Décompte avant hémorroïdectomie

41 year old male. Had piles on and off since I was 15 (damn exam stress). Last year things got worse, explosive toilet sessions, blood everywhere... Decided to go see my GP, it was a new doctor, heard my symptoms and immediately referred me to a hospital. A few months later, saw the conflating (nice chap) and advised to go for the chop.

was due to have a pre-op on 22nd Feb but they had a cancellation so moved my procedure to 11th!

is there anything I can do to prepare myself in the remaining few days?

Bonjour, je suis désolé, je ne peux pas vous aider concernant la réparation car je ne l'ai pas faite, mais peut-être pourriez-vous m'aider, s'il vous plaît. J'ai des hémorroïdes depuis que j'ai eu des enfants... il y a 47 ans. Récemment, elles sont devenues très graves et je m'inquiète terriblement, je pense à toutes sortes de choses. Cancer par exemple ! Les épisodes aux toilettes sont horribles, mais je ne savais pas que les hémorroïdes pouvaient être en cause ! Elles sont exactement comme vous les avez décrites. J'ai une forte anxiété liée à la santé, ce qui me rend incapable d'aller chez le médecin ! Stupide ? Vous avez raison, c'est stupide ! Je me sens stupide d'écrire cela, mais j'ai besoin de savoir que ce que je ressens n'est pas mortel ! Je vous serais extrêmement reconnaissant pour toute information. Merci d'avance.

I too was worried about it being the big C, but felt a huge relief after a blood test showed nothing sinister. My friend nagged me for years to go to the doc's as she has a similar condition but I kept putting it off, until it got so bad that pretty much every visit was a blood bath. When it just kept dripping like a tap for 20 minutes, with no sign of stopping - that's when I made the choice to bite the bullet and go to the doctors. I'd been a few weeks earlier and was prescribed suppositories but they didn't do anything. This was a different doctor and I explained my symptoms and they immediately referred me to a consultant. The loss of blood, the fact it was happening when I wasn't on a toilet probably convinced her. Maybe it was because she was a woman doctor rather than a male and had more empathy, I don't know. I'm glad that it is being taken seriously (which was one of my worries in the first place) but a bit nervous having read lots of horror stories on the net. There are a few good stories though, I suppose those who have the op and it goes OK for, don't feel the need to complain on the web or seek advice.

If there is blood, spattered all over the pan, a drip, drip of blood for a few minutes after, it may well be internal hemorrhoids. There was never any pain with the passing of blood. Just an ache from the swollen external one after the bowel movement. Then I'd need to sit a warm bath for an hour and then lie down in bed on a hot water bottle (sitting on one now)

If you can force yourself to the doctors, be honest with them about the situation (hopefully you'll have a good doctor like I did the 2nd time around) then the process of fixing it can start. We all have internal hemorrhoids, but some of us have bigger ones that pose problems. I just hope I've got there before I needed a colostomy bag or something similar.

Good luck with your situation and I hope you get the treatment to let you live your life to the full.

Callum

Merci beaucoup pour votre réponse. Puis-je vous demander si les hémorroïdes ont affecté vos mouvements intestinaux ? J'ai toujours l'impression que quelque chose bloque les miens. Je souris en pensant que je peux avoir cette conversation avec un inconnu, mais qui connaît ces choses si il n'a pas souffert ? Je vous souhaite bonne chance pour votre opération. Veuillez nous tenir informés ! 

The piles affected my bowel movements in as much when I strained in the movement (due to some food stuffs affecting me, probably a sort of IBS), they swelled up. Then it feels as though you need to keep having a poo, due to the swollen hemarrhoid feeling like a stool that needs to pass, so you keep straining, but nothing comes out apart from hemarrhoid and blood. A bit of a vicious circle. I'm slowly re-training myself in terms of going to the toilet. A year ago I would be going about 5 times a day, now I've got it down to once or twice. I've also managed (through my diet) to alter the stool consistency, from a mousse like stool, to one that actually maintains its shape.

I'm quite enjoying talking about it online, wife doesn't like the topic of conversation. A lady I knew as a cleaner about 13 years ago had the operation and told me it changed her life for the better. Fingers crossed it happens to me.

Tuesday is my pre-op, lets hope I pass it.

Callum

Callum, tu ne sais jamais à quel point tu m'as aidé ! Merci beaucoup ! Tu as décrit à la perfection ce qui m'arrive ! J'aime particulièrement la description de la mousse ! Lol. Mon partenaire est exactement comme ta femme ! Il n'écoute pas. Il continue juste à me dire d'aller chez le médecin. C'est la chose raisonnable à faire, je le sais, mais essayez de dire à un arachnophobe que l'araignée est maintenant son meilleur ami ! L'angoisse déclenchée est paralysante ! De plus, le besoin constant de « aller ». Je suis sûr que ce n'était pas seulement les hémorroïdes qui m'empêchaient de fonctionner, bien qu'elles le soient ! Encore une fois, merci beaucoup de m'avoir aidé à apaiser mon esprit, et aussi tout le meilleur pour ton opération. J'espère que quelqu'un pourra te donner les réponses que tu cherches en ce moment, et je garderai un œil sur ton message pour savoir comment ça s'est passé. Sois préparé... Je suis sûr que j'aurai encore plus de questions pour toi ! J'espère sincèrement que tu n'y vois pas d'inconvénient. Tu m'as tellement aidé. Merci un million de fois. Elizabeth.

