Diary - LIS in a few weeks!

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Re: Diary - LIS in a few weeks!

Postby chachacha » 05 Apr 2017, 15:37

I would only take the morphine as prescribed, unless you hear back from the surgeon's office. Whoever gave you the original prescription based it on many things (your age? weight? other meds?,etc.), so I would never increase the dose on your own.

It is very unusual for someone to be able to have a BM so soon after surgery, and I would guess that most won't until at least two days or more afterward, and a lot of the delay is due to the body's reaction to the general anaesthesia and trauma of the surgery itself. I know that the gas is painful, but maybe once some stool is ready to come out, it may be easier to pass than you think. I have no idea why your leaving instructions advised you to take a laxative if you hadn't defecated in 24 hours, because my instructions said to only take action on day 4.

I hope that the surgeon's office calls you back today, and that they don't make you wait until the morning.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: Diary - LIS in a few weeks!

Postby Mypoorbutt » 05 Apr 2017, 16:12

Although I wasn't in as much pain as you are Hun there was no way that I could have passed gas the first 24/32 hours....I took a Herbal remedy that helps with surgical swelling it's called staphisagari you take it every hour and I'm pretty sure it help my swelling go down.
Can you phone a&e to ask if you can up your morphine for the next 24 hours or so.
Your body will recover keep doing the baths and the Ice...rest as much as you can and the swelling will go down very soon.
My discharge notes said to take a laxative after 48 hours but the nurse said to ignore it....not that I had any intention of taking a blooming laxative. I think it's just standard for each hospital to have its own procedure as the bowel can become paralysed from the anaesthetic.
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Re: Diary - LIS in a few weeks!

Postby GilmoreGirl » 05 Apr 2017, 16:23

Thanks chachacha and mbp. I will continue to take the morphine as prescribed until I hear back from the surgeons office which definitely will not be until tomorrow as they are closed now, as is the day surgery clinic. I was prescribed that level of morphine for the fissure pain and they were reluctant to give it to me at that time.

That's reassuring that it's not unusual to not have a bm yet...I'm feeling a lot of rectal pressure but I have no idea if that's just swelling, gas or bm, I honestly can't tell. I just wish the swelling would go down quicker - things feel so much tighter than pre-op it's disconcerting.

Thanks so much again for the reassurances I'm really not good at dealing with this sort of thing - my ibs already gives me so much anxiety and the fact that butt literally feels like its been shut closed does not help. It's just combining too many things that make me anxious!
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Re: Diary - LIS in a few weeks!

Postby mamafizz » 05 Apr 2017, 16:55

Gilmore Girl... please don't be scared.. I had severe swelling and INTENSE PAIN, I cried to my husband, that the hell did they do to me.. It was like unbearable. Nothing like I ever experienced. IT will subside and you will be able to go. It took me 3 days. Mine was like 7 days pretty intense but then it started to become noticeable better. That area is JUST highly painful feels like whatever is going on back there is horrendous, when in fact it is a normal process when things are disturbed. Prayers for you don't worry IT will def get better!!!!for sure worry makes it worse at least for me. Know you can get through this because you will!!!!
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Re: Diary - LIS in a few weeks!

Postby Mypoorbutt » 06 Apr 2017, 04:19

Hope your doing a bit better today Hun and are managing to get some rest x
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Re: Diary - LIS in a few weeks!

Postby GilmoreGirl » 06 Apr 2017, 08:04

Thanks guys.

Not much better. Got very very little sleep. Don't know if I have a flu or what but I woke up with intense rectal pressure and passed some purely liquid stool and something else that was either some sort of packing or a chunk of stitches. Not much blood though. I had severe nausea and almost passed out and was throbbing so badly I ended up in the tub at 3:00 am. I can't even tell if I still have to have a bm - there's so much constant pressure down there I don't know if it's just swollen, gas, or if I need to go. I'm wondering if maybe they did an enema when I was out before the surgery and the D I had last night was just the tail end of it? No idea what's going on.

I spoke to the nurse at my surgeons office and he said it would not be unusual if I didn't have a bm until Monday. He said it would likely be a week before I feel any relief and that the first bm would likely be extremely difficult and painful.

I'm not sure why my experience seems so much worse than many others. I'm wondering if I should have seen a different surgeon. I thought the incision was made to the left or right of the anus, but mine is between hemorrhoids and seems to go right up inside...

The nurse also told me that 5mg of morphine every four hours sounds right, but everywhere i read it says 15-30mg every 4 hours. I think I need more, I'm in constant agony and can sleep only 20 min or so until it wakes me up. I'm also not able to eat much as my stomach pain and discomfort is so bad and I still cannot pass any gas to relieve it.

