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Hemorrhoidectomy-Day 5 feel fine. Going back to work tomorrow.

I am writing this less than five days after my surgery. I want everyone to STOP reading the nightmares and realize that this is not pleasant at all but it’s not the months long death sentence that is so often painted on message boards.
Here is my story and my advice:
1. DO NOT READ THE HORROR STORIES - I made the mistake of reading some of them the night AFTER I got home from my surgery and it created so much anxiety (here I had already had it done there was no going back) that I think I had a bona fide anxiety attack a few hours later, started crying (the pain was ramping up too) and had to take 2 Percocet. THIS WORKED. Not only within a half an hour was the anxiety and pain gone, I actually felt really great. Opioids are good stuff.

DAY 1 & 2
I spent the next 48 hours in and out of pain, in and out of hot baths and showers, ice packs, heating pads (alternating) and mostly worried about going to the bathroom which I was warned I had to do within 48 hours otherwise would have to take greater measures. I DID EVERYTHING I was supposed to: Colace, Citrucel, mineral oil, and lots and lots of water. Yet still, 48 hours later I looked and felt pregnant and felt pressure to go but could not. My doctor told me it was time to take the Magnesium Citrate, which I was ready to do.

6 hours after guzzling the bottle of evil it started working and I spent about three hours partially in relief (going) and more so in agony-the burning and use of the area was incredibly painful but the drugs and hot water got me through and within 12 hours felt less bloated and in less pain. Was not fun at all but necessary.

To give you an idea, I took 2 Percosets every 6-8 hours for 48 hours-14 total. I knew that the less I took the better time I would have with the constipation.

DAY 3 & 4
The next day I felt confident enough to half the dose of the meds. My main concern was not pain but poop. I did NOT want to take the evil Magnesium again and figured if I could get the BM’s down I was in the clear and could get my life back. By the end of Day 4 my pain had decreased considerably, and as long as I was using the bath/shower therapy. At the end of 96 hours post-surgery (4 days exactly) I had taken my last Percocet (I took 19 total of 40 prescribed). I was able to sleep that night (last night) for a good stretch and took a 4:30 AM bathtub (slept in there) and back to bed until 7:30 AM on day 5.

DAY 5
I have had 6 BMs today and they are small but not so difficult to pass, just BE PATIENT. I took an Advil this morning (more as a prophylaxis), did laundry, took a shower, blow dried my hair, put on a BRA and pants (yay), actually talked to people, made my kids breakfast, and am going back to work tomorrow.

CONCLUSION:
I had my two kids with no drugs and I will admit there were moments it felt as bad as labor/birth and I am also a very tough person as far as pain is concerned which cannot hurt, BUT with this scenario THERE ARE DRUGS, they work, and you are allowed to take them so DO TAKE them but beware the constipation.

My advice:
1. No matter what the surgeon says-start the fiber, Colace, mineral oil (or whatever they tell you to do) BEFORE the surgery-why play catch up? Get your gut going before the surgery (FYI I see that some patients have had to do a colon prep thing prior, my doctor didn’t require this-which is nice the surgery is bad enough without having to do that prior!). My surgeon did not recommend the fiber/laxative as a pre-surgery good idea, and I think he should have. Just makes sense.
2. Take the meds as you need to, but take as little as possible to avoid constipation.
3. Hot water is your friend. Use it often..
4. Slept/rested with a heating pad wherever it was comfortable (mostly on my butt or belly), think it really helped
5. Don’t be proud-this is humiliating just like child birth-if you have to crap in the shower or tub because that’s what feels the best-just DO IT. Bleach was invented for a reason.
6. Be prepared to do NOTHING for a few days-my husband took over everything 100% for 4 days and I holed up in the bedroom and bathroom and got better-do not expect to be of any use to anyone for a few days at least.
7. Get Netflix I signed up for Netflix and watched the entire Breaking Bad series over the 4 days and just carrying my iPad back and forth from the bedroom to the bathroom and having something to watch in the tub actually really helped divert me and give me something to focus on rather than all the pain and discomfort.
I am not “better” yet and I am sure it will be a few weeks before I see 100% recovery and the benefits of the surgery that were promise me, but if and when that happens its TOTALLY worth it.
I suspect with the horror stories you may read that 1) some people have not had the best surgeons perhaps 2) Maybe they had more stuff removed than me (my doctor immediately recommended surgery as the only real option so it is not like I was not a bad case-I Had internal and external and skin tags) 3) Some have low pain thresholds and 4) everybody heals differently.
But take it from a 43 year old Mom who got these horrible hemorrhoids during pregnancy/child birth and dealt with them for 9 years-if day 5 is any testament to the future-this was the ONLY option and I am EXTREMELY HAPPY I DID IT AND DIDN’T READ THE BOARDS PRIOR SINCE I MAY NOT HAVE DONE IT. IF YOUR ROIDS ARE MAKING YOU MISERABLE, THESE FEW DAYS/WEEK ARE WORTH THE RELIEF FROM THAT. Good luck!!
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First Helper shlomoate
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Users who thank happybutt for this post: shlomoate  FannyFreedom 