Callum, tu ne sauras jamais à quel point tu m'as aidé ! J'ai particulièrement aimé la description de la mousse ! Lol. Qu'est-ce que tu as changé dans ton alimentation ? Mon partenaire est pareil que ta femme ! Il ne veut pas en parler et me dit juste d'aller chez le médecin. Ce serait la chose raisonnable à faire, mais c'est comme dire à une arachnophobe qu'une tarentule est sa nouvelle meilleure amie ! L'anxiété est paralysante ! Tout ce que tu as dit, je peux l'appliquer à moi-même, mais sois prêt ! Je vais probablement te poser plus de questions ! J'espère sincèrement que tu ne m'en veux pas ! J'espère que tu pourras obtenir des réponses à certaines des questions que tu te poses en ce moment. Encore une fois, très bonne chance pour la pré-op et l'opération qui suivra. Je resterai à l'affût des publications. Tu es une star de prendre le temps de répondre. Merci mille fois ! Elizabeth

Hello,

Is you pre-op or your procedure on 11th?

You don't need to prepare for the pre-op, that will just be a million questions and a blood test.

For the procedure, make sure you drink plenty of fluids and take ducasate. The hospital might say 2 a day but you can actually take 2 twice a day if required to get your movement soft. You don't want it to be runny, but the softer it is the easier it will be to pass and the less you will need to strain. I use a 750ml bottle to drink from and made sure I emptied it twice a day plus a glass of water with each meal.

I prepared for mine by having homemade smoothies everyday for a week before (and several weeks after) with flax seed, pumpkin seeds and goji berries to increase soluble fibre in my diet. I also bought liquid iron supplements to try and help me not be so tired from the blood loss.

The other thing that really helped me was getting a sitz bath. It's like a child's toilet seat with a sold bottom that you can put in the toilet and fill with hot salty water after each bowel movement. It keeps keep it clean and is really soothing. I'd have one at least 4 times a day even without a bowel movement.

Also buy a child's toilet step or use something similar (I had a little pouffe) to raise your feet when you have a bowel movement. Lean forward and try not to strain at all as this will minimalise pain and straining for a fast recovery.

Buy some special incontinence wipes to clean yourself rather than using tissue. It does a better job, keeps it clean and is much less painful.

Also get some thick incontinence pads. This will help keep it dry, stop and leaks as you will spot blood for a couple of weeks and it will also help pad your bottom for comfort.

I also bought a doughnut inflatable cushion which helped on my journey home going over speed bumps etc when I left the hospital but it was embarrassing to take around and also put pressure on my bottom. I then got a cheap aeroplane neck cushion with polystyrene balls in it and used this to sit on. It was really useful to take out and about too.

Lastly, get a hot water bottle. It helped me relax if I had a bowel movement right before bed.

You'll probably get paracetamol, ibuprofen and dyhydrocodeine from the hospital. The dyhydrocodeine causes constipation so try to take it for as little time as you can. It also causes nausea for the first day or so and I found I struggled to eat much for a day or two. The amount of ibuprofen you need can cause stomach problems so I ordered gastrozyme from nutri-link to stop the effects. It makes your stools green so don't be alarmed!

Lastly, I prepared a few meals and put them in the freezer. I got an organic chicken and roasted it then put the carcass (not stripped too much) in the slow cooker for 24 hours with a few drops of cider vinegar to help break it down. I then strain out the bones added onion, carrots, some of the chicken, Rosemary, thyme and a little potato and let it cook for a few more hours then cooled it, blended half of it and dropped it back it then portioned it up in old soup pots and stuck it in the freezer. The bone broth is supposed to be really good for healing but also it was easy to eat, easy to prepare afterwards, easy on the stomach, easy to pass and fairly bland so still edible if you feel nauseous.

Also, stewed apples with live yogurt and a big spoon of flax seed is a tasty treat and easy to eat etc.

In terms of exercise, I didn't do much but found I could walk for about 30 minutes daily. This helped with bowel movements too. I walked 2 hours on one day about 10 days after and found this too much but I'm sure everyone is different.

I know this is a lot of stuff and can sound like a lot of work but it isn't really and helped me so much. There are many horror stories on here and it's true that it's not a nice experience but I haven't suffered anywhere near as much as some of the people on here and my bleeding stopped after 2 weeks which is pretty good.

I'm now 4 weeks post op and feel pretty good although I'm still tired and a bit slow, but I've had daily bowel movements (apart from one day post op) and I seem to be healing well.

Good luck and let me know how you get on.

Just a small extra note!

