My experience 5 weeks after Haemorrhoidectomy 

After 5 weeks of doing the operation and especially after passing through some really horrible times of pain and misery I promised myself that I owe it to everybody out there to share my experience so that you can derive benefit out of it. I had suffered from haemorrhoids for 20+ years and it is only because I became severely anaemic due to blood loss from passing stools that I was forced to do the operation. With hindsight I could have avoided 20 years of misery, of lost sports, of severe discomfort in cars and planes by taking the plunge and doing it earlier.

 

First and foremost, Haemorrhoidectomy is a very common operation and albeit there is a very small percentage where things get complicated the cases are getting less and less each year. I'm saying this because each and every person that does this operation will pass through so much pain that instinctively he or she will think that they are one of the few that is unlucky.

 

Secondly the pain WILL PASS!

I repeat it WILL PASS!

The absolutely horrible, can't take it anymore, about to throw up, about to faint, never going to be the same, never going to be happy, stuffiness, bloated feeling, blade cutting through your backside pain WILL PASS!

 

Realistically a person who does this operation will experience two annoying factors namely pain and discomfort. In the first few days the pain is so bad that you cannot think of anything else including the discomfort. After that the pain between going to the bathroom will slowly subside but the discomfort will increase primarily due to constipation. Hereunder please find my tips and what I would do differently if I could go back in time.

 

1.   Increase your intake of fresh fruit and vegetables and water weeks before the operation to soften your stools and prepare your body for a life change. This diet change is a must EVEN AFTER the operation unless you’re a masochist and want to pass through it again.

2.   Cut out anything that might make you constipated – research. This includes alcohol, caffeine, chocolate, refined foods etc.

3.   Do a fresh water enema the day before the operation.

4.   Do a list of all the things you missed out on because of your condition and promise yourself to enjoy life more after the operation and to take care more of your physical well being.

5.   Mentally prepare that you are going to be in severe pain but also be aware that this is only temporary and that you’ll be tons better after that and the effort would have been worth it. Incidentally I was in excruciating pain for about 5 days, in agonising pain 5 days after that and in manageable pain 5 days after that. By the end of the second week I was 60% better. By the end of the fourth week I was 90% better with only the annoying leakage to take care of. By the end of the fifth week I’m 95% there.

6.   Try and limit pain killer as much as possible as they will slow your digestive system and the resulting constipation is worse than the pain.

7.   The feeling of still feeling massive haemorrhoids after the operation is normal. This is due to the swelling. The importance of having formed stools that are SOFT is important. Underline formed not diarrhoea as you need your system to re-function even if it means a little more pain.

8.   The feeling of passing sharp blades during the first few days is unavoidable. This mixed with blood and excrement is not a pretty felling or site but I PROMISE YOU it will get better.

9.   Keep the are dry otherwise you’ll develop sever rash – been there done that – more pain to avoid.

10.                 Keep moving. The more you move the better your digestive system works, the less laxatives, the less bloated feeling, the happier you will be.

11.                 Be prepared to go the bathroom at a moments notice.

12.                 Run a warm sitz bath often – it does wonders to sooth the pain

13.                 Squat not sit to pass stools. It’s easier to excrete, less painful and quicker. I’m still squatting and there is no way I’m going back to sitting. Before I sometime spent between 30 – 45 min on the loo. Now I’m in an out in 3 minutes.

14.                 Keep the area clean. Use a bidet, shower or whatever you want. Use only toilet paper to pat dry the excess water. Again with hindsight this should be norm. After all if you covered you hand in excrement you wouldn’t simply wipe it off with toilet paper but you’d wash the hell out of it.

15.                 Drink lots of water and take a reasonable amount of fibre. Taking fibre without water is a recipe for disaster.

16.                 You are going to have to live with sanitary pads for a few weeks until the area heals sufficiently. It will get gradually better. I have gained a new respect for women who have to wear these things once a month; very annoying.

17.                 After you recover promise yourself to share your positive experience and the things that worked out for you on a blog for the benefit of others. It’s kind of a chain get better advice blog.

18.                 Most important of all – KEEP POSITIVE and take care of your health. You only have one body.

 

 

Thanks Glen,

i am on 3 weeks and 4 days and believe I'm over the worst. I can relate to your story. My anxiety was that after two weeks I still had what I thought was a pile still prolapsed and had to speak to my consultant for reassurance that it would go eventually. He said about 4-5 weeks from op. On the day of my op I was told it would be 1 to 2 weeks so was quite surprised that I was still on Tramodol 3 weeks later and so were my employers. I will leave it until my 5 week before I tell my story when I hope I will be recovered and not wearing pads and applying sudocream anymore. 

