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  • Hemorrhoidectomy Surgery Success UK April 2013

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    Old 04-16-2013, 03:23 AM   #1
    Post op Pam
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    Hemorrhoidectomy Surgery Success UK April 2013

    Hemorrhoidectomy Surgery Account: April 2013

    
Hi,
    I am a happy and healthy 34 year old mother of two girls of 3 and 6. I have always been fit, thin, and kept a very healthy diet. Since suffering with haemorrhoids (H's) with both children I have just had an Open Hemorrhoidectomy on the NHS! This is an honest and hopefully helpful account of H's and the traumatic surgery needed to eradicate them forever (fingers crossed ). Feel free to ask any questions.
    
* This is obviously a personal account and I advise anyone to talk to their G.P regarding different pain relief options following the surgery.

    
BACKGROUND
    I have suffered with two tiny H's since I was around 16. At this point they were not painful at all. Since having children, those tiny inhabitants became a large prolapsed problem. Following useless advice from my GP and Consultant, they became thrombosed and extremely painful. After several visits to my consultant, he advised Halo banding as a first measure (basically cutting off the blood supply to the H's by tying the arteries off). I had this done in September 2012 and suffered excruciating pain following the Op resulting in another trip to A&E Emergency Medical Admissions Unit. Needles to say the Op was unsuccessful and the problem just became worse.

    Eventually the Consultant agreed to perform an Open Hemorrhoidectomy. He was very dubious due to my age and all the complications that can arise after surgery. However, following lots of research and weighing up the pain of my H's against my lifestyle it was a no brainer! The H's were affecting my whole life.... no intimacy with my husband, no exercise (too painful), not able to lift my children, unable to sit at work for long periods, depression, no social life. So I was booked in for the op on the 28th March 2013.

    PREPARATION
    Following hours and hours studying this forum I came up with the following:
    A Diet plan
    A Pain plan
    A support network
    A list of all the things I needed around me in preparation

    Bearing in mind that everything I read suggested that the first two weeks would be hell I warned work that I would be off for 4 weeks in total. I did NOT want to risk having the Op and pushing myself to quickly, hence undoing all the surgery. The following plan is specific to me and it worked. I had one night of severe pain but the strict timings of pain relief minimised the effect and the emergency top up relief was definitely needed. At all costs you need to make sure that you don't end up back in Hospital again where they may examine you internally and cause more problems.

    Diet Plain
    Diet and pain go hand in hand. The pain relief I used is Codeine based which tends to constipate you. Thus without the right high fibre diet and supplements... you are screwed!!

    Pre Op:
    Two days before the Op I stopped eating bread and meat. I started a very high fibre diet without any foods that cause bloating or constipation. I also took 10ml Lactulose twice a day. So lots of bran, soup, vegetables, and fruit. (and the odd tiny bit of chocolate to keep you sane!!)

    Post Op:


    Day 1 - 2: Lots of water throughout the day and very small meals so as not to swell your tummy (it may take up to 7 days to go for a Poo (BM) so you must not fill your tummy too much or it will be painful)

    Breakfast:Weetabix/ Allbran in the morning with a mug of Green Tea sweetened by 15ml Lactulose, and a drink of Fresh Orange. An Aloe Vera capsule (to ease the tummy and help healing), Butchers Broom Tablet (to strengthen veins and help recovery).

    Lunch: Soup and a piece of fruit

    Snacks: Fruit.... agiain try not to overfill

    Tea: Omelette with Roasted Veg, fruit salad with cream and a square of 80% Cocoa Chocolate (gotta keep the iron intake high for any blood loss ) You could also try scrambled eggs with Veg or Jacket Potato. Remember, small servings)

    Supper: Fresh Orange with 15ml Lactulose and a cup of Decaffeinated Tea

    Day 3-4: Same as above but start introducing 1 Glass of Movicol (This will help you bowel to start working again and encourage a BM) NO MEAT until after the first BM. I also tried Hob Nobs when I was deperate for something sweet (they are a high fibre biscuit!!)

    I remianed on this diet until Day 7 when I was regularly having a BM. Then you can up the serving size and broaden the range to include meats.. don't shock your system though take it slowly.

    Pain Plan
    
The pain you can suffer with this operation is very severe due to the fact that this area of your body has the most nerve endings! I can honestly say that when I had my banding done (and I wasn't prepared with pain relief), it was worse than giving birth. The key is being proactive and seeing your G.P BEFORE the surgery. Talk to them about a pain relief plan and get all drugs prescribed and ready for when you come home. Your surgeon will ny want to prescribe paracetemol due to the constipating effects of codeine; with a balanced HIGH fibre diet and supplements this is easily balanced out. The pain I experienced was like someone taking a blow torch to the inside of my bum and then deciding to whack it every minute or so with a baseball bat. Hence, the need to be prepared... So from reading a post by an American Doctor I came up with the following:

    Remember the key: In the first few days religiously take your medication before pain sets in. Don't contemplate missing a dose. You will regret it. My mum is a nurse so I stopped with her for the first two weeks and she kept a pain relief diary so that we didn't overdose.

