Hemorrhoid surgery recovery tips

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Hemorrhoidectomy recovery

I had a hemorrhoidectomy two weeks ago. The doctor warned me that recovery process would be painful. But I didn't think it would be this intense. Here are a few tips to ease the pain. It made a world of difference in pain management for me:

1) ice packs-- most ice packs are not shaped for your butt and the flat ones only numb the butt cheeks, not the surgical site where you need relief. So make your own! Buy diapers (any size 3-6) and fill it with 3-4 cups of water and put it in a ziplock bag (for hygienic storage) and in the freezer. Once frozen, the diapers are curved perfectly to your anus area and won't drip as it melts either because the gel is designed to hold in liquid. I use one diaper several times before tossing. Just put it in a ziplock bag and refreeze.

2) squirt bottles--clean yourself with squirt bottles, not even wet toilet paper or baby wipes were gentle enough post surgery when the area is extremely raw. I bought two big squirt bottles at the drug store and fill them up before any bowel movements.

3) Boneal-- after cleaning the anus with the squirt bottles, I apply boneal (otc lotion for anal cleaning) lotion on toilet paper and dab it on my anus. It relieves the pain and itching that come later in the healing process.

4) sitz bath-- Do this 2-3 times a day and definitely after a bowel movement. Sometimes, I have my bowel movements in the sitz bath to ease the pain. Just remember to rinse it with soap and hot water right away if you have a bowel movement in there so you don't sit in fecal water and develop a uti on top of everything else.

5) if possible, stick to lots of veggies and soups for the first two weeks to allow the wound to heal. No starchy foods and anything binding!!!

These tips were given to me by the maternity nurses after I had a baby, but they are completely relevant here and I am especially grateful for the ice pack diaper trick! It was the ONLY way an ice pack can be applied to that anus area and not to my butt cheeks. Good luck and speedy recovery. BTW-- get all this ready, especially the diaper ice packs before surgery so you will have it immediately after you come home from surgery. You'll be in so much pain and not very mobile, so have all the relief remedies prepared ahead of time!

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  • Posted

    Thank goodness for this thread. Upcoming hemorrhoidectomy in 16 days after failed THD surgery six months ago. With grade 3/4 hemorrhoids the ligation was unlikely to work. Drat! So many good tips. I'm not great with pain, but will have the diaper ice packs ready. Plan to take Valium and Tramadol. Also have Crohn's and IBS or I would have done this three years ago. That's a lot of butt pain. I also like the garbage bag lined bucket idea for the shower because I remember the first bm after childbirth many years ago. For me the post-operative management is the trickiest. I overdid the Miralax with the THD, and I think that led to failure. With Crohn's and IBS it is difficult to get it just right, either diarrhea or constipation. Taking at least 4 baths a day now, because I went on a Specific Carbohydrate Diet which calmed the gut, and then as my surgeon put it...I broke my butt by straining with constipation. Not very smart. I appreciate the honesty about the pain. Even if it takes a YEAR to heal, I look forward to long hikes, bike rides, just plain standing without prolapsing and thrombosing internal and external hemorrhoids. Thanks for all the encouragement. I'll keep you posted. Ready for surgery sooner if someone chickens out that is scheduled with my surgeon. Rapid healing wishes to all! smile

     

    • Posted

      Your story sounds a lot like me. I had really bad hemorrhoids too. It progressed to grade 3/4 too and with an anal fissure, it was severely painful. I couldn't walk at times and standing and doing anything was painful. The only relief I got was when I was at home, laying on my stomach after I would push the prolaspe back inside my bum. Not a great visual but it was all I could do. I'm so glad I did the surgery and much like you, my doctor had a cancellation and I hesitated for a bit but I'm so glad I did it and I did it at the perfect time. I wouldn't want to wait any longer so if you have the chance to go sooner, just do it. 

