- Sep 23, 2004
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I had suffered with internal hemorrhoids for years. You know you have these when it feels like there is a small balloon/s up inside your rectum. They can itch and make one use a lot more toilet paper to get cleaned up than one normally would use after a bowel movement. Hemorrhoid creams help a little temporarilly. I believe that these are not treatable, but are progressive. They become prolapsed. When this occurs these hemorrhoids protrude outside the anus like very small purple balloons. They make it impossible to stay cleaned up because their swelling does not allow the anus to close all the way and leakage and odor results. There may not be much, if any, pain or bleeding associated with these kinds of hemorrhoids so doctors may be reluctant to offer surgery. However, Doctors do have the green light to offer surgery if these hemorrhoids cause their patient to have to alter their life. This was my case (for years). When one believes that surgery is needed, they need to make sure that a Colon-Rectal Surgeon is consulted to examine them and perform the surgery....not a General Surgeon. The tissue of the anus is so sensitive that it requires this kind of medical Specialist. What many Rectal Surgeons prefer to do just before they perform the hemorrhoidectomy is to perform a colonoscopy. In this case, the patient would have drank a solution the day before that would have 'cleaned out' their digestive system. As a plus, then, the next day/s following their surgery, they would not run the risk of their bowels becoming 'impacted' after consuming their next meals. If one is not going to be getting a colonoscopy before there hemorrhoidectomy, I believe it is absolutely essential that they drink the MiraLax (or other solution) to clean them out. The literature that they give you says that you should not eat or drink anything prior to 12 hours before the surgery if not getting the Colonoscopy. This got me into trouble. I should have drank the solution anyway. My bowels 'impacted' . This is when the bowel gets paralyzed, yet you get great sensations that you are on the verge of defecation. A person just out of hemorrhoid surgery and suffering from this cannot undergo an enema. Therfore, they must seek medical attention to be given a solution that quickly empties their bowels....such as GoLytely. It is said that the pain pills prescribed to these patients can cause impactation...along with the body's trauma from the surgery. So it is essential that Milk of Magnesia be taken after breakfast and in the evening for at least a week after the surgery. Sometimes, even a month after hemorrhoid surgery....a hemorrhoid/s may develop at a different location around the anus. This also happened to me. I went back into surgery to have it removed. I had to almost argue with the Surgeon to get him to do this. He wanted to prescribe an ointment since it wasn't an Internal hemorrhoid but a Thrombosed External hemorrhoid. I was not about to endure these things again after just going through the painful surgery to get them removed. Thankfully, Colon-Rectal Surgeons keep their patients overnight to keep them medicated after surgery. The tissue of the anus is so sensitive that this is a necessity. This last surgery was extremely mild compared to the first, so I will be returning to work this coming Monday (Lord willing). I will do no lifting at all this time even though I was restricted to 25 Lbs last time. I do hope that I never have to endure this problem ever again.
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