    Days 2-4: Up to eight paracetemol a day every 4 hours (set your alarm at night) and Ibuprofen every four hours. 1 Dihydrocodeine every 6 hours. For breakthrough pain I took Oramorph (liquid morphine) at a rate of no more than 10ml an hour.
    During the first 24 hours you may not feel much pain due to the Anaesthetic but as soon as you feel the first hint of pain start on your meds. My worst pain was during days 3 & 4 when all the bruising and swelling was coming out.

    Days 5-10: Up to eight paracetemol a day every 4 hours and Ibuprofen every four hours. 1 Dihydrocodeine every 6 hours. You may only need some Oramorph when you have been for a BM.

    Day 10 onwards becomes much easier. I stuck with the Ibuprofen and Paracetemol and only took the Dihydroc when needed. Since day 14 I have only had to take Ibuprofen for the swelling as I am not in much pain at all now.

    Support Network
    
You will need a 'Bum Buddy'. In the first 4 days I could'nt even walk to the toilet by myself. Infact we hired a Kermode which proved invaluable. I had trouble going for a wee due to the pain so I was up and down to the loo a lot. I stopped at my mums and she was fantastic. She helped me to the toilet, ran me baths, prepared my food, made sure the children were dropped off at Nursery and friends (you will need to get help with the kids - peace and quiet for recovery). What ever you do make sure you have planned a support network and help with the house, kids, husband, dog etc etc. Print the plan off for everyone and make sure that they realise that this is going to be like a major operation due to the pain levels and debilitating effect on your bowel function. You will need FULL support for at least two weeks. I am 18 days post Op and still resting!

    Preparation List
    Foods: All Bran, Weetabix, Fruits, Tinnned fruit (for ease), cream, Green Tea, Decaffeinated Tea/ Coffee, Lots of Soups, Cream & Brown sugar (nice on All bran), vegetables.
    Supplements: 2 bottles of Lactulose, High Strength Aloe Vera Capsules, Butchers Broom Tablets (order well in advance), Movicol. These can all be bought on ******
    Medical Items: Sensitive Baby Wipes (for when you can wipe; you will not want toilet paper!), Preparation H wipes (sterile and soothing to finish off with), Kermode (can hire from Red Cross shops), Padded Raised Toilet seat (******), small stool (helps when on the loo or Kermode, when the legs are raised its easier for a BM), Knickers you can throw away after, Panty Liners (for any mucous / blood in the first week). Sitz Bath (from ******), Salt for the bath.
    Drugs: Oramorph (I really had to push my G.P for the Oramorph and promised to use it only as a break through pain relief.). Dihydrcodeine. Paracetemol and Ibuprofen (in copious amounts). You need to persuade your GP that you understand the need for a high Fibre intake to offset the effect of constipating Opiates.
    Other Items: Laptop: (join Netflix for free and watch TV in bed to pass time) I couldn't even concentrate to read in the first week. Books to read for when you feel up to it. A V pillow for sitting up in bed. An extra pillow for sleeping (put in between legs to relieve pressure on your bottom)
    A BUM BUDDY (you will need them 24 hours a day for the first 4-7 days)

    Recovery
    
Be prepared your recovery will be HARD WORK and you will have to build yourself back up again. Everyone is right that you will only feel slightly human after 14 days. In the first few days be prepared that you will revert to being a toddler... you will need help with everything as you will be in pain, spaced out, and unable to go to the toilet. Be prepared to take a bath up to three or four times a day, have your bum looked at by your BUM BUDDY (they need to make sure its not getting infected), have tantrums, and feel massively depressed. This is all very normal but none of explained by the NHS!!!

    Bathing: Always keep the area clean and patted dry after a BM.

    Going to the toilet: You may spend along time waiting to both wee and poo. Get the comfy padded seat. Prepare for tears and pacing, lots of Sitz baths to relax the muscles (hence letting you push). YOU WILL GET THROUGH IT. Keep up with the meds and they will make it bearable. You will feel alot of pressure down below. (This is another good reason for any children to be taken care of as they don;t want to see mummy go through this).

