So I have really bad stage 3 internal hemorrhoids that prolapse everyday and bleed badly. I’ve had these prolapsing now 2 years, every day. They’re getting worse, never better, and it’s getting more painful to push them back in. Daily hygiene is time consuming and I’m forced to clean the blood off the toilet every time. I have no external hemmoroids or fissures. I had my first exam this week and the doctor gave me a full exam. Afterwards, she stated “you have so much tissue I’m not sure there’s anything outside surgery that will work.” She sat there thinking to herself and said “we could try banding but I’m not real optimistic it will work.” She went and spoke to a surgeon for a 2nd opinion and came back and said “well, we could try banding and see what happens. There’s nothing really to lose”. So I accepted and she did one band telling me “I got alot of tissue. We’ll see what happens. We’ll schedule you for 4 week’s and if it’s successful, we’ll do 2 more that day”. Well within 15 minutes of leaving her office, I could feel some pretty bad pain and I felt like I really needed to use the bathroom. I got home, went to the bathroom, of which there was nothing, but as is always the case, my hemmoroids prolapse out and I’m forced to push them back inside. When I did, the band she had just put on, was stuck to my finger. It fell off. While I was kind of relieved because the pain instantly went away, I was thoroughly disappointed because I was hoping this might work. So now I don’t know if I should even bother trying banding again or if this means banding isn’t going to work for me ??? Is it the prolapsing that might have caused the band to fall off ??? I can post pictures of what I’m dealing with but I’m not sure anyone wants to see this. They’re really large, both in depth and circumference. I’m afraid if I don’t get these taken care of, I’ll be at stage 4 soon and in much worse shape. It actually looks like I have rectal tissue that’s prolapsing too. I just don’t know but I’m really desperate.
I ended up having surgery. Standard partially closed hemmoroidectomy. While I had 2 internal hemorrhoids taken care of, the bigger issue for me was a mucousal prolapse. I had a lot of tissue coming out that had to be removed, so surgery was my only option. My surgeon at The Mayo Clinic in Rochester, MN did a phenomenal job. I have zero problems and it’s been five and a half months since my surgery. The pain was not as bad as I expected. Days 3 - 5 were the worst for me, but absolutely bearable. My surgeon used a long acting, local anestitic called “Exparel” which I would strongly recommend to anyone having this surgery. I felt ZERO pain for the first 48 hours after surgery. I mean NONE !!! I felt so good after surgery, I came home and actually worked out that night and the following day. It starts to wear off after 48 - 72 hours and that’s when the pain started kicking in. I took Oxycodone for days 3 - 5 and it wasn’t too bad at all. The Exparel is incredible. I’d definitely do it again if I had to. The recovery, or healing, took a lot longer than I expected. It took a full 2.5 - 3 month’s to fully heal, but after the first week, I was back at work and suffered little pain. Feel free to ask any other questions you might have.
previous to this did you try banding?
how often did you bleed with bm?
did you try stool softeners?