swiftmason25 As specified by:
It’s been three weeks since I had my 7HAL+6RAR procedure.
A brief history of the problem.
I'm 45 now, but this whole hemorrhoid situation actually started way back when I was only 22. It usually starts out as just a little stinging sensation, a feeling of heat down there, and then a few drops of blood...
I don't want to bore you all by repeating things that have already been said—there’s clearly a lot of shared experience here. Looking back over the last decade or so, it feels like these issues eventually progress to stage three. You get these bouts where the bleeding is heavier, then it settles down again, and honestly, you just kind of adapt to living this way. There’s that occasional, sharp, uncomfortable sting near the anus, but nothing too catastrophic. My doctor tells me it's incredibly common; most people deal with something similar at some point. The standard advice is always the same: move around more, eat better, sit less... and use ointments when things are still in the early stages. I tried Pilex once and it actually worked, but the second time around? Not so much.
I’ve always been someone who keeps things orderly. I stay in shape and maintain my ideal weight, no question about it. But my job? Well, that's a different story. Most of my workday is spent sitting behind a desk.
At the start of last month, I did some very brief, almost insignificant squats. Then, overnight, everything went south. My hemorrhoids flared up from stage two and three straight into stage four, with a 2/3 prolapse. It was sudden and honestly pretty overwhelming.
Right now, I’m pretty much incapable of doing anything besides taking tiny little walks or just lying on my stomach. I didn't waste any time, though—I immediately went online and started digging through this forum to look into every possible surgical option available.
I want to extend my sincere thanks to everyone on this forum, especially to the folks over at Dreamland, and most notably to Michael Diaz4. His posts—and his entire journey—have been incredibly insightful. They played a massive role in helping me finally pull the trigger on my procedure. Honestly, Michael Diaz4 deserves a gold medal for this thread; the way he shares his experiences and stays so available to help others is such a rare, selfless quality. Thank you, Michael! 👍
I went in for an exam at a private clinic and saw that doctor mentioned earlier—"Dreamland"—and we’ve scheduled my HAL-RAR procedure for ten days from now. In the meantime, I've been working on calming down the inflammation using Medazol antibiotics and Daflon tablets (and, of course, some Proctolog ointment too).
The inflammation has finally settled down. My hemorrhoids have retreated back to stage three, and the prolapse has actually shrunk.
The surgical process and what follows.
I had my surgery at the Leptir Clinic. The accommodations were perfectly suited for recovery, and the nursing care was just as appropriate. The procedure itself was performed under full anesthesia and lasted about an hour and twenty minutes.
Like I’ve said before, for us guys, the biggest headache after a procedure like this is dealing with a painful, inflamed prostate. For those first three or four days, peeing is a total struggle. You feel that urge to go every thirty minutes or so. On top of that, once you get past day one, bowel movements become... interesting, to say the least. Because of that uncomfortable pressure in the rectal area, you constantly feel like you need to go. It’s vital that you don't strain or spend way too much time sitting on the toilet. If things move along naturally, then great—just let it happen! 😍 Just a heads-up: those last few brakes that usually help you hold things in aren't exactly working right now. So, for the first five days, I wouldn't suggest wandering too far from the restroom. There’s a very tiny window between that "I should probably go" feeling and the actual "okay, it's happening" moment, but honestly, you get used to the rhythm pretty quickly.
I’m still on the exact same regimen: a ten-day course of antibiotics and three months of Daflon. I've also got Proctolog and some Lidocaine gel to deal with. For the pain, they put me on Advil 600mg. Honestly? It made me feel completely drugged for about 24 hours, so I've been avoiding it. Luckily, the pain hasn't been too intense, aside from that prostate issue I mentioned before.
To make things move more smoothly, I’ve been advised to take two teaspoons of mineral oil before every meal. It basically lubricates the whole system, so everything just glides right through when it's time to go.
I’ve been dealing with this constant, moderate to fairly sharp pain right around the anal area and my tailbone. I’m guessing it’s from the instruments—specifically that tube they insert to hold everything steady while they hunt for the artery. It feels like the pressure just bruises the whole area. Massaging the spot and using cold compresses during those first five days really does the trick. It might look a little ridiculous to see a guy pacing around his apartment massaging his own tailbone, but honestly? It’s a lifesaver for the pain.
