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Old 12-20-2012, 02:29 PM   #1
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Long Hemorrhoidectomy Recovery: Advice Please!!

Hello,

I had a hemorrhoidectomy a little over 9 weeks ago for 4 internal and 3 external using a scalpel. My surgeon said the procedure was necessary and to be performed immediately due to a presumed abscess that he did not end up finding. The post-op recovery for the first two weeks was excruciating beyond words. After 3 weeks passed the pain became manageable and I stopped pain medication. I have been drinking Miralax every day, eating high fiber foods, avoiding straining, daily sitz baths, and plenty of water. I have also been careful not to exert any unneeded physical activity (such as taking elevators rather than stairs).

Before surgery, my surgeon told me recovery would be one week. Now...after my 4th follow-up visit today (9 weeks post-op) I still have one painful, slightly swollen lymph node that he refuses to acknowledge. My primary care doctor suggested that the swollen lymph node is related to the surgery, but my surgeon said that is incorrect.

I am still in pain during each bowel movements, which are regular and soft and the pain continues for usually around 2 hrs after. Today was his first attempt at an internal exam, but the pain was too severe. He said that my stools are still more narrow than usual because I have a small sphincter. He did not mention stenosis and after asking several times he assured me that I am healed on the outside and the pain is due to my small sphincter, not improper healing. He prescribed hydrocortisone suppositories that I am to use after each bowel movement to help with the pain.

The next step is to see him in a month. If he is still unable to give me an internal exam in his office, he wants to send me back to the hospital to go under anesthesia.

My major concern is that my surgeon is not suggesting the proper treatment or ignoring a problem that may get worse. It worries me that I am still in pain after this long and would like to know if anyone else has had a similar experience. My surgeon is very curt with his replies to my questions and I am in desperate need of some feedback.

Thanks.

 
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Old 12-21-2012, 07:52 AM   #2
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

I have not had this surgery, my issues are not this severe but I would just like to say a couple of things.

I've read a lot, I mean a LOT, about the surgery you've had. The majority of the responses, well over 80%, have had the same experiences you have. The pain was great, but after many weeks slowly, slowly dies down. For that I feel for you and have great respect for what you've endured. I am having a similar experience with my CRS. He seems to know what I'm feeling more than I do. While I believe he knows more about my butt than I probably do he's ignoring me as well. My advice to you is to seek another opinion. Soon! It's your body and you have to experience all the fun that comes with these problems we all share (to some extent). The doctor is there for you. If he's not giving you what you feel you deserve, as mine is not, find another one as soon as possible. Your primary care provider should be able to suggest one or two different docs, even if they aren't as 'good' as your current. There's no reason to suffer if you absolutely don't have to.

Seek help now so you can get back to leisurely reading on the can like the good Lord intended!

 
Old 12-21-2012, 11:43 AM   #3
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

Hi Kalinakov,
Thank you for your reply. As soon as I read it I called my primary care for a referral--they were closed until Monday, but I will try back then.
I'm not aware of what problems you are suffering from, but I hope things become better for you.
Thank you for your kind words and advice,
-Melissa

 
Old 01-01-2013, 09:48 PM   #4
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

I would seek a second opinion with another surgeon in the same specialty of hemorrhoid banding and removal. I hate to say it but most
surgeons are great at the surgery part but have the worst bedside manners in most cases.
I am sorry you're still in so much pain even after 9 weeks post op. I had a friend have hemorrhoid surgery many years ago in Canada. I remember her telling me the only way she could move her bowels mostly pain free for 3-4 months after the surgery was to do it in a bath tub of warm water( very gross,I know ! ) She said otherwise she couldn't even withstand the pain to move her bowels normally and then she would get so constipated that it would just make her misery even worse than before the surgery. Best of luck to you and hopefully you will be pain free very soon !

Last edited by Administrator; 09-25-2013 at 08:23 AM.