I just don't think I can bear another week of this! I'm supposed to go to the hospital if I haven't had a bm in 7 days, but if things don't improve down there soon I most definitely will not be having one, how can they expect you to have a bm when you can't pass gas even?

I just never expected this to be so painful, definitely worse than fissure pain for me because at least I could pass gas and have a bm with that. I thought I was supposed to be looser down there not tighter
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Re: Diary - LIS in a few weeks!

Postby Mypoorbutt » 06 Apr 2017, 08:21

Oh hunii I'm so sorry....maybe you have a bug or are having a reaction to the anaesthetic. Surely they would have told you if you had been given an enema.
I dot think it's anything to be concerned about in the long term being so much tighter than before as I was way tighter after the LIS than before...also my stitches were in between 2 rather large hems and went up inside....maybe that has an impact on how tight we feel after. But now I can pass quite large BMs with no issue
Hunii if you are in that much pain that you cannot sleep then please go to the docs let him see how ill you are and insist on stronger pain relief....mine was adamant I couldn't have Valium or gabapentin but when she saw me n took my obs she gave me them. No one can heal if they can't sleep.
You will get better this time next week you will be so much more comfortable
Stay strong
Big hugs xx
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Re: Diary - LIS in a few weeks!

Postby chachacha » 06 Apr 2017, 09:24

Perhaps the reason you couldn't pass gas yesterday was because you did have some sort of packing up inside?

I had pain for the first few days, but it wasn't severe. I didn't know, however, if the pain originated at the incision site, or the fissure, or was from one of the new skin tags that were generated by the surgery. One of those tags was very, very sore, but only if touched by (even) the saturated toiled paper that I was using to dab myself carefully. It was excruciating, even if a tiny corner of the paper touched it. When the whole area is traumatized, as it is with surgery, it can be impossible to determine what exactly the source is, because pain radiates to the whole surrounding area.

Are you sure that they did a LIS? I can't understand why there would be stitches going into your anus since the cut was to the internal sphincter. I have only heard of them cutting to the side and inserting an instrument to go up inside to cut the internal sphincter, or going up into the hole and cutting it up there. Neither would produce a cut that would include the lower sphincter at all. Also, the nurse shouldn't have expected you to have a lot of pain for a week, unless a different procedure was done, or that the first BM would be really painful. Both of those expectations seem more in line with a hemorrhoidectomy or a fissurectomy (IMO).

When you say that the nurse said that 5mg of morphine, "sounds about right", did you also ask if you could safely take more?

Before my LIS, I was offered the choice of doing an enema on the morning of the procedure before I went in, or having them administer the enema once I arrived at the hospital. I chose to do it myself, but maybe they just gave one to you after you were sedated because that is the standard method at your hospital (or with your surgeon).

I hope that things improve for you soon, and who knows, if you did have packing in there, maybe you'll be able to pass gas soon too.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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Re: Diary - LIS in a few weeks!

Postby GilmoreGirl » 06 Apr 2017, 09:59

Thanks for the info chachacha...I had about three appointments with the surgeon where we discussed LIS, and one where I asked her if she was planning on doing anything else and she said no just the LIS. We discussed it in detail, I remember her saying she was going to be conservative with the cut. And then right before going into the OR the nurse asked me to confirm what procedure as a double check, and said I was right when I said LIS...so I think LIS was it! My fissure wasn't that bad at the point before the surgery, so I don't think they would have done a fissurectomy?

The nurse said he would call back this aft so I will ask him for some more detail. Still having trouble with the gas. Maybe I'm having so much pain and tightness just because of the hems I have? There are a lot of lumps and bumps down there that I've never noticed and the familiar ones are very swollen.

It seemed as though the nurse thought this level of pain was normal and that I should not expect to see improvement quickly...

Maybe I should have seen a different surgeon, but she seemed as if she'd done LIS many times so I wasn't worried.
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Re: Diary - LIS in a few weeks!

Postby chachacha » 06 Apr 2017, 10:12

The swollen tissues, hems and tags could definitely make it harder to pass gas, so you could be bang on with that assessment.

Hopefully the nurse will okay a stronger dose of morphine.

Going in to my surgery, I had internal hems that prolapsed and one skin tag hanging down on the outside. After the surgery, I had no prolapsing hemorrhoids, but five or more new skin tags that hung outside, and while they were very large and swollen right after the procedure, they shrunk considerably over the following few weeks.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
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