Dealing with hemorrhoids – any advice?
in Health ·
Elizabeth Price85 said:Here’s the short version: you know I had my surgery on April 13th, and for ten days, everything was perfectly fine—recovery was smooth, no pain, no bleeding. I had some minor digestive issues, but those cleared up too. Then, on Holy Saturday—since I was feeling great and had been lying around too much, I actually overdid it a bit—I spent the whole day cleaning the house. I got pretty worn out, and to top it off, I sealed my fate by straining a bit too hard in the bathroom that evening (it’s just a lifelong habit of mine, honestly). I went to bed thinking everything was okay.
On Easter, I had a wake-up call straight out of a movie 😲, though there wasn't any bleeding during the day. I managed to get ahold of Dr. Ivanovic, who was on vacation (he wasn't back until Tuesday). He told me that bleeding can happen up to three weeks after surgery—though my gut was telling me otherwise because, frankly, there was A LOT of blood—and advised me to rest and head to the hospital if things took a turn for the worse. Well, the bleeding stayed away all through Easter, until about 10:00 PM, when I noticed some bright red blood while using the bathroom.
Early on Easter Monday, I woke up, went to the restroom, and realized I was bleeding heavily again. I went to wash my face, felt dizzy, and blacked out. Thank God my dad heard me collapse. He and my mom rushed me to my room and called 911. The paramedics took me to the local hospital near our place, where I waited to be seen. They examined me and claimed there was no active bleeding. They tried to start an IV in the ambulance, but they couldn't find a vein and ended up bruising both of my arms.🙄 Basically, they were going to send me home. They figured since there wasn't acute bleeding, it was just an isolated incident. My mom insisted they take a closer look, so they sent me to the internal medicine department. I waited there for two hours, felt lightheaded again, and didn't finally get an IV until noon.🙄
They checked me out there too—no blood visible, and they performed a rectoscopy (the start of a colonoscopy)—but they couldn't find the source of the bleeding. Then they sent me back to surgery to let them decide. Those doctors were rolling their eyes at me, though; apparently, the big joke of the morning was, "Oh, you had that done at a private clinic, so where is your primary surgeon now?" If my mom hadn't pushed, they would have just sent me home. Finally, at 4:00 PM, they saw me on the surgical ward. They ran blood work—it showed things were getting a bit worse, but since they couldn't see active bleeding, they just kept me under observation. There was no bleeding at all through Tuesday, and they wouldn't give me a transfusion because they seemingly didn't believe how much I had lost (every time they checked, everything looked clean down there).
Tuesday morning, no more blood. They mentioned they might discharge me, which made me so happy. I went in for an exam around 9:00 AM, only to find blood on the gauze again (not a massive amount, more like what you'd see on day three of a period). The doctor examined me and said, "I don't see the surgical site or the source of the bleeding." I thought, *Great.* But then he says, "Go upstairs, we're taking you to the OR to figure this out." A theory emerged that this had nothing to do with hemorrhoids or the surgery itself, but rather something higher up in the intestines or stomach; they were worried about internal bleeding and sepsis. For context, I hadn't eaten anything on Monday, Tuesday, or Wednesday (they finally gave me breakfast on Thursday). Anyway, there was no room in the OR, so we had to wait until Wednesday. But then, on Tuesday night, I had to go to the bathroom (pressure from a bowel movement), and the blood started dripping again. I blacked out once more. That finally got everyone moving; they pumped me full of IV fluids and, eventually, blood.😳 (In total, I received 2 liters.)
Anyway, since Tuesday evening, there hasn't been a single drop of blood. I’m recovering; my blood work is still a bit weak, though it's improving. My blood pressure is still sitting at 100/60, and I’m pretty pale and underweight, but they finally decided I was okay enough to head home. In the end, they gave up on the operating room (since I was honestly too weak for anesthesia again) and moved away from the theory that this had nothing to do with hemorrhoids—because if it were anything else, things would have taken a turn for the worse with pain, fever, or sepsis. But we still don't know what actually triggered all of this. Whether we ever find out is the big question.
Karen Thompson10, please don't apologize. This isn't your fault. We still don't have answers as to why this happened (these kinds of complications are truly rare; maybe I just haven't had much luck 🤣). I'm not blaming anyone.
I keep telling myself that this isn't the worst thing in the world compared to what other people face—like battling various cancers or unbearable pain—and that I probably played a part in this myself. So now, even though it's hard and the last thing I feel like doing, I’m just going to lie here and focus entirely on rebuilding my strength and immune system (59 kg at 178 cm is definitely way too low 😁). As for the doctors, I don't have a clear take yet. I know nobody likes "fixing someone else's mess," and they couldn't even agree among themselves on how to handle my case. It makes sense, really, since none of them wanted to take full responsibility for me. I'm still undecided about the surgeon; I don't want to blame him, but he did let me down in certain ways (I'll have to settle that with him directly).
It is strange that they can't pinpoint the cause of the bleeding. I hope you won't need a Dr. House to solve this and that everything turns out fine. From what you wrote, it sounds like you put yourself through a lot of strain. You really shouldn't be overexerting yourself after surgery. Also, forcing yourself when you go to the bathroom isn't good. You mentioned earlier that you had trouble with bowel movements after the procedure. Once things start moving, you should just go naturally without straining too hard. Since you were pushing yourself... I suspect it might be linked to the hemorrhoid surgical site. Though, it is odd that they didn't find anything during the exam. Just try to regulate your bowel movements, drink plenty of fluids, watch your diet, and don't strain yourself. Good luck...🙂