  • Posted

    Update 8/25/17. Thanks in part to this forum, and concern to get IBS under control first, I cancelled the surgery. Also, when an integrative doctor referred to the hemorrhoids as a flare, I realized that flares often subside. Thank goodness! Combination of the Specific Carbohydrate Diet, pelvic floor therapy, walking first thing upon awakening, swimming and time, my hemorrhoids have improved and have gone from misery to mild annoyance. Body heal thyself. I found a statistic that the number of hemorrhoidectomies performed has gone down drastically from the 1970s. I think there's a good reason. Try everything else first, including time. Good luck. 

     

    • Posted

      I am so happy for you! How long, did it take to heal and what grade were they at their worst? Mine were a grade three prolapsing and I am wondering if I should hang in there and see if they can be healed. I had mine literally erupt (major pain and coccydinia pain) 6 months ago. The coccyx pain syndrome has improved greatly and the hems somewhat. I'd have to have surgery with general anaesthesia. I have three hemmorhoids. How many did you have? Thank for your help, in advance. 

  • Edited

    Thank you for this post & to all of you who also shared your experience. I had my Hemorrhoidectomy surgery 9 days ago & thank goodness my experience is one of the good ones. 

    I wish I had gotten myself a sitz bath but used a make shift one for the first couple of days. The warm salty water really does soothe the sting, burning feeling. 

    Thank you to all of those that suggested squatting, gee what a difference that makes.

    I used frankfurts wrapped in plastic over gauze as ice pack. Again, thank you to those who suggested the sausage idea (it gets right to the area needed).

    Since day one I had a little bottle in the WC filled with water, rock salt & a drop or two of tree tea oil to dab area clean after every visit to the loo. When the pain got too much , I would soak the cotton pad & leave it on the area for a min, the cold solution (its winter in Melbourne) worked real quick to ease the sting. 

    Thankfully i only needed panadol for pain relief - one tablet approx every 4 hours for the first two days. At day 6 & 8 post surgery I didn't need any pain killers. This morning however, 5 BM's in two hours caused some pain. 

    Quality of life is what I said to my surgeon when he asked why I had gone to see him. I had stage 4 prolapsed haemorrhoids & was sick of them dictating when I can drive, sit, eat, sleep etc. I had them for 6 yrs over all & that was long enough. 

    For those of you that are petrified of the surgery as I was, I suggest you chose your surgeon wisely. A girl I knew returned to the hospital three times after surgery as she tore internally with every bowel movement.

    Being mentally prepared is another big one. Both for the discomfort, pain & restricted movement. At day 9 I'm walking heaps better & can finally accept that it is possible to return to work 12 days after surgery. 

    A big big thank you again to all who shared their experience, even the ugly ones as that helped me mentally prepare. 

     

  • Edited

    Hi all...

    I am a 28 year old female in U.K. 

    After having banding done and failed I went ahead with this surgery. 

    I was not warned how bad it would be. I was told I could drive after 24 hours.

    Boy was I in for a shock. I have two young children and without my real life guardian angel (my mother) I seriously have no clue what would have happened. 

    I ended up being discharged same day, and the pain was just unreal the following day. I had a high pain threshold USUALLY. I have had many lumbar punctures in the past, didn't flinch, I've had brain surgery, broken bones, hell I even pushed babies out my hoo-haa! But this.. oh my days.. this was WORSE than all of them combined at once. 

    My infection levels in my blood were high so I was readmitted. For 4 days all I done was basically moo like a cow in pain. The nurses didn't know what to do. Sometimes I felt like they were scared and had ran out of options. Pain killers Barely worked, even morphine. 

    It's been 7 days now since surgery, I had first BM yesterday it was horrible but I was prepared as I had by now read up on it. The preparation most definitely helped me with that,

    That's why I'm so mad the doctors didn't tell me I would be incapable of looking at my kids, etc. 

    I can't walk or stand up for even a short period of time. It feels like I have a big huge weight sitting within my pelvis that's just above to implode and smash my whole bone structure up and hit the ground. Even my lady parts hurt. I have a black bruise near by anus and I also had the lumps but I've read they're normal.

