My Experience - 7 Weeks After Nhs Halo And Haemorrhoidectomy
Posted , 64 users are following.
I am a 49-year old male and had stage 3 piles for about 5 years. They never really caused me any pain or suffering per se but were an inconvenience. I had been to my GP ages ago to make sure it wasn't anything serious. Towards the end of 2009 I decided to see what options I might have for sorting them out as I figured I wouldn't want them to get worse and despite being fit and healthy and eating well, they had not gone away of my own accord.
I went to my GP and she did a digital exam and said they were very small - didn't seem like it to me - she said she could refer me if I wanted but I declined. A few weeks later I figured I was copping out and returned to get a referral. I went to see a consultant locally who got me to come back for banding. This was very easy and though it was a bit uncomfortable I was optimistic that it would sort it all out. It didn't - even though it seemed like it would work it in fact made no difference whatsoever. I returned to him and he said he would try the schlerotherapy and another banding as they were quite big and the portable banding machine wasn't up to it. Again nothing really changed.
I read all these forums and was in two minds like so many others whether to pursue it any more. After all I was not in pain per se and clearly some people have really awful experiences, sometimes made worse by the tteatment - I knew I certainly didn't want anything slicing off! I read up what I could about HALO but it seemed to be mainly sales pitch. I decided to see the consultant again and ask him about it. He said he didn't know anything about it but his next step would be banding under GA and he was confident that would do it.
For one reason or another I wasn't convinced and so I called the HALO people and found out where there was locally that did it. They also told me how much it would cost privately (?3k+) but that with a referral I could probably get it on the NHS. A few weeks later I had a session with a consultant who explained the whole thing - also diagnosing a polyp as well as piles - which would never have responded to banding so I was glad to have taken the 2nd opinion. Anyway he put me on the waiting list for a polyp exision and possible HALO.
Time came around in about 6 weeks and I went into hospital for the first time in my life to have day surgery. I was apprehensive but quite positive. The whole experience was very reassuring - the staff were great and I felt very cared for and the surgeon was friendly and explained things. I signed on the dotted line, had my pre-med and felt the curtains close
Woke up feeling fine about 30 mins later. The surgeon explained to my surprise and a bit of shock that they had had to cut a large pile off so I might have a longer recovery time than expected (he had said at least 2 weeks for HALO and up to 10 for pilectomy). That concerned me a bit, espceially when the nurse brought my meds to take home - 3 types of opioid painkiller, 2 types of laxative and some antibiotics. I got the impression they were trying to tell me something. I stayed about 2 hours to satisfy them I'd had a wee, eaten and drunk some fluids etc and got my wife to pick me up.
Felt pretty OK generally even with after effects of the GA - ate and drank lightly and feared the first pooh which came 2 days after the op. Uncomfortable certainly but not especially painful. The absolute best thing after each BM was a nice warm shower spray for a few minutes which really soothed the bruised feeling. This got better over the next 7 to 10 days. I work from home so was fortunate that I didn't need to take time off per se after the first day getting my head clearer but I wouldn't have wanted to have to commute or be away from home.
There were some bad bits but not what I would have expected. The worst bit by far, and it was _horrible_ was the antibiotic (metronidazole)- I had to take it for 5 days and didn't realise what a nasty drug it is (check it out on ****)- around day 3 I was finding alternate nights of complete insomnia, nausea, sweating and a really depressing state of mind feeling like I would never get better. I googled all the meds and realised it was the AB and that these were fairly common side-effects. If I had had a longer run of them I would have asked to change but I figured I would see them out. It was awful and I did have another day off cos I just felt so damn bad from them. My advice here - don't just take what is given to you and not check it out - be aware of what has been prescribed (in fairness they did say thatsome of the meds could give nausea, constipation etc but I didn't expect this one to be so heavy).
The other downside was the laxative - I should have had clearer instructions. You definitely want to make sure you have soft stools etc and are acutely aware that what you eat has to come out the other end - soups, bran flakes, porridge etc are great for this. However if you just take teh laxatives as prescribed - and you are not already constipated (I am always regular)- then they will just play havoc and have you very windy (which also seems to come from the GA gases) and farting all the time with a sore anus is quite painful/uncomfortable in itself (esp if you're not too sure what might be coming down the pipes!) It kept me awake a bit.
