Constant Pain

After Hemorhoidectomy

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Constant Pain

Postby painful results » 26 Jan 2017, 13:15

Hi All. Never new there was a site like this but I am glad there is.

My story: I went to my GP because of an external thrombosed hemorrhoid. He told me it would go away on it's own in a few weeks. I am 58 in a week so I asked him to set up a Colonoscopy exam. When I saw that specialist he recommended lancing the thrombosed hemorrhoid. He told me the freezing would feel like a mosquito bite and I would have instant relief after the procedure. I took his advice and that afternoon I went to the hospital clinic and had the procedure.

I don't know where he is from but the mosquito bite freezing was more like a gun shot. I was screaming it hurt so much. He asked if he should stop but at that point I was already frozen so he finished the procedure. It is 2 weeks later and I have been in constant pain since the freezing wore off. I am self employed and haven't been able to go to work for 2 weeks. So much for instant relief. I have always had easy regular bowel movements. Since the procedure I have to force myself after 2 or 3 days and it is very painful with a lot of pushing. I was prescribed Tylenol 3 and Metamucil and a sitz bath but neither seems to help much. I can hardly touch the area where the hemorrhoid was and now have a very painful skin tag at the back of my anus.

After a week of pain I went back to see him. He checked me out and said everything looks like it is healing fine. He didn't seem concerned and couldn't explain why I am in so much discomfort other than saying I must be more sensitive in that area than most people. He prescribed a liquid stool softener and Ditiazem 2% Petrolatum which was very hard to get. It's been 3 days on that stuff but I am still constipated and sore.

I am wondering if anyone else has had a similar experience and am I worrying too much? I am scheduled for the colonoscopy check in a couple of weeks but I am afraid to have that if I am still as sore as I am now. Any thoughts or advice would be appreciated. Needless to say I wish I had listened to my GP instead of the specialist.

Thank you
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Re: Constant Pain

Postby painful results » 30 Jan 2017, 21:20

3rd week update.

I am into my 3rd week of discomfort so I went back to my own GP. He had a look at how I was healing. I was very disturbed and disappointed to hear that my fissure from the hemorhoidectomy is not healing properly and has become a large ulcer. My GP looked pretty concerned and had never seen anything like it before. He is calling a different specialist tomorrow to get his opinion and possible referral.

I am more worried than before. I have never heard of any of these terms before and have no idea what to expect and where things go from here. I have still not been able to return to work. In the mean time my GP prescribed a non constipating pain killer and a script to kill any bowel bacteria that might be preventing the ulcer from healing. Not sure what it is called yet but it is the same thing they would give if you picked up a stomach bug from contaminated water in a 3rd world country.

Does anyone have any advice for me or gone through ulcer treatment? Do these things heal on their own and how long does it take. I have a golf trip to Fla the first week of March and a trip to Chile the second week of March planned with my family. I am afraid to book flights for either one at this point.

Anxiously awaiting a response from someone.



Thanks
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Re: Constant Pain

Postby Savaici » 30 Jan 2017, 22:21

Please, see a colon and rectal surgeon! GPs really know nothing about this. To me, (and I am just taking a flyer here) this sounds like an abscess, but only a CRS would know. Antibiotics will kill the infection but if it is an abscess it will not disappear but require some surgery (sorry to be the bringer of bad'ish news). I too have had a thrombosed hemorrhoid removed. In my memory forever. Keep everything as clean as possible (Sitz bath or such like) after each poop!!

Sorry you're in pain and hope it's sorted soon. :huggies:
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Re: Constant Pain

Postby painful results » 31 Jan 2017, 01:53

Thanks for responding Savaici.

My GP is calling a second CRS tomorrow for me. Hopefully he is willing to see me. The original hemeroidectomy was done by a CRS and when I went back to him he didn't see anything unusual. I find that hard to believe considering how I feel. I don't have any bleeding or leaking at any time. Just a crevice that I can feel with my finger. Another member recommended coconut oil in the bathtub so I tried that tonight. I actually fell asleep in the tub it felt so good.

