Sedation Question

Are you having, or have you had a Lateral Internal Sphincterotomy (LIS)? Please share your experiences here, or ask any questions.

Return to LIS - Considering surgery or already had it?



Re: Sedation Question

Postby Jbl22424 » 19 Dec 2014, 02:05

The redhead thing is fascinating, msimon. I was told that under general they would insert a breathing tube because of risk while you are under so I opted for IV which is like what you get for a colonoscopy and what they used to do for oral surgery (these days I think oral surgery is oral sedation which is not nearly as effective in my opinion). IV was great for me, I have a dream like memory of the numbing shots but that's all. I'm in California.
Developed fissure from constipation due to breastfeeding 7 weeks after delivery (Jan 2014)
Nifedepine
Colace
Magnesium
Miralax - godsend
Nitro - some improvement
LIS (May 2014) - cured for 3 months then setback
Diltiazem
Feeling better for now
User avatar
Jbl22424
Proctosphincteranalogist
 
Posts: 295
Topics: 9
Joined: 20 Mar 2014, 19:42
Location: California
Has thanked: 18 times
Been thanked: 35 times
Gender: Female

Re: Sedation Question

Postby msimon » 19 Dec 2014, 04:24

of course there is some debate about it:

http://www.redheadandproud.com/RedAcade ... rgery.html

Looking back, I am not sure if my anesthesiologist knew I was a redhead as I had a cover on my head when I met him. Maybe he noticed from my fair skin and eyebrow colour? Either way, I didn't feel anything until I woke up, in the recovery room.
Dec '13 Fissure from anoscope
3 X internal sphincter botox
'08-'15 Botox for pelvic floor dysfunction
Nov '14 LIS/sentinel tag removal
Feb '15 Deroofing of recurrent infection from LIS
summer '15-healed but still ongoing muscle dysfunction/pain
msimon
Moderator
 
Posts: 1343
Topics: 64
Joined: 08 Aug 2014, 19:38
Has thanked: 76 times
Been thanked: 154 times
Gender: Female

Re: Sedation Question

Postby chachacha » 20 Dec 2014, 10:09

I am not a redhead, but can't tell you how many times I've been assured that they would give me enough anaesthetic. My own dentist even used to send me with a note to specialists, because they never believed that I needed a 4 hour block for a short procedure, and would instead give me a 2 hour one that barely lasted that many minutes. I take two Tylenol 4's after my bowel movements (every three or four days), and they only sometimes provide a little relief. Over the last 20 years, I have had to go to emerg 3 times with a strangulated and thrombosed hemorrhoid and an active fissure, and after 5 or 6 rounds of morphine, they just give up on trying to find a painkiller that works. The last time I went, however, I had a brilliant young doctor who gave me a "local". I had to endure about 20 sharp needle sticks right in the anus and lower rectum, but it worked! I had just spent three full days in the bathtub (could not bear even being out for 5 minutes on that one), so was so incredibly grateful to be pain-free for awhile. And he also inserted a cigar-shaped dressing, that he said would hold the roids up inside the canal long enough for them to stay up (I couldn't even get them back in the hole during that episode). After that, I went home, the dressing fell out about 10 hours later, and the pain gradually went away over the next couple of days.

I have also never had any success with oxycodone and demerol, and honestly don't know if I want to go up to hydrocodone or something else stronger, even if there was a chance that they may work (I had been reluctant enough to use the original oxy's for fear of addiction, but they didn't work or produce any effect on me whatsoever).

I'm editing to add that the dental specialists still wouldn't give me more freezing, because they probably didn't believe my dentist about the issue either!
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
chachacha
Moderator
 
Posts: 1068
Topics: 19
Joined: 16 Jun 2013, 16:00
Location: Canada
Has thanked: 27 times
Been thanked: 199 times
Gender: Female

Re: Sedation Question

Postby ouch4466 » 21 Dec 2014, 04:03

I just thought I would chime in since I've had LIS surgery twice with just IV sedation and a spinal. I loved that option, I'm afraid of general anesthesia and I wanted to be more alert after surgery. The breathing tube is a standard thing for general anesthesia, at least in the US. The anesthesiologist told me that it's especially risky to not have a breathing tube for general when you're having anal surgery since usually you are laying prone on your stomach, with a wedge under you and your head down low. Anyway, for my experience, I was very happy with IV sedation and the spinal anesthesia. I was pleasantly calm from the sedation but still aware and able to talk, although in a drunk type slur. I felt nothing at all, only felt my lower body being moved around a bit. I had no pain and it was simple and quick. Before I even knew he started I was told that he was finishing up. The IV sedation wore off very quickly and no bad effects from it. I was clear headed and normal after. The one negative of having only sedation and spinal was that you are numb for a lot longer than if you had gotten general and a few local injections. It takes longer to be able to utinate since muscles down there feel very numb and takes a whole to be able to walk. So you do end up staying at the hospital a but longer. It was four hours the first time before I could walk and two hours the second time. I hope you can find a solution to your anesthesia issue. I too have trouble staying numb at the dentist but the spinal was fine.
ouch4466
Salt Bather
 
Posts: 33
Topics: 9
Joined: 17 Oct 2014, 03:46
Location: United States
Has thanked: 0 time
Been thanked: 2 times
Gender: Female

Re: Sedation Question

Postby chachacha » 21 Dec 2014, 09:36

Thank you very much for sharing your experience. I've had a spinal once (had both of my children via caesarian, one with an epidural and one with a spinal), but that was a long time ago, and I honestly can't remember how long it took for the effect to wear off. I had wondered if the CRS would be amenable to such an idea, or not, so will now at least put the idea in my quiver. Thanks.
Fissure since about 2007
Fissure diagnosed in 2011
Diltiazem for two years - didn't work well
LIS January, 2015
Hemorrhoidectomy December, 2017
chachacha
Moderator
 
Posts: 1068
Topics: 19
Joined: 16 Jun 2013, 16:00
Location: Canada
Has thanked: 27 times
Been thanked: 199 times
Gender: Female


  • Similar Topics
    Replies
    Views
    Last post

Return to LIS - Considering surgery or already had it?



Who is online

Users browsing this forum: No registered users and 0 guests