What I should have thought with the meds from teh starts is - take them /if/ needed (except see below)
So I had been prescribed metronidazole as mentioned - I took that for the 5 days. I had 3 painkillers - Tramadol which I didn't bother taking, Codrydamol, I took a couple but then didn't bother (and my wife used them all up on migraines!) and Diclofenac - this last one I should have taken all the time but didn't. It is an anti-inflammatory and because I didn't bother with it I think I put myself back a couple days with a very sore and inflamed bottom - so this one I would say take as a matter of course (and I didn't have any side effects). For laxatives I had lactulose syrup and ispagel husks - both are palatable enough but as above I realised after a coupe of days that I probably didn't need them.
All told I was not incapacitated at all. It took a good week to not be too worried about the next BM. After that it just was a process of it getting better every day. The main thing was that the prolapsing piles/polyp were gone and that was a great relief. Had a check up last week and I would say I now feel 100% down there and no concerns at all.
I am very pleased I went ahead with it - I had overcome embarrassment about it ages ago and plain speaking is all that is needed - my reticence had been around being \"operated\" on but that all went very smoothly. I know there are some horror stories on here where people say that the op is worse than the piles but I am sure that complications are in the minority and I would not hesitate in recommending anyone suffering and holding back, check out a good consultant and have it all sorted out. I was glad I had it sorted out when I was fit and in good shape - I think that plays a big part in making the op run smoothly and the caring for oneself that much easier. If was old, infirm or very overweight I think it would be harder. Weight wise I had lost nearly 3 stone over the last 18 months and again I think that helped keep recuperation short.
If, and I hope they don't, recur then I would happily go down the same route again. I hope this story helps others.
Mr Relieved of Surrey
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5 likes, 218 replies
Vethan Guest
Posted
one day I met an Indian yoga trainer. He suggested a yogic way of eating the food , I followed that strictly and cured 100 %.Now I am hemorrhoids free without any medications , Please follow below steps , you will find change with in a week.
1.Eat only you are hungry.
2.Don't drink water 30 minutes before and after eating(just take few teaspoons if needed)
3.Chew the food with saliva until it becomes paste (don’t rush), take your time.
4. Eat with lips closed
5. Do not talk, watch TV etc.,
6. Just focus on eating
7. Think of good thoughts, enjoy the food
8. Sit down on the floor or cross leg and eat.
9. Wash feet before eating
10. Don’t over eat. Listen to body signals when to stop
hannah20962 Guest
Posted
Thank you for sharing your experiences, they helped me immensely. I have had external piles for more than 20 years...
About a year ago, I had the feeling that there were also internal piles as well. An acute burning sensation after Bm and some blood loss after especially hard stools. My GP's wife/doctor's assistant just gave me some ointments and laxatives and sent me home. One day there was a substutute GP ( a woman) at my GP's and after a consultation, she sent me off to the proctologist. He banded the 'huge' internal piles. I immediately felt the need for a BM and went to the loo. I think I might have discharged the bands then. The next few days, I had some good BM's and felt great. Then a month later I had to go back for a check-up and the proc told me that I had a too tight sphincter which is causing me to put too much pressure on the rectum, which causes the piles. My huband and I had a good laugh about my 'tightassedness' and concluded that I might have inherited more of my father's Britishness than I thought. The proc's advice: botox injections in the sphincter, he would scrape off the internal piles and pull up the external piles into the rectum.
I made an appointment and had my op last Monday...phew! He did all he planned to do and also sliced off a large external pile as well. The general anesthetic, preop proscedures, warm blankets, great staff etc., I was well taken cared off. After the op... Hellish pain, nothing compared to childbirth, I can tell you that! After convincing them I could pee and eat a biscuit, I was allowed to go home with laxatives and paracetamol. The dreadful pain continued until the next day. My husband called the surgery the next dat and thet prescribed 'Tramadol' an opiate. It just about takes the edge of the pain so I complement it with paracetamol.
My fear of the first BM made me try to force the first stools and paid off! The 'tampon' that they inserted during surgery came first without any significant pain. After that I took my Chia seeds and a bowl of custard and cereal. Day number two saw me in pain and takig warm baths to ease the excruciating pain and the constant feeling of wanting to go to the loo.When the tramadol wears out, I am back to the same pain level from day one. I feel the constant need to pee as well. I have to resist the need to constantly sit on the toilet for fear of putting too much pressure on the operated area.