replied March 22nd, 2014
Thanks for some positive feedback! How are you feeling now? I had myself all geared up and ready for surgery but my surgeon wanted to try banding first. I also have internal, external and skin tags. He banded one internal. The pain was horrific. I took Vicodin but it didn't help. Advil helped some so I've been sticking with that, being careful not to overdo it because of bleeding risk. I feel like my recovery from this is not going to be much different than the recovery from the full blown surgery. And I still have the painful externals that he did nothing for. It's been two days now and the pain is starting to easy up. I was able to move my bowels this morning and have taken many hot baths. The heating pad is also my friend!

So, I wanted to see how things went after that first week if you'd care to share. Thanks!!
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replied March 25th, 2014
Hey thanks for the message. I am totally fine now and was pretty much all better in 2 weeks. I had some itching for about a month maybe but that's gone. Unfortunately I have some small skin tags and scar tissue left from surgery but the doc said he could take care of that in the office if it bothered me. I am still extremely glad I did it since I have no bleeding, no pain, and cleanliness is only a minor issue when before it was impossible. I went on a week skiing trip like 3 weeks later and rode my bike, etc. The externals are really the big nuisance so if I were you I would do it and get it over with. Sitting here now I can't believe I put up with it for 9 years!! I did find Percocet was very effective-it is much stronger than Vicodin (which is same thing lower strength) so maybe ask for that if you do the surgery! Good luck and let me know!
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replied March 28th, 2014
Thanks so much for the update. Today is day 9 and I'm feeling pretty good. Last night was the first time in a long time that I didn't have butt pain! BMs are still painful but I'm not sure that's going to change much since I still have the externals. I'm hoping that they will shrink more with time. If I continue to have issues, I found another surgeon who specializes in colorectal issues. I will go to him instead. My doctor is just a general surgeon and while good at what he does, I want the latest and greatest Smile. So glad to hear your success story! So many horror stories out here!
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replied February 15th, 2015
Day 10, still in pain, though better than before. Just found the joy of ice packs. I stopped the Hydrocodon (Vicodin) because of the constipation, and sticking to ibuprofen and acetaminophen, and the occasional medical marijuana. I have BM though not able to fully evacuate, so I restarted Milk of Magnesia and as much liquid and fiber. Hopefully there will be a sharp curve in improvement. I'll post later with more updates.
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replied March 21st, 2015
I also want to thank you for taking the time to write your post. I have actually printed it!! I have suffered with internal and external hemorrhoids for so many years and have finally scheduled surgery to have it taken care of. Even though my surgeon is rated top in his field, after reading these Horror Stories I was reconsidering surgery......so thank you so much for sharing your experience and I am confident I can do this Smile
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replied August 25th, 2017
I am SO GRATEFUL to you all here for sharing your experience with surgery. Coming across happybutt's information has REALLY encouraged me to just go forward with it. I have had problems for years but didn't really know I had INTERNAL hemmorhoids until I ended up in emergency with EXTREME pain under the coccyx that they couldn't figure out. I ended up going to the GI clinic in the hospital a few days later for a colonoscopy (NOT fun when you have IBS-D) but at least cancer, etc, were ruled out. There's more to the story but I finally went to a colorectal surgeon who then diagnosed me with grad 3 prolapsing hemmorrhoids.

I have been on conservative treatment since that visit just over 5 weeks ago and doing the metamucil and 3 weeks of HC Anusol suppositories but the hems aren't getting any smaller and continue to come out after BMs and also sometimes now throughout the day which cause more pain, swelling, etc. I basically have to spend most of my day lying down or reclined and then periods with my hips up on pillows. This is no way to live your life. So....

Even though even my surgeon said it is the MOST painful surgery there is, because of all of your posts, I'm going to get 'er done. He's a specialist so I'm not at all worried about proper technique and experience. I'm sure he does these all the time. I am just excited to get my life back!

I'll keep you posted. I have an appt with him again in 4 weeks and will post my experience here through all of this as things evolve.
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