Consultation on Hemorrhoid removal.

Got a referral from my doctor to an office with two surgeons man and woman. Ended up seeing the woman just by chance the man he was considered way more experienced so I think he saw less patents. Anyway went in to get it checked out and I found the exam to be really strange. After initial talking I was told to drop my pants while the woman doctor and her nurse stood at the door. I was told to get on the table too but before I was able to climb onto the table they came in both of them were really short like 5'2" the nurse was holding a sheet above her head in front of her so I could only see this white sheet and the 2 of them behind it. As I moved back in the room they moved forward the doctor just kept saying get on the table. What they did was take the sheet and put it over me so they could not see me naked. Then she told me to roll over to one side while she used a disposable anal Speculum with a LED light attached to it. She rattled off what she saw in there and it was all over in about 3 minutes. Then the 2 pulled the sheet up and again holding it above her head the 2 of them shuffled out of the room backwards. It was the strangest exam I have ever had. I tried to tell her I had no problem with just dropping the pants no need for the sheet she just ignored me. Sometimes I find woman doctors to be embarrassed to see a naked man. The doc said I need surgery to remove 3 what she called Juicy looking internal hemorrhoids. After reading about the operation and forum post on the post healing pain I decided to just deal with it until it gets worse.

Believe me, female doctors are not one bit embarrassed to see you naked. They were just draping you to preserve your dignity. Good idea about not having the surgery. It's said the first bowel movements is like shitting a razor blade. Internal hemorrhoids don't tend to go away the way external ones do though.

Yes, I have heard that first bowel movement is super painful after any type of surgery in the anus or rectum. But the surgeon also Will provide stool softener and strong painkillers. Wouldn't this help abit?

Will consuming only liquids (clear broth, protein drinks, etc.) for 2 days help prevent bowel movement for a few days? By then, the wounded rectum probably veill have healed abit.

I think it's absolutely bizarre that what I presume is a rectal surgeon covered and draped you like that. I understand trying to preserve your modesty a little bit, but when you're being seen for something in that part of your body, you just have to expect that your modesty will not be preserved! I had an external embelized hemorrhoid removed by a surgeon and there was no elaborate draping used at all.

Yes the first bowel movement is painful. I remember when my dad had the surgery back in the late sixties,when rooms were semi-private,the other guy in the room had the same surgery few years before. He said this may sound gross but have the first bowel movement in a tub of water. The water softens the stitches and makes it less painful. That is what he did and I remember him saying that it really seemed to help.

I personally have had that surgery twice. Yes the first bowel movement was a bit rough but not too terrible. And I don't deal with pain well either.

Mashie

My wife had that surgery many years ago. Thank God, I've never had hemorrhoids, but she has and still does. She told me the post-op pain was 10x worse than child birth. No thanks.....

That's why they call it a pain in the butt.

There was pain yes, but it wasn't as bad as I thought it was going to be. I don't know how anyone's was done but I think Doc just opened them up stitched the vessel closed, trimmed up a bit of extra skin and stitched them closed. You can't tell I had anything done and there isn't any scar tissue that I am aware of either. At least not a hard spot or area.

Mashie

I'm impressed Mashie! Doc is a surgeon. A pleasing result especially visually is awe inspiring. Did he really operate on you? I thought that was frowned upon.

No Doc is not a surgeon he is a very talented family doc quite capable of procedures like that. Frowned upon? Have you never written a script for your wife or your friends? You don't have patients that are friends of yours? Don't even try to tell me you haven't. Well maybe you haven't being an ER doc. Most all Docs write for friends and family members. While technically it is a bit of a boundary violation it's generally accepted. As long as it's not for controlled substances on a routine basis type of thing.

Mashie

Mashie it's so that if something untoward happens the operator doesn't lose it.

Nope I totally get that. And no I wouldn't let him do anything major and he wouldn't anyway. He knows better. He only does things on me that are simple procedures. When I have had to go into surgery for anything other than a minor issue Doc either goes in to hold my hand the entire time I am under or he first assists. Either way he isn't in charge directly. It works for us and the surgeons have never had issues with it either.

Mashie

Post-op pain depends on many factors. Surgeon, anaesthetist, extent, number and location of lesions and procedure type.Anaesthetist may choose to use a much more long lasting local. Some consultants also supply anti-inflammatory + anaesthetic suppositories. In all can't generalise as the variable is you! Ultimately should improve.

See a specialist in colon and rectal surgery. They have far more experience in dealing with hemorrhoid so. There are a variety of options available depending on the location, size and number of hemorrhoid so. Research options on the Internet and don't suffer. Select a surgeon you are comfortable with.

Marsha your procedure sounds like external those can be just closed off by staples and bands that is what my doctor said. Mine were 3 large internals, and 1 external. Since then I have lost 35 lbs and it has helped don't know why probably because I don't have nearly the size bowel movement when I was eating junk food all the time. Went back to my GP discussed it with him concluded just leave it alone for now. I can tell you the experience of the procedure sounded fun but the pain I read of the story's from others made me worry too much about it. Plus the fact that I would have to explain to my co-workers why I was out for so long Dr Said Month to recover and get back to work. Since I lost the weight and toned up my lower body going to the gym every day now just don't have as much of a problem with it. I will revisit if I have to I really just wanted the exam to check it out make sure it wasn't something like anal cancer which is mistaken for hemorrhoids lot of the time. I can understand the sheet the strange way they used it walking toward me with it over their heads. They could have just said pull the sheet up over yourself once your back on the table. She also wanted me to get a colonoscopy to confirm any blood I had was not coming from something else. I had read on that forum some doctors were giving those just before the surgery but after the drugs wore off they had a bunch of air up in their colon's pushing that out was very painful. That was good to know get the colonoscopy another day before the surgery. I had 2 of those before which were not an issues for me I don't like the golight clean out stuff but last time miralax, and dulcolax worked slower but much easier on the stomach.

Delmar, the doctor who I saw was a colon-rectal surgeon she said 90% of her surgery was for hemorrhoids. She said my only choice was a hemorrhoidectomy because of the size of mine.