Today day 3: I cancelled all of my appointments and went back to bed with a hotpack. I still have pain but it's bearable with the painrelief I took...
Lady from The Netherlands
BobsBob Guest
Posted
PatientAlex Guest
Posted
Presently I have bleeding after my BMs and some pain and discomfort after BM. If my anal fissure won’t heal by itself (and it hasn’t despite extensive treatment with GTN and Diltiazem) I’ll need another operation (sphincterectomy).
Would I recommend anyone to have haemorrhoidectomy? The answer is … yes, since living with severe haemorrhoids is hardly an option. Unfortunately this operation is presently the only known effective way to get rid of advanced haemorrhoids. However immediately after operation you will be left with open wound/wounds (I had three) in an extremely sensitive area of the body. This means that there are risks, and make sure you discuss these thoroughly with your surgeon.
If you, like me, are prone to severe constipation - talk to your surgeon about it and oblige them to take this seriously. The post-operative anti-constipation measures taken by my surgeon were so ineffective - absolutely useless to me. Moreover, I got prescribed Fybogel , a fibre supplement. This is good to prevent constipation but if you’re already badly constipated, it makes matters worse. The after-operation care was criminal - I was left uninformed, I got prescribed medication that was unsuitable to me and hasn’t been explained properly at what point to begin taking what - a small detail but crucial. Besides, I was given to eat a bread sandwich (nobody should eat bread or any starchy food while vulnerable to constipation!). Remember that opioid pain killers constipate too - avoid if you can.
My opinion: haemorrhoidectomy is the most painful operation you’ll ever have but if successful, it’s worth it. The rate of success will also depend of your individual condition and the grade of your haemorrhoids. Talk to a good surgeon about these risks, explain any worry that you may have and make sure that they listen.
I’ll be honest with you - I think that the available frame for this operation on the NHS is substandard but some hospitals / surgeons are better than others and/or may happen to work in better circumstances than others.
I would have done a number of things differently if I could turn back the time. I would certainly have opted to have the haemorrhoidectomy but under different circumstances and with different post-operative care.
Good luck to you all - this is one of those occasions when you’ll truly benefit from some good luck. This may sound bad and pessimistic but it is my genuine conviction. I’m certainly not saying it to put off anyone who needs this operation. I’m saying it only to stress that this procedure is more serious than how the NHS treats it or makes it sound - so if you’re having it on the NHS - ask them to listen to you and explain everything, ask them about the best post-operative care and medication for you, don’t have the operation on a busy, overbooked day and do whatever is down to you to minimise the risks of complications.
sally82788 Guest
Posted
notjoe90 Guest
Posted
Had my op in december. Good old NHS!!
1. Aftercare was rubbish! They sent me home WITHOUT painkillers or laxitives!! Was 4 days before it was sorted!
2. Had up to 5 hot baths a day to aleviate the pain! Life savers!!
3. Day 6...HUGE blowout of blood!! :O twice! But I kept cool & called the surgeon (URGENT CALL!!)...I had not been told of or warned I may pass huge clots of blood...but these were the clots from the op! So..be prepared...it may happen to you. If the bleeding continues...then call 999!
4. All was ok after 3 weeks!...well...I have changed my toilet habiits! As one surgeon told me pre-op..."Be a toilet Ninja"! NO MORE SITTING ON THE TOILET! So...stand & squat & don't hang around...it stresses the anus! (one cause of Hems!!).
5. Miraculously, I am still pooping like I was when i was 6 months old!!...3-5 times a day! I have noticed if i feel the urge, i have ablout 30 secs to get to a toilet! So...in summary...
a) I have less bowl control post op to hold stools!
b) i am pooping very regular (usually after a meal) as a baby would...which i guess is very healthy for the colon?
Glad I had the op...but heck...was it painful!!!
paul21510 notjoe90
Posted
Hope all is still well with you. I had my op almost 3 weeks ago and wonder if you would mind just answering a couple of questions that are worrying me?