You're going to be really sleepy for a few days from the general anaesthetic and as healing takes a lot of energy!

Make sure you have somewhere comfortable to hide and don't feel guilty for sleeping so much.

Thanks for the advice Ouchies. I'm drinking plenty of liquids and eating plenty of bran in preparation for this first bowel movement after the op...

I'd be careful with bran as it's insoluble fibre and might cause quite bulky bowel movements. Fruit and fibre made my haemoroids unbearable. I kept eating it as I didn't realise and it ultimately lead me to decide to have the surgery.

It was only in my research after that I realised this which is why I switched to flax seed in smoothies and on stewed Apple as this is soluble fibre and makes the bowel movements soft without the turbulence!

Cheers, I took on the bran as I was fed up of having poos with the texture of whipped cream and needed the bulk to try and form a solid. How about bananas?

Bananas would be good but I'd really get ground flax seed to put on your food. Two tablespoons of flaxseeds contains about 5g of fiber which is1/4 of your RDA. The fiber found in flaxseeds provides food for friendly bacteria in your colon that can help cleanse waste from your system. It is 50% soluble and 50% insoluble fibre so will help get you to the right consistency.

Too much insoluble fibre is going to make your bowel movements really painful and won't allow you to heal quickly.

Once you are taking dyhydrocodeine and iron supplements (I'd buy these and take them on the days you bleed) you will become more constipated as the drugs slow your intestines in allowing your bowel movement to absorb water so it is going to firm up anyway.

The hospital will also give you laxatives but I did not take these as they can really unbalance your gut, ridding it of good bacteria but with the flax seed I never really needed to. There was one or two painful hard ones after I'd taken the dyhydrocodeine so I increased my dulcosate dosage and tried to drink more on the days I was taking the dyhydrocodeine and iron.

If your bowel movements are fairly turbulent I would definitely urge you to buy a sitz bath. I got mine on Amazon next day delivery to make sure I had it in time and it really was a life saver. Sometimes I would get muscle spasms and the bath and a hot water bottle were the only things that helped it relax.

Passed the pre-op. All systems go for Thursday. Have bought stool softener, squatty potty, flax seeds, vitamins and cod liver oil for after the op. Annoying thing is, bottom seems to be behaving itself now!

Bonjour, c’est la loi de Sod pour vous ! Ce ne sera pas long avant que tout soit terminé ! Je vous envie vraiment. J’essaie toujours de comprendre comment aller chez le médecin ! Avez-vous déjà dû prendre du fer pour une perte de sang ? Qu’avez-vous fait pour « renforcer » vos selles ? Quels adoucissants pour les selles avez-vous achetés ? Qu’avez-vous fait cette fois pour faire obéir votre derrière ? Pensez-y, très bientôt vous aurez une vie après les hémorroïdes ! Lol. Vous pourriez bien être celui qui me persuade… après quelques mois toutefois ! Comment vous sentez-vous à propos de l’opération ? E.

Great! Good for you. Did you buy the sitz bath too or does the squatty potty double as this?

It's good that it's calm at the moment (the calm before the storm?) as you'll be having surgery when it's not angry which might make it less painful. It's possibly better if you're drinking plenty of fluids too which shows this helps so keep it up post surgery so it never comes back.

Try and relax and stay calm. It is going to hurt but I found it very manageable with the pain killers and diet improvements.

They will also give you a local anaesthetic while you are under which lasts 24 hours and really helps! They offered me oral morphine as soon as I was awake and I accepted and this took the sting out until I went to sleep again.

I'd suggest popping out your pill dosage before you go to sleep on your bedside table with a glass of water beside them so you can easily take them in the night if you wake up. If you have to fiddle around with the packets it might wake you up more and then keep you awake when you just want to go straight back to sleep.

I forgot if I said to get some wipes too so you don't have to use tissue for a while. Make sure they're not perfumed and as natural as possible.

Good luck for Thursday.

Well, the countdown is well and truly on. Nil by mouth now (and really thirsty but want to be clear for the anaesthetic). I've got everything ready, bath, potty, wipes, flax seeds, stool softener. Not going to be able to sleep though I guess.

as for firming my stools up, I found that eliminating meat and processed food helped a little. The big game changer for me was my packed lunch at work. Bananas, dry white bread toast and raw veg. It just seemed to make them less moussy and more in the middle of the Bristol scale.

Also have tried the squatty potty. Feels odd, but last two BM have been perfect. Why it is suddenly behaving I don't know.

ill start a new thread possibly and give a day by day account of the aftermath of the op.

bye for now.

Bonjour, désolée d’être en retard, mais j’espère que tu recevras ceci avant ton opération ! Pense juste à ça… demain, à un moment donné, tu seras libre de toute douleur !!! Haha. Je te souhaite tout le meilleur et j’espère que tout se passera à merveille ! J’attends avec impatience tes messages. Rétablis-toi vite. E.

Good luck and sleep well!

Let me know how you get on.

All done. Will start a new thread for the post op