Posts by Karen Thompson10

Elizabeth Price85 said:EDIT: To be honest, what’s actually eating at me the most is this recurring fungal issue.😢

The doctor mentioned it's just a minor thrombosis sitting right under that mucosal prolapse. He didn't seem worried or even remotely concerned about it, so I’m banking on being totally fine in maybe four or five days.😉

So, does anyone know when I can actually get back into physical stuff—like hitting the gym or playing sports—or am I going to have some kind of restrictions?

Did you actually sit down with the doctor and lay out everything you're worried about and all the symptoms you've been dealing with? He really needs to have the full picture to give you good advice.

Usually, when people are recovering from a DG HAL RAR procedure, they're back to their normal routines within just a few days, but since you're also dealing with that mild thrombosis, I'm honestly not sure how that changes things for you.
I went through a fissure myself, and I still haven't done anything physically active because I was strictly told to avoid any kind of straining; I'm going absolutely stir-crazy waiting for the green light so I can finally get back into my workout routine.

Elizabeth Price85 said:That’s awesome, thanks so much for the heads-up. I just got off the phone with them to hammer out a plan, and here’s what I’m thinking: one Detralex now, another one this evening, and then one more first thing tomorrow morning.
I'm on liquid diet today because I have to get everything cleared out.😢 My plan is to take two Dulcolax tablets at 3 PM, and then at 6 PM, I'll try using a Dulcolax suppository—though honestly, with this massive prolapse, I can barely even find the target area, let alone aim!😢 I'll try slathering on some Dolokain to make the cleaning process a little less brutal. I’m just stumped on how to actually get the Dolokain inside, since last time he pushed it right back out, and within an hour, everything was protruding again.😢

P.S. Oh, and I did call them and stress that I need to see Dr. Ivanovic as soon as humanly possible. She actually got back to me within an hour or two and squeezed me in. I had my appointment yesterday at 6:40 PM, and she’s usually really accommodating if you coordinate with her. You should definitely give them a ring and work out a specific time.
The price is $100, and yeah, you really have to brace yourself and stay in a standing position during the exam.🙄 But honestly, at this stage, nothing can really shock me anymore.😁 I have to hand it to Misir, though—his setup is absolutely fantastic.

To be honest, the part I’m dreading most is the prep work today. And Medazol is such a headache for me—I’m trying so hard to avoid antibiotics because of this yeast infection, and I am praying that this doesn't undo six months of strict dieting, treatment, and sheer willpower. I’m actually seriously considering skipping the antibiotics altogether.🤷

It probably varies from person to person, because they were incredibly blunt with me and said I shouldn't take any pills at all. It’s almost absurd to me that they're acting like I missed the memo on the prep when it seems like it's a universal requirement for everyone... 😕
I’m just crossing my fingers that the cleansing isn't too traumatic.

I had to take Medazol every eight hours for ten days straight after my surgery, and let me tell you, it is a total nuisance. Did you mention your other health issues to the doctor? Maybe if you did, they wouldn't have prescribed Medazol to you in the first place.

The cost is reasonable enough, but I still don't quite grasp why they insist on doing the exam that way. There's also that other method where you lie down and pull your knees toward your chest. Personally, I tip my hat to Misir for his technique; his exam is easily the least awkward one I've experienced. I might just head to the hospital instead, since I was under the impression things were handled differently at a clinic like Sun City Clinic.😁

If there’s anything else on your mind, just ask!

rustyridge272 Well, I'm not stuck in a hospital bed... haha
They really gave me a heads-up, though... they said we're looking at a year-long timeline, not just a month!!!!
Thank you so much for the reply!!! It means a lot
And honestly, getting surgery for stage two feels like a crazy move 🤷
I’m genuinely dreading the summer and the thought of everyone wanting to hang out outside all the time!! Should I be worried about FAKTU? It’s such a massive headache!!! hehe, anyway, my proctologist gave me this cream based on propolis, and my butt absolutely lost its mind over it!!! Total nightmare!!! Now I'm just sticking to Bepanthen and, looks like I might have to go with FAKTU 🙂
But hey, at least a person can say their ass hurts!! Literally! hehe

It isn't "crazy" to undergo surgery for stage two if it's causing you this much misery and holding you back from living your life normally. In fact, I think timing it right there—before it hits stage three or four—is actually the smartest move you could make.

For me personally, FAKTU really helped during those first two weeks when things were at their absolute worst, but after that, it was like nothing at all, as if I hadn't even applied it. A ton of people swear by FAKTU, so I don't see any reason why you should be afraid of it. If you start developing some kind of reaction, just stop using it immediately. I don't know what else I could suggest to you, other than just going through with the surgery. 🤷

Hey there, everyone!!!

I honestly feel like I'm about to lose my mind here 😢((
I am completely lost... I had the ligation procedure done, and after a whole month of feeling fine, they're back again—internal ones this time!!!
I’ve completely overhauled my lifestyle and I'm being so careful... but nothing works!! If I don't use FAKTU, they flare up within just a few days!! Even if I'm just sitting outside enjoying a coffee (on that cushion I always carry with me, haha), they show up immediately!
It's been going on like this for 8 months now!!
Has anyone else dealt with them coming back this fast??? I really shouldn't be using FAKTU anymore!!! Is it okay if I just use a suppository once a week?
They are second-degree, but they are absolutely destroying my quality of life!

On top of everything else... I'm struggling with stomach issues too... gastritis, reflux, and erosion!! Could any of that be making the Hemorrhoids worse?
PLEASE HELP!

I truly feel for you, because I know exactly how draining this can be. I really hope you had that ligation done at a proper hospital and didn't end up throwing money away on some barbaric, half-baked procedure. Sadly, that isn't a permanent fix, and they really should have warned you that there was a chance the hemorrhoids would return.

Nowadays, there are actually two reliable, lasting ways to deal with hemorrhoids, which are the THD method and dg hal rar. Both are non-invasive, provide long-term results, and the recovery time is pretty quick.
The only real "downside" is that they aren't cheap, but personally, I think investing that kind of money into your health is totally worth it.

I also know that stress can be a huge trigger for hemorrhoids, so that might be part of why this is happening. Honestly, the only way to get rid of them for good is to look into those specific procedures I mentioned.

I think Lidocaine might just be an old-school way of referring to the ointment itself, but the specific gel you're talking about should actually be called Dolokain, which works as a potent anesthