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External Hemmie?


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Old 01-24-2018, 12:22 PM   #1
fafafofe
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External Hemmie?

Well, 10 years later I am back. I found an old post regarding a hemmie and now I have another - lucky me. So this time I had the runs pretty badly - went 4 times in two hours and was forced to use awful scratchy TP - so now I have a hemmi. I knew it was there the next day. Then another day passed and I went for a 3 mile run and I think I irritated it to the point where overnight it bled and I woke up to blood in my buttocks and only a small amount in my underwear. I took a shower and noticed either a clot or a something that looks like a bloody raisin (hemmie detached?) So that was Monday morning and now it is Wednesday. I had one BM on Tuesday and there was blood on the TP, none in the bowl. But, every time I check my underpants there is some blood between my butt cheeks. Maybe a drop or streak in the undies. Nothing hurts too badly but I know it is down there. My last post 10 years ago said that this lasted me 4 1/2 weeks but I did not have blood then. I am drinking tons of water now, adding fiber, using Prep H and will begin sitz baths tonight. I called my doc today and told the PA what was going on. She didn't seem too concerned and said I can make an apt "if I want to" but otherwise to keep doing what I am doing. Anyone else had this experience with the blood? It's not a lot but it is annoying and a little alarming. It is bright blood so I am fairly certain this is hemmie related given what I went thru two days before it started - I know the 3 mil run aggravated it.

Last edited by Administrator; 04-12-2018 at 01:57 PM.

 
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Old 02-12-2018, 09:39 AM   #2
fafafofe
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Re: External Hemmie?

It's been just over three weeks of my "condition". Saw a great colo rectal surgeon today. My PCP just referred me there for piece of mind. No surgery or anything needed. He said I had two small thrombosed external hemmies (resolving). Said that one of them bled due to my running 3 miles after onset. Friction caused that. He said that they should resolved within 4 to 6 weeks (so 1 to 3 weeks from now) and just keep doing conservative treatment. Fiber, water, water, water, water, sitz. Said apples, pears and apple cider to keep bowels regular if you don't want to take something like Metamucil. My meeting with him was reassuring and he explained the whole pathology with these things. Don't need a follow up with him he said and nothing more to be done but let the time heal them. Stay hydrated to keep bowels moist. I find it amazing that these seemingly small things can completely change your life in the short or long term. Affects your mind and physical being. I will post updates as needed here. Hopefully as they further resolve.

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Old 03-03-2018, 08:54 AM   #3
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Re: External Hemmie?

ONe of my two hems are gone. One is still there. Two days from now will be 6 weeks (I am not sure if both developed at same time). I do know that they were both there on 2/4 so at very least this remaining hem is at 4 weeks or so. My BMs are good. Sitting hasn’t been terrible but I can feel it a little. I “think” it is shrinking a bit but that could just be hopeful thoughts. I am giving it two more weeks to see how it is then may call the colo rectal doctor again to take a look. I have read that in some cases these can last a couple months

 
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Old 03-03-2018, 01:52 PM   #4
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Re: External Hemmie?

Can you go to a GI doctor? Thrombosed Hemorrhoids are easily treated...but you have to see the right doctor! You do not need to suffer for any longer if you can get in to see a good GI doctor! They deal with this daily!
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Old 03-03-2018, 03:00 PM   #5
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Re: External Hemmie?

Yes I saw a colon and rectal specialist. He treats these all the time. Looked at it and said no need for any procedure. Will heal over time

 
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Old 04-12-2018, 01:18 PM   #6
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Wink Re: External Hemmie?

I had my follow up with the colorectal doc today. I told him since I was there last (2/12) that I feel OK except when sitting down at work too long. And that I was concerned that it is still like that after almost 3 months. He was very understanding. I showed him the week by week pics I had on my phone. He had me hop on the table so he could take a look. He said if he was to just take a pic of the anus area without spreading my cheeks too much there is nothing showing. But if he really spreads them there is a slight protrusion there which is causing the discomfort but for the most part it is gone. He said that it might be 3 months or something more - there is no definitive answer. The general guideline is 4 to 6 weeks but could be less or more. He also said that there is a HUGE mental aspect to these things. They get in your head and can affect all parts of your life (that is what is happening to me). He said I need to forget about this and do what I do. He understands that I actually DO still have discomfort from this but it will continue to wane as time goes on. He said that he would not recommend any treatment other than what I am doing (fiber, water, exercise, live my life, etc). I told him how this has wrecked my sleep pattern and my concentration at work as it is ALL I think about. I used to go to bed around 10:30pm and get up at 5:30am (but could sleep another two hours if I didn't have work). Now, I go to bed at 9:30pm so I can forget about having this and wake up at 3 or 4 am and can't get back to sleep. He encouraged me to go running, ride a bike (yes even with this cuz he said it is almost gone) and try not to preoccupy myself with this. He was great trying to put my mind at ease. He said unfortunately these blood clots take forever to dissolve/reabsorb sometimes. Lastly, he said that if my symptoms of uncomfy feeling were to continue in another 6-8 weeks then come back and he can do an MRI to take a look to see if there is anything else. But right now there is nothing there except the slight swelling which will continue to subside. I hope I wont obsess about this so much now. I joked with him that hopefully the next time I saw him would only be for my colonoscopy when I turn 50 in a year or so.

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Old 05-15-2018, 08:31 AM   #7
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Re: External Hemmie?

Almost 5 weeks since my last post in this thread (and almost 4 months since the hemm developed). I do find it easier sitting at work now. It's not back to normal by any stretch. I am sleeping better and still having regular daily BMs. I do think about it and am aware of it all the time and that wont change until it goes away. It does seem to still be slowly dissipating. I have had to sit on bleachers to watch games a lot this past week which is not great for it. I am debating when and if I should go back to see the colo rectal doc. He said wait 8 week or so last time to see what is going on. I do not think he would ever do surgery on this given that he couldn't really see much other then a slight bump where it is. I just feel like there is nothing to do except continue my course of action and pray that this goes away - good grief I would hope by the end of June at the latest.

 
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Old 06-01-2018, 01:45 PM   #8
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Re: External Hemmie?

Latest in my saga. So colo rectal doc said to see what happens in 6-8 weeks last time. This was beginning of week 8 and I still have some uncomfy feeling so I made apt to see him today. He took a look and said the external hems are BOTH GONE! Great news! So, why am I still having issues sitting at work - it is like a dull ache or sometimes a raw feeling. He said that there is some scar tissue where the thrombosed hem was. He said that it will take a little while longer for that to go away as the skin is irritated. Doc said that a very rudimentary explanation is that the skin on the body is "vertical" and because of the hem and trauma there, the scar is "horizontal" which is leading to some discomfort. The treatment is to put diaper rash cream or something like Balmex on it two or three times per day. And after a BM wash with a water if at home. If at work, clean quickly then go back in 15-20 min later and clean better with moist wipe as the area will be calmed down. He said that if there are still issues 3-4 months from now to let him know and we will see what to do next.

What an ordeal....I feel much better that the hems are gone. Now it is a matter of discomfort and managing the cleaning of the area so it can continue to heal.

 
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