The only major pain I have now is about a half hour after a BM. If I go to the bathroom around 9am I am sore until about 1 pm. Then the rest of the day is annoying but not painful.

What do you think about the trip to Chile next month? We have a once in a lifetime chance to stay with my wife's brother while he is there. I am not looking forward to 12 hours in a plane and worry if I get diarrhea or a bug while I am there it could be a nightmare. My wife is upset and thinks I am being overly scared about nothing.

thanks again for contacting me.
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Re: Constant Pain

Postby painful results » 14 Mar 2017, 12:24

9 Week Update:

I am still suffering but not as intense as 1 month ago. My BMs are back close to normal however I am experiencing discomfort for 3 or 4 hours afterwards. A heating pad has become my best friend. Also taking ibuprofen when the pain is at it's worst. The burning pain is limiting my daily lifestyle and I am having trouble putting in a full days work because of the discomfort.

I did go on the golf trip but had trouble every day especially on the flight there. I was careful what I ate but still had to use PREP H and pain killers to get through the week. I cancelled the trip to Chile because I didn't think I could take the 10 hour flight without going crazy.

Next week is my scheduled colonoscopy checkup. The Dr says he expects to do some banding and maybe a forcible anal stretch to relax the muscle. Has anyone had that procedure and did it help? I have my fingers crossed that he can do something to get me back to normal.
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Re: Constant Pain

Postby Savaici » 14 Mar 2017, 16:16

Hope it's a CRS doing this and not a GP. Look at this link for "Dilation". Forcible anal stretch sounds a little similar, but the words of choice sound a bit drastic...

search.php?keywords=Dilation&terms=all&author=&sc=1&sf=titleonly&sr=posts&sk=t&sd=d&st=0&ch=300&t=0&submit=Search

By the way, I did self-dilation, and it worked for me.
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Re: Constant Pain

Postby GilmoreGirl » 14 Mar 2017, 16:50

Good advice from Savaici. I would ask about a lateral internal sphincteronomy (LIS) if your sphincter is in spasm - I don't know but that's what it sounds like to me.

I think some CRSs tend to think that if you have no fissure or a healed fissure that your pain cannot be from sphincter spasm - in my experience this isn't true. Any trauma down there can cause the internal sphincter to become chronically tight, and that CAN cause pain if you have any small hems, scar tissue, etc that normally would not cause that level of pain.

Additionally, when the sphincter is tight, you have to strain with every bm, leaving the area constantly sore and at risk of further injury.

I have two fissures that have been healed for months, and some small hems that were never a bother before I got the fissure and my sphincter tightened up. Now I have pain like you describe for hours after every morning bm. My CRS is doing LIS and is confident it will help.

I hope that makes sense - I'm guessing that's why the dilation has been suggested. But LIS is very successful, and you can have a test to determine if the resting pressure of your fissure is high to determine if it is right for you.

Hope that helps - just my two cents!
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Re: Constant Pain

Postby painful results » 05 Apr 2017, 23:50

11 WEEK UPDATE.

I had the colonoscopy on Mar 23. The DR did not have to do any banding like he thought he would. My colon was clear and no polyps. The only thing he found was that I was in spasm and very tight. He did a Dilation procedure as described by Savaici. I had a small amount of bleeding the next day and discomfort for 2 days but after that I have been pretty good. My BMs are back to normal and I am able to put in a full days work again.

I really believe most of my problems were a result of the pain from the freezing and the hemorrhoidectomy causing me to go into a muscle spasm that wouldn't relax. After the dilation procedure I never had any discomfort after a BM and don't have to sit on the heating pad for 3 hours before I could do anything. For now life is back to normal and I have a follow up appointment in 6 weeks. This has been an experience I don't want to repeat.
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