 
Old 01-02-2013, 06:04 AM   #5
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

Hi,
Thanks for the reply. I am going to a colorectal surgeon tomorrow for a second (the first one was a general/vascular surgeon). Hopefully I'll get some answers!!
Thanks again,
Melissa

 
Old 06-17-2013, 12:02 AM   #6
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

Hi Melissa Could you please give an update? Im following your post closely, I'm 13 weeks post op an still with some pain and bleeding. Hope u got good news

 
Old 06-17-2013, 06:04 AM   #7
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

So...since my last post I have had a second surgery called a lateral internal sphincteronomy. Sounds fun right! My second surgeon was disgusted by my last surgeon's work and basically said he butchered me. He diagnosed me with anal stenosis. I had asked my previous surgeon if I was developing stenosis and he said no. The stenosis was caused my an excessive removal of tissue by my overzealous surgeon. He never suggested any of the less severe hemorrhoid surgeries, which would have been more appropriate in my case.
The second surgery was very painful, but I survived. The recovery was shorter and the pain from the first surgery has lessened, but is not completely gone. I'm grateful that I got a second opinion. If anyone is going through this and the recovery process is longer and more painful than average PLEASE seek help elsewhere. This has been a year-long struggle now which could have been avoided by going to the proper surgeon.

 
Old 06-24-2013, 11:21 AM   #8
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

It's obviously too late, but one piece of advice I've found on several boards is not to let a general surgeon touch this type of surgery. I had PPH instead of the gold standard, but my CRS did a great job. I'm very glad to hear you're finally getting there, but sheesh... I think I'd have gone to a lawyer after hearing that 2nd opinion. I was personally so relieved after reading all the nightmare stories about this kind of surgery that I wanted to let people know that there can be good outcomes (so far). Good story for others to read--we know nothing about medicine, but we know our bodies better than a 3rd party who (in your case) had no special expertise in this area. You should post the doctor's name so people know to avoid him / her!

 
Old 06-24-2013, 11:47 AM   #9
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

Unfortunately, the first (general/vascular surgeon) that my primary care referred me to diagnosed me as having an abscess which he said required immediate surgery. Being new to the world of surgery, or any major illness, I believed in him and was scheduled for surgery 2 days later.
Of course, there was no abscess, thus no need to rush me into surgery. Had I known I would have gone directly to a colorectal surgeon for a second opinion.
You are absolutely right to point out that we know our own bodies better than anyone else. At the time I just couldn't understand why a surgeon would perform an extremely painful surgery without a good reason. It was only until the lack of empathy displayed during post-op appointments and my slow healing time that I started to become suspicious. When I recieved the hospital bill in the mail and saw that this was a $50,000 surgery I began to put the pieces together.
I'm taking actions to prevent this surgeon from doing the same to others.
Just a side note...a woman on his staff during one of my many post-op appointments chuckled saying, "It's funny, our patients have such a hard time recovering from this surgery". Very disturbing.
I've lost trust in doctors because of what has happened to me.
As I stated before, for anyone planning on getting this surgery make sure you have a specialist and make sure that it is your last option.

 
Old 07-02-2013, 12:01 PM   #10
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

On the 4th June i had a heamerrhoidectomy in Brisbane. I was so surprised at the lack of pain from my surgery. The surgeon removed 2 large internal haemorrhoids and a smaller internal. He also removed excess skin as a result of the swollen veins.

I was prescribed tremadol for pain relief which i ceased taking 5 days after surgery as i slept through a whole day so i decided my body didnt require pain medication.

I had a stool movement the following morning after surgery and sat in warm salt water which all the way through my recovery was the best pain relief.

I had diahorrea the day after surgery, probably a reaction to the Anaesthetic.

My stool softener certainly did it's job and i ensured i ate a diet high in salad & vegetables.

I left Australia on the 24th June and returned to Afghanistan to work. I was not able to take to stool softener on the flight (16hrs) as over 100ml liquid, which i suffered for in Dubai as passing a stool tore me to shreds (well felt like it).

I still take stool softener and apply Rectogesic ointment internally 3 times daily. I have a concern i may have a minor infection internally which i will discuss with my surgeon tomorrow.

I spent the first week lying in bed and resting, which i think everyone must do to take the pressure off the anus.

My butt felt as big as an orange for the first week and sitting on the tiolet felt like my guts was trying to escape.