Thanks. 

Keep it up Gordon. And thanks for reminding the readers that Sudcreme works well for the rash. Yes the pads are annoying - I stopped using them now but they can avoid you some embarassing patches on your backside when you go out; so better safe than sorry :-)

Keep it up Gordon. And thanks for reminding the readers that Sudcreme works well for the rash. Yes the pads are annoying - I stopped using them now but they can avoid you some embarassing patches on your backside when you go out; so better safe than sorry :-)

Hi and I bought a squatty potty so I can squat rather than sit. Also toilet wet wipes are useful. When the prescription laxatives are finished prune juice is useful too but you still need to eat plenty of greens and stuff. 

Plus water is very important. I'm always being told to drink more water but until I had this op I didn't realise how much it helps with bowel movements. 

I have my hemroid stapled a few months ago for my prolapsed hemrriods. they were pretty bad probably a Grade four. do tell me the worst pain I've had in a long time but the pain finally stopped around 3 or 4 weeks but I can see you have pain with bms at times. the now I'm frustrated because I still have a few externals that are still there and it still bother me. my doctor told me to wait a few months as it will shrink but they have not so and not have to go in and get them cut off. there are only just a few maybe half of my anus has it, nothing compared to what it was in the beginning but I don't want to have to go through all of that surgery to still have them.

thank you for your absolutely detailed and helpful note!  I have hemorrhoids too but only off and on and certainly not anywhere close to requiring surgery, at least so far.  I always have kept a diet rich in fibers and a lot of fruits and always have been in the habit of drinking 2 full bottles of water a day starting in the morning.  I think that's what is keeping the severity at bay.

i am glad for you that you are done with it and doing better now.  I am saving your note, hopefully i will never need it for encouragement, but as i get older things change fast.  And every day.   Thanks Glen 😊

I am  also concerned about what feels like an external pile but it's the root of an internal one that was cut and is still,outside. It should go back but 3 and half weeks and still hasn't. I am told to wait two more weeks. It's still swollen. 

Hi Kalean

A word of advice. It's better to nip them at the bud, literally . If you treat them as Grade 1 or Grade 2 you have a number of surgical options that are at worst uncomfortable such as ligation. But if you procastenate you will have no otion but to go for the nip&tuck and that my friend is painful.

If I were you I would go for an opinion

I can only tell you what the doctor told me.

It appears that once they reach Grade 3 or 4 the odds of success falls dramatically. Mine were grade 3 and I tried laser - didn't work. I don;t want to be the bearer of bad news but if I were you I would ready myself to go all the way.

Go for a third party opinion and see what they tell you. While the pain is sever for the first two weeks if I could go back in time I would have done it a decade ago.

Hi Gordon,

I decided to squat right on the toilet :-) My only concern is that some of the new modern ones are supended from teh gfround and hung to the wall so my fear is that one day I'll be caught in the bathroom with a broken toilet - be very hard to explain - lol

I had a small welling on the external side and round about the fifth week it nearly dissappeared. The total healing time for the operation varies from 8 - 12 weeks. As long as you are gradually getting better I wouldnlt worry about it

Seems to be improving very slowly thanks. 

I agree. 20 years ago I had them dealt with in outpatients then left it over 15 years ignoring it and had to have the open surgery one. 

I agree. 

A friend from the east suggested a squatty potty that just makes it easier to squat on the loo without sstanding on the seat. It's basically a step really. 

thanks Glen, my hemorrhoids were pretty bad they're probably grades for they could barely fit into the tool they used to for stapling. so when you mean go all out you mean getting them straight cut off? I'm going to go back probably in October or November to get them checked out again. she says that if they're still there that we could talk about getting them cut off. I don't know but pain wise but the stapling was pretty bad it was really severe for the first probably two weeks going to the bathroom was horrific. I'm just hoping now that if I do to the next stage of cutting them off that since its only half of my anus that it won't be as bad.

hi Glen im so glad to read this, my hospital did not repeat did not prepare me for the after affects at all - i am now stuck in straining and needing to go and cannot ignore it and sometimes passing some small stool bits or nothing and ending up in doubled over agony. i am now just over two weeks after the op, and i know the cause of my straining is the swelling but its catch 22 - any tips - this has been the worst htree weeks as i cannot go out as soon as i stand i get the urge to go?

and also ive ordered the squatty potty to stop it ever happening in the future

sorry for the late reply as was out of town. My only suggestion is to keep your stools naturally soft. So natural fibe in reasonable quantities, loads of fresh water and move, move and move to get the system up and running. Avoid pain killers at all cost unless you are really in pain. Funnily enough ther comes a day where you are 50% better overnight - I hope it comes soon