in fiber. I've been on an extra strict diet since April and lost 31lbs. My bowel movements are perfectly regular now, but I'm still having the pain with them. But most everyone on here seems to have had better results with a specialist rather than a general surgeon. The surgeon I've been going to with the last two banding procedures has been terrific. He's tried everything to avoid another surgery, but it looks like that's what is going to happen. He banded hemmorhoids because they were the most obvious cause of the symptoms and he could see blood clots on some of the one's he banded. Anyway, I guess I'll find out more in the morning.
Well I hope you were able to get some answers from your surgeon. You have certainly been through enough pain and suffering from this problem, even if you end up having another surgery, I would think it would be worth it to be done with it. I am probably looking at surgery myself, at least for the hemmorhoids, just need to get a firm diagnosis on something else a little more pressing first. If and when I do end up getting the hemmorhoid/fissure surgery, I would definitely go with my Colon/Rectal Specialist as he does thousands yearly and has been at it forever. I have a great General Surgeon, who did my gallbladder surgery and my DH's Colon Resection, he's brilliant, but even he suggested this specialist, they're more experienced with this kind of surgery. Anyway, good luck to you and keep us posted.
Thanks again. Yeah, it could be several different things. My general surgeon primarily does the ligation, pph, and fissure surgeries as well as colonoscopies. As such he's going to perform a colonoscopy to look for fissures, other problem hemmorhoids, and to check the stapling from the pph. He will fix any problems he finds during the colonoscopy since I'll be under. If he doesn't find anything, then I'll move on to a specialist.