    Result
    As I explained I am now 18 days post op and I felt the compulsion to start a new thread online as I hadn't read many threads from the UK with people referring to the Pain Relief available over here. I can now walk around with no problem and go for a BM without pain and without the need of a bath. I am back at home and can do jobs around the house. I still have a sleep every day and let my husband do the bedtime routine with the kids. I fully intend to take the four weeks of work, I don't want to regress and go through this again.

    My only worry now is that I am still very swollen. There are not many threads after two weeks and not much talk of how long swelling takes to reduce. I live in hope! My wound is still slightly open and producing sticky pus but I pat this dry and use Prep H wipes after I have been for a BM. I have no pain when going for a BM.

    This has been one of the toughest years of my life. I hope it has made me stronger. Yes it was worth it as I have no pain now. I imagine I will have some rather large skin tags as I ended up having three large rascals cut out!!

    Good luck to you all and please don't hesiate in asking anything you wish to know pre or post op.

    Warmest Regards,
    Post op Pam!!

     
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    Old 05-11-2013, 11:26 AM   #2
    iplover
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    Re: Hemorrhoidectomy Surgery Success UK April 2013

    very inspiring,

    today i did my 3rd rubber banding, and just like you hoping for the best.

    so how are you now after almost 1 month? i hope those H's are over.

    Last edited by iplover; 05-11-2013 at 11:28 AM. Reason: typo

     
    Old 05-28-2013, 12:21 PM   #3
    beeceehu
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    Re: Hemorrhoidectomy Surgery Success UK April 2013

    I am 30 year old single mum, I've had hems for 7 years after my pregnancy and a third degree tear. i had 3 failed banning attempts and so was referred for the op. i was told not to go on these sites as they were scare mongering etc I was also given no prep advice.

    luckily i have a healthy diet and am pretty regular and the day of the op my period was due so i do have a significant bowel movement at this time in my cycle. i went for the op, had an enema before hand then went down. it took an hour they put me completely out and after they were sure i could pee which was right away i went home.

    My mum looked after me that night and i was great, just slept, woke up that day a little sore. was only told to use paracetamol and it was working. even had a small bowel movement, lots of blood but didnt hurt. next day was the same small bowel movement, didn't hurt, some bleeding.

    day 4 was a nightmare. i went for a bowel movement and it got stuck, burning searing pain, i nearly passed out. had to take anti inflams too and in and out of an antiseptic bath. after waiting 8 hours for laxitives to work and sounding like someone had murdered me my bowel movement passed and i couldnt believe the amount of stuff that came out of me considering my enema and previous movements as eating has been minimal!. there were also small clots and more blood than before. i had an antiseptic bath for an hour and 2 paracetamol and one anti inflam. throbbing occured for 4 hours then total pain gone. anus twitched and felt a little scabby but not sore and i felt like there was nothing wrong with me at all.

    today is day 5. woke up feeling the same today. like theres nothing wrong with me. then got the feeling first thing i needed a bowel movement. this time it was soft but stull horrific pain, burning, nothing you can do, at one point i was screaming and stood up. as soon as it was out i was in a warm antiseptic bath for an hour. mum arrived to take care of my little girl thankfully. I actually got back on my feet quicker after this movement, was dressed and walking around. had to go do the food shop, but took it easy with pain meds, got some more meds while out and loo roll etc.

    I have found today that i have cried a lot. i'm not a crier. but today i have really cried, and also i'm not a believer in god but i prayed. i have screamed at myself at how stupid i was to have this op done, because here's the kicker...i never had pain with my hems. they were just big and blocking me from having an easy stool and causing me thrush as close to my bits and bobs. not had a partner in 7 years and have always been to terrified to show anyone or consider sex.

    i have met someone a few weeks before my op but now I'm sick and i have read all the horror stories of people never getting better or sex not being an option, and now worried he will not wait for me to get better or that i will not get better and what have i done to myself!!

    i have eaten soup and a small bacon on wholemeal sandwich. water all day and a fig roll by order of mum and a coffee. but i haven't had a bowel movement since this morning. my anus is feeling ok, i can flex it no pain but still taking my meds even though. at one point i did worry if not having a bowel movement could mean the anus will heal over completely...and am now even more scared of having next bowel movement as in my head its logical that the longer it has to heal the more sore it will be when the tearing of the healed bits happens for my anus to expand and let out the stool..which obviously as it was small this morning with same amount of pain than the hard one is inevitable.

    All i know is i hope i'm not up all night and i don't think i can go another day of painful bowel never mind another week. i am due back at work just mornings come 10th June. i just hope i don't get stuck at the wrong moment in a morning where i have a bowel movement and pain with no one to help me..at the moment its the school holidays and so i dont have to worry about school runs etc.

    I really need some reassurance i can go to the loo normally and have sex etc , otherwise i dont think i may want to see this out.

     
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