    This thread had honestly done me the absolute world of good. I want to thank each and every one of yous.

    I was beginning to think, am I ever going to be better again? 

    Will I feel this way forever? Because each day I would wake up and it would be just as bad. But for the first time all week, you guys have given me hope.

    My stomach is so swollen but I have problems anyway, I struggle to excavate my poo I have very weak lower bowel muscles. I have to use irrigation usually but I am NOT putting anything up my bum hole for a LONG time. Even if Brandon flowers walked in the room and offered me it there and then... 😂😂

    But yeah, thank you guys.

    I will pray for each and everyone of you and also for future recipients for this awful horrible procedure. 

    (I've had open brain surgery numerous times and it was a piece of peepee  compared to this.)

    I have been doubled over every day since the op I have flare ups about 2 or 3 a day where i just cry and cry and I honestly don't ever cry. I'm usually so brave . 

    I wouldn't wish this on my worst enermy.

    I'm just praying, this is all worth while. 

    (P.s my doctor said don't eat fruit as it's the wrong kind of fibre, just stick to cereals etc, dunno if that's help to anyone.)

    I honestly do not KNOW how anyone has gone to work the week after . I am walking like a penguin, actually though.

    I'm covered in spots too and just generally feel like crap.

    Sorry to be so negative guys but prepare , and I'm so glad you all know what I'm going through. I honestly thought they had left like a tool inside of me or something that's how bad the pain is.

    Good luck everyone. 

    Xx

    Holly

  • Posted

    I was so grateful to have come across this thread, I've read so many of your responses when I was in need of recovery tips, or just encouragement. I thought I'd share my own experience thus far for others who were lucky enough to get this done wink

    Going into the surgery I was very worried about the pain, but it hasn't been nearly as bad as I expected. At its very worst, I'd say it feels like somebody with a sharp fingernail stuck their finger in your butt and left it there. Really uncomfortable, but I could talk and function through the pain. I avoided narcotics (since they cause constipation) and instead alternated between acetaminophen and ibuprofen every 3 hours to keep a therapeutic level in my bloodstream at all times for the first week. I also was given a shot during surgery that numbed the area for 3 days, that helped to get me over the worst of it. As people say, having a BM is terrifying each time, but I kept on fiber supplements and stool softeners and it wasn't terrible. No wiping, just pat the area with TP until you're reasonably clean (or until you cant take the burning anymore) then jump into the tub. Have the bath filling up as you're going so its ready to sit in immediately afterwards, then I would follow up each bath with a shower. Sometimes the warm running water felt better than the bath! 

    Being a woman, I didn't think I'd mind the blood, but its always concerning when your butt is bleeding! The bleeding was the worst days 1-5, and even then its not that much. Not anything like a menstrual cycle. I would see a few drops into the toilet when I peed, and there would be streaks on the pad in my underwear. There is always blood on the stool during a BM (even now 12 days in), but it isn't a lot. By day 6-7, the bleeding is more of a weeping. No streaks in underwear, but if I blot the area, I'd see blood. The worst part about the 2nd week is the moisture. The wounds are healing so there is some discharge and blood and its so uncomfortable to feel wetness between your butt cheeks. I would blot with wet TP and dry off multiple times per day. Try to keep the area as clean and dry as possible to help with healing! 

    I am now 12 days in and the pain is negligible, I'm reducing the OTC pain meds I've been taking too. However, I'm starting to itch, but I'm grateful that it means I'm healing. My nurse recommended Balneol lotion as a safe product to pat the area with to keep it clean and help with the itching. BMs still hurt, but the pain subsides much more quickly than last week (10 mins vs 4 hours). I still use a bath right afterwards to kill the pain. As such, I keep my mornings sacred to allow myself time to go to the bathroom and clean myself afterwards, even if it means getting to work a little late. I would not want to get stuck having to go at work! 

    Plan on taking at least a week off work, more if your work involves lifting or a lot of movement. I had somebody else walk my dog (who pulls on her leash strongly) for 2 weeks. I cut down on starchy food and added more leafy greens and fruit to my diet and ate plenty of protein to give strength to the healing process! 