Did you get a burning/slicing sensation after Bowl movements for a while, mine seem to have lessend off now but i find i am getting a bloated feeling at my rear weighing it down, and because all this was causing either tress or pain i have gone a couple of days of not eating and now find myself very tired,cold and getting stomach cramps which demand an immediate bowl movement.
Please could you let me know what your diet was 3 weeks after the op. Sorry to have to contact you but it would really help.
Many many thanks
Paul
Little_Miss_RC Guest
Posted
I am a female who has suffered from painful internal haemorrhoids for over 20 years (since the birth of my 2nd child). I tried all kinds of bought and prescription remedies but the haemorrhoids always came back – usually at the most inconvenient times. Most GP’s I saw were not very sympathetic as the they were internal and they were reluctant to look properly. Finally, after a particularly bad episode when the haemorrhoids had prolapsed and the whole area was covered with tiny painful blisters, I was referred to a colorectal surgeon. The surgeon said I was a prime candidate for the HALO procedure. I am writing this because I spent ages looking for information and deliberating whether or not to go ahead with the procedure. I had to be at the hospital (NHS) by 7.00 on the day of the operation and was admitted to a ward. I was given all the usual checks and issued with compression stockings which came up to my knees. The anaesthetist came to see me and then the surgeon who explained the procedure to me again and I signed to go ahead. I thought I would be given a GA but due to allergies I was advised to have a spinal anaesthetic. Inserting the cannula into my hand was extremely painful but the needle in my spine was not as painful. After the entire bottom section of my body was numb, I was wheeled into the operating theatre. My legs were lifted into stirrups – that was odd as I couldn’t feel my legs – they looked like plastic legs that didn’t belong to me. There was a screen across the lower part of my body and the operation began, I was conscious the whole time but didn’t feel anything. The operation lasted about 30 minutes and I was told 8 arteries had been ligated. The surgeon said I had a gel plug inserted and not to panic when it came out when I opened my bowels – it would be red with blood. I was then taken to recovery and given a cup of tea, monitored for bleeding from my spine and then taken to the ward. I had to wait for the feeling to come back to the lower part of my body – this actually took 3 hours 30 minutes. I had intermittent pneumatic compression devices (pumps) on both legs during this time to reduce the risk of clots. I was given some food at lunch time and plenty of tea and water. When I could feel my legs I was encouraged to get out of bed and walk to the toilet, with help. I found it painful to empty my bladder and I also felt the urge to open my bowels, at this point the red gel plug came out. I discovered I had been given netting pants and a pad was in place, I struggled back to my bed. A pharmacist came to see me and told me I would be given tramadol pain relief to take home. The pain began, I was in agony, I was given 1 tramadol, then another but it didn’t touch the pain. I was told I may have to have morphine but then would have to stay in hospital over night. I had taken some of my own paracetamol with me and the nurse said I could take them with the tramadol. The pain began to subside and I was given some food and told I could go home. My operation started at 9.30 and I left the hospital at 19.00 – I had someone to collect me. Halfway home I suddenly felt sick and vomited in the car. I went straight to bed when I got home. I vomited after every cup of tea, pain relief tablet and eventually after every sip of water. I didn’t know whether to have another tablet as I didn’t know what had been absorbed in my body. I went to the toilet and was trying to empty my bladder, open my bowels and vomit all at the same time – apparently I looked grey. I did manage to sleep a bit on and off and the next morning I ate some porridge and kept it down. The pain was excruciating, I felt like I was having intense contractions up my bottom and my stomach hurt too. I stopped taking tramadol and stuck to paracetamol and also had lactulose once a day. I stayed in bed for the next 3 days, only getting up to use the toilet and soak in a warm bath each day – that gave some relief. I ate my meals in bed, making sure I had plenty of fibre and drinks. The dreaded first proper bowel opening came on day 3 – it can only be described as agony but very little blood. Every bowel movement after that was painful and it also hurt to empty my bladder – like cystitis, this went on for almost 2 weeks. Now its day 19 and things are settling down, bowel movements are still painful but I feel much better. I would say, despite it saying you will be fit for work after 48 hours on all the marketing info; you definitely need at least a week off work and it is definitely not a pain free operation! I have been off work for 2 weeks now and my GP has signed me off for another 2 weeks. I hope this description helps anyone out there thinking of having the HALO procedure and looking for information.
notjoe90 Little_Miss_RC
Posted
I had a haemorroidectomy & the ONLY relief I got was from hot baths! I had up to 5 a day!