Like Michael Diaz4 once mentioned, if you're dealing with stage 4 issues (with prolapse), don't expect to bounce back in just a couple of days.
I'll be hitting the three-week mark post-surgery in a few days, and honestly, I wasn't even ready to head back to work until after day 20. Everyone's recovery is different. For me, it’s only now that I can sit for longer stretches without feeling that uncomfortable pressure.
That was my experience. My advice? Take care of yourselves, and if something feels off, get to a doctor immediately! 🙂
And hey, no need to thank me. It's no big deal to reply to everyone via DM. I'm truly glad you finally got rid of yours for good... Good luck, friend.🙂
Andrew Ramos38 said:I recently picked up some Unguentum cream
I haven't used anything for two years, which was a mistake
because lately, they've started itching constantly
I even thought there was some discharge, though maybe not, since there's no bleeding or much pain
I'm hoping this ointment helps
they are external issues
The itching can be manageable, but it can get irritating enough to keep you up at night. Discharge is definitely possible, so you have to keep cleaning up and using whatever cream works for you. For the specifics, go see a specialist and let them suggest a treatment plan. Good luck...😉
David Collins77 said:Here they are again, back in the worst possible state. To make a long story short, I had surgery at Leptir Clinic two and a half years ago using the Hal-RAR method. Things stayed under control until about six months ago. Then I went back for a checkup and did three months of Daflon, followed by 10 days of Medazol and some cream. They stabilized, but didn't disappear. After using the bathroom, I'd clean up, push them back in, and move on. But yesterday, they popped out like crazy and I can't get them back in. I didn't sleep all night or all day. It's a disaster. Everything is inflamed and sticking out, and the pain is maddening. I bought some Pilex for the first time to see if it helps, along with creams and other pharmacy supplies. Basically, it's total drama. I paid huge amounts of money for a surgery that ended up doing nothing. So now what? Do I go in for surgery again? My doctor told me we could repeat the procedure when I saw him 6 months ago, but now I have to pay all over again, endure insane post-op pain, and nobody can guarantee it'll work. This is beyond frustrating. How often do hemorrhoids come back after Hal-RAR? It says there's a 95% success rate. Am I just incredibly unlucky, or did the doctor mess something up?....
GOING CRAZY FROM THE PAIN
Michael Diaz4, you know a lot about Hal-RAR, and so does someone else...
What am I left with? Either live with this and suffer, or get surgery? I don't want either. I just want to be cured! 🙂🙂🙂🙂🙂
Uh, this sounds like a tough spot to be in... I personally don't know anyone who had issues returning after a Hal-RAR treatment. From what I've read, only about 1% of people deal with recurrences because things get so complicated they basically turn into a scientific puzzle. At that point, you need deep investigation and a lot of patience, but it is fixable. My surgeon told me once that when a problem is neglected and escalates, even doctors start scratching their heads—it becomes a massive headache for them too. If I were in your shoes, I wouldn't hesitate. You have to resolve this. That means surgery is likely necessary, and you might have to undergo the procedure again. If you aren't happy with the care you got, find a different doctor—someone with a better track record. I don't want to badmouth the guy who treated you, though; maybe your case just fell into that unlucky 1% where things got complicated. If you think the doctor is actually good and this was just a freak occurrence, then go back to him. Maybe you can even negotiate a discount. Honestly, I don't think money should be the main concern right now; getting cured is what matters, regardless of how many times you have to do it. Just remember—no matter how much pain you're in right now, the actual surgery is easier in the long run. After those first few days, the pain starts to subside (you've been through that already, so you know what I mean), and there's also that psychological relief knowing the suffering is almost over. I felt indescribably happy after my surgery, even during that first painful night at home, because I knew the end was in sight. I wouldn't second-guess the surgery itself. As for whether to stick with the same doctor, try to weigh your options. There might be better specialists out there, or maybe not. What stage are you at currently? If I understood you correctly, you're at stage four, where they don't really push anything back in anymore. Just go get the surgery. The pain sounds unbearable... Good luck, and please let us know how it goes.