I really believe i had a great surgeon, bedside manner was dry, but who cares when you don't suffer.

I would have no hesitation in having this surgery again, the recovery was so much easier then dealing with an inflamed haemorrhoid.

 
Old 08-02-2013, 07:17 AM   #11
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

Yes...I believe that I am fully recovered from the LIS surgery. It is much less painful to go to the bathroom and I no longer need to take Miralax everyday for fear of constipation.
I do still have pain but it is coming from the scar tissue where the first surgeon removed too much.
Have you been going to your follow-up appointments? I believe it is very important to trust your instincts. If you feel that you are not healing correctly or in a timely manner GET A SECOND OPINION!
I've heard that some people experiencing pain after 6 months is normal, but it is important to know for sure that you are not developing stenosis.
Please keep me updated and I wish you all my best. I know how difficult recovery can be.

 
Old 08-02-2013, 11:16 AM   #12
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

During my recovery from the hemorrhoidectomy I noticed that it was becoming more and more painful to go to have a bowel movement. My surgeon was unable to give me a rectal exam because he said that my anus was too tight. This was not the case before the surgery as he was able to give me an internal exam then.
I had read on forums such as this one that anal stenosis can result from either excessive tissue removal or overusing stool softeners during the healing process. Anal stenosos is basically swelling of the anal canal that makes it difficult to have a bowel movement. Anal stenosis becomes worse over time if it is not treated and that is what happened to me.
My surgeon kept me on stool softeners and laxatives for several months after surgery so my bowel movements never returned to their normal size/width. Additionally he removed too much tissue and the scar tissue that was developing worsened the problem.
After 6 months or so of intense pain and asking if I has developed stenosis my surgeon said he wanted to put me back under anesthesia. At that point I realized he was keeping something from me and I went to another surgeon. The second surgeon confirmed that I had developed stenosis within 5 minutes of examining me. He told me I needed to have the LIS surgery to correct the stenosis because it would never get better on its own.
I hope this info helps

 
Old 09-20-2013, 11:26 AM   #13
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

I had my hemo surgery "under the knife" two weeks ago and thought would share my experience too since I've been extensively by reading others' experiences. Melissa, I'm so sorry to hear that the general surgeon didn't do a good job. I went straight to a colorectal surgeon and he performed it. For the first week, I had terrible pains like everyone else does but I've healed really well after that. I stopped taking pain killer(s) after the first week. My follow-up with the surgeon is today so, I'll know how everything went. There's still swelling down there and I'm afraid I might have gotten new hems but seems like swelling is pretty common for several weeks. I'm kinda scared but also hopeful.

Having gone through the surgery, my general advice to those who are considering this is: don't freak out or be scared by other peoples' reactions/experiences. Everyone's body responds differently. The pain is bad but it goes away after a week or more depending how well you take precaution and follow all procedures to keep your stool soft. The number one priority is to keep stool soft by taking stool softener, eat fruits & vegetables, drink plenty of water and take fiber, such as Metamucil. The pain meds make you extremely constipated so, you have to religiously follow all these measures to keep your stool soft. My worst day was 5th day following surgery because I got constipated despite following all these measures to keep stool soft. The pain meds such as Vicodin offer relief but end up making you constipated. In hindsight, I should have taken less pain medicine and tried to tolerate a little bit instead of reaching for the medicine.

I'm happy to share more if anyone wants to know more about this surgery, recovery time, etc.

 
Old 09-20-2013, 11:37 AM   #14
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Re: Long Hemorrhoidectomy Recovery: Advice Please!!

Digitalsubway,

Glad to hear you are healing properly and I really appreciate that you read my post. I agree that this surgery does not need to be a horrifying experience if you follow the post op instructions and keep your bowels easy to move.
I do think that a colorectal surgeon and only a colorectal surgeon should perform this surgery. It is such a delicate area and the smallest (or very huge in my case) mistake can leave you wounded for life.
One last thing, the swelling down there may not be new hemorrhoids...I remember thinking the same thing, but I was wrong.
Good luck at your follow-up and keep me posted.

 
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