    Best of luck to all going through this long and uncomfortable process. This is not a procedure that many feel comfortable opening up about, so I'm thankful for channels like this one where we can share our experiences openly! 

     

  • Posted

    I'm so glad to hear others share their stories. I didn't have the courage to talk to anyone about it except a close friend and I just mentioned going for surgery to my sister who I didn't tell the entire story to. But it's nice to hear it's so common and everyone's stories are different in some way or another. I'm about just over 3 months post op and I feel great. I do always feel like I may have something down there just because after suffering for 12 years, it's an odd feeling to not feel pain and discomfort anymore. 

    I do have troubles having a BM in the mornings and find I have to force it out with a push at times and that worries me. But I'm trying to stay on top of my diet too. I'm a picky eater as it is so when they limited the foods I can eat, it turns out that that's majority of the foods I already eat so eating is even trickier now. I've tried new things and even tried cooking new recipes and trying new things. I'm eating lots of salads too to help with the BM. I'm just glad I do not feel the pain and suffering that I did years before. I can't believe I waited this long for relief!

  • Posted

    Lots of good tips on here.

    Currently on waiting list to have internal ones removed after failed thd for prolapsing hemmorhoids. Really scared of the pain and complications (stenosis/incontinence) and long recovery. Can anyone tell me what sort of pain medication you are given in the uk?

    • Posted

      Hi, 

      I am currently day 9 post op and can honestly say I do not feel too bad in comparison to how I felt days 1-7.

      I’m in the UK and was only given metronidazole (antibiotic tablet -5 day course) and lactulose (stool softener), pain meds were not prescribed, I was advised to take paracetamol and ibuprofen when required. I spoke to my GP day 2 post op, they prescribed instillagel which acts as a local anastectic aswel as an antiseptic, you apply this before and after every bowel movement.

      Having had a child I can confirm the pain following this operation is way more excruciating, however, my advice would be to rest lots and bath as many times as required as it does help with the pain. I bath every morning, lunchtime and evening religiously and in addition after every bowel movement. I add Epsom salts to the bath which seem to be helping.

      I am not fully recovered but I am certainly on the path towards it, I stopped taking pain meds on day 6 and although pain is still bad during bowel movement, a bath eases this within 5-10mins.

      I would recommend at least two weeks off work, I was given a sick certificate by the hospital.

      There is lots more I can share about my recovery so please let me know if you have any more questions

    • Posted

      Hi, that all sounds really positive and so nice to hear about this without too much horror. hope you have continued to recover. Could you tell me did you have a traditional hemmorhoidectony and if so did they use the open or closed method with the wounds?
    • Posted

      Hi, 

      I did have a traditional hemorhhoidectimy and my wounds were all left open to heal. I’m 3 weeks 2 days post op and feel brilliant, I am still a little swollen but they did say it takes a while for the swelling to subside.

      The instillagel I got from my doctor was a real help with the pain over the first 10 days especially, would highly recommend!

  • Posted

    Hi.  

    I was given no painkillers and had to use common sense in medication, I did find it strange that I was given nothing at all and the surgeon did not even told me what exactly was done I still am bit p****d of but I must say it is an relief to be without continuous discomfort and blood on bm so if you get nothing I did buy over the counter painkillers and used oil for stool softener  any veg or fruit oil 

  • Posted

    i had staple surgery for piles 2 week ago (3 oct 2017)along with latern spinchtomy for fissure as well, i had grade 3 hemorroids .2 weeks are passed, pain is no more only while passinG the stool i feel little bit pain but i see some blood drops whose color is lite red .is it normal??  3-4 BM in a day. i am not able to control my BM. please guide me for the blood leakage and frequently BM.
  • Posted

    I agree with all of the above advice, I am disappointed that there isnt anything else to help with the pain,  regular local anesthetic injections would be nice, packaged in the way a diabetics insulin is with a pen type injection. 

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