Post op (about 8 months on now, I am as regular as a baby...BM's at least 3-5 times a day....I dsee this as good for potential bowel cancer avoidance!! haha
it's all down to the specialist/Doctor you see, i guess!? There are many crap ones in the NHS and some outstanding ones too!
I was on morphine after my op!!
Hope all goes well & thank you for sharing.
john36755 Guest
Posted
It' worth adding about pre operation routine. Low FIBRE diet a couple of days before the Op. Then MOVIPREP you have to use before the operation, completely clears your stomach and bowels. It took about 45 minutes to start working with me and then about 45-60 mins of fluid jets from below, which didn't need any straining at all!!!. Just make sure you have exclusive use of a toilet and preferably with ensuite.
gordon44920 Guest
Posted
mia54105 gordon44920
Posted
I had this I had a infection you just need some antibiotics to clear the infection up what happened long term I'm still having weeping a month after with bowel movement
gordon44920 Guest
Posted
mia54105 Guest
Posted
I know the last post was 27 days ago but I was wondering if any one could help me I had a procedure to have piles HALO and stitched up due to a bleeding prolapsed grade two pile on the 20 th of November it's now been over a month but with my bowel movements I experience slight pain a bloody mucus discharge less then before I had the operation but still enough to be concerned.
I spoke to a nurse at the hospital I had it done in and she said this is normal for the next 6-8 weeks has any one else had this issue post HALO and herrmariodpexy stapled
Really worried I also had a infection two weeks into the operation and was bleeding very badly until given antibiotics I've also had a colonoscopy to have a Ployp removed two months before this surgery .
I'm very worried and would just like to know the healing time for bleeding to stop I'm very depressed and the piles have changed my life I have no one to talk to as no one has had this in my social circle
Thank you for your reply In advance.
Ouchies mia54105
Posted
I had my surgery just over two weeks ago and had my first non bloody BM today. Before this I had been going 2-6 times a day (probably as unable to empty my bowels completely) and I was probably losing about 2 egg cups of blood with each movement.
I haven't taken laxatives at all since my surgery as I have been regular from eating plenty of fruit smoothies (home made from frozen fruit to cheap it cheaper and to make them keep longer) which I top up with flax seed, pumpkin seeds and goji berries as they are high in soluble fibre. I have also taken 2 ducasate tablets twice a day to keep it soft and tried to drink at least 2 litres of water.
I can tell as soon as don't drink enough or don't bother with a smoothie as it suddenly becomes much more difficult to pass and I bleed a lot more than usual.
Other things that have helped me is a step to put my feet on and then I lean forward which stops me having to strain and minimises the pain and blood flow. I relax and never hold it in and let it just come on its own with minimal straining where possible. I also got a sitz bath which is basically like a child's seat with a bottom in nit that I put hot water and salt in and soak after each BM for about 10 minutes.
It's time consuming but I think it has helped me stay clean and stop getting infected and it relieves pain and cramps.
I'm hoping that this isn't a one off today and the bleeding stops for good as it is pretty shocking even after this many times and the blood loss has made me so tired.
I have been taking iron supplements (be careful as can cause constipation...) and gastrazyme to help my tummy after so much ibuprofen. I also quit the dyhydrocodeine as quickly as I could as that was making me so constipated and my BMs were making me cry which would then make me take more so became a vicious circle for the first few days.
I think having had this surgery, that I really need to change my lifestyle. I always thought I was fairly healthy and I'm not over weight but clearly I need to do more for my own body. The nurse I saw on Monday said the healing process will take 6 months and to let her know if I'm still bleeding in 2 weeks but really I think that if I can keep my BMs soft, don't get infected, keep the fibre up to limit straining and drink plenty of water then this will give the wounds more of a chance to heal. Try and relax as well and don't do too much. I find I'm in pain if I walk for more than an hour at the moment.
I'm going to do my online shop for delivery to come tomorrow as I ran out of flax seed today and don't want to be without it!
I hope you get better soon.
xxx
mia54105 Ouchies
Posted
My poo was very hard when I bleed but because it has been a month bleed free I thought it was okay to get a bit considapated 😞.
Your nurse said 6 months healing time ,what operation did u have ? I Had HALO and the proposed hermarroid staped and stitched back to my bowl I think my bleeding yesterday was due to the hard poo knocking my scab inside of where it had healed as there was lots of scabby bits on the toilet paper when I whipped I just want to go back to normal I get so scared it's not piles and something worse even though I had colonoscopy which was ok and blood tests.
Did ur doctor said the bleeding would stop in 6 months then I have had no after care advise from my doctor at all my follow up isn't till the 15 th feb I had the op Nov 20 th.
Best,
Mia
Ouchies mia54105
Posted
I had a haemorroidectomy and my nurse said it would take 6 months to heal and feel like I should do.
I think by having the surgery, you need to think of this as a new lifestyle choice and not allow yourself to become constipated. Constipation causes piles and so you could find yourself back in the same position even if you did allow yourself to heal fully.
Find something that works for you but I'm having a homemade smoothie for breakfast with loads of soluble fibre in. I bought a nutribullet as it quick and easy to use and I put in half spinach (sounds gross but you can't taste it), and half frozen fruit and fresh apple, with flax seed, goji berries, and pumpkin seeds and topped up with coconut water. I've never been so regular and it really stops me straining.
Maybe do some research about what food contains soluble fibre so you can have things that you like and make sure you have plenty of liquid.
I had 3 blood free bowel movements yesterday and I'm hoping it wasn't a one day only thing, but the nurse did say to expect intermittent bleeding as the stitches came away etc.
Good luck,
xxx
mia54105 Ouchies
Posted
Thanks for your reply I'm scared maybe my operation hasn't been successful then I don't think I should be bleeding with BM two months after surgery 😢 I'm really upset I'm going to request a doctor call back today or go in for a emergency appointment tomorrow but the doctor at my go never know what's going on but my special appointment isn't till den 15 th I just want it all to end I hate my life at the moment it never stops I'm so depressed
Ouchies mia54105
Posted
Maybe call the hospital and ask to bring it forward as the GP won't be able to see inside easily.
I do think that if you have let yourself become constipated that it will be causing the same problems you had on day one. Two months does not sound like ages if you got an infection along the way too as this would have stopped you healing.
Honestly try and keep the fibre up and don't get constipated. Even if you recover completely from this surgery, the likelihood is that it will come back if you let yourself get constipated.
I'd ask the doctor to do your bloods too as it could be that you are anaemic if you have bleeding for a while. That will not be helping with tiredness and feeling depressed.
xxx
amanda31789 mia54105
Posted
I had an op to remove internal and external hems in Nov 2013. 2 years on, and this is my situation:
If I am sensible with my diet and get enough exercise, my bm's are good - i.e. soft and easy to pass.
If I drink too much alcohol and not enough water, if I eat 'beige' food instead of veg and fruit, if I am lazy.... well, then my bowels go to sleep. This is why I got piles in the first place. I have real problems because if i miss a BM for a day, two days, three days, then it hurts. And yes, there is blood.
I lost a fair bit of weight after my surgery because I was nervous about eating. I remember the pain and it was pretty bad! My advice to you would be to experiment with your diet and lifestyle. Think about what gave you piles in the first place. Try to avoid repeating history. Get yourself a special stool that goes underneath your loo, it's called a squatty potty and it's amazing. It will help you to evacuate without straining. Try not to worry because that will only make things worse. You may need some help with your depression?
I have been an IBS sufferer all my life and mostly it's anxiety that causes me problems. My stomach has calmed down in the last 6 months since I started a (mild) course of anti-depressants. There is some evidence to suggest that seratonin can affect the bowels... I have had much less stomach pains since being on them.
Good luck at the GP's and go out for a walk, it's the best thing!
mia54105 amanda31789
Posted
Went to see my GP and he told me my hard stool and diarrea while on my period had caused the scab from the operation to detached from the colon wall and bleed .
He assures me this can happen for 3 month / 4 months after surgery until the skin inside the colon is fully healed and healthy.
I need to keep my poops soft but not at a diaherra sate ,I feel a bit better less anxiety I guess I just have to wait for healing to finish?.
I'm taking loads of flavonoids eating loads of fresh fruit and vegetables it's so weird every one else bleeding was gone in a week after the HALO op I wish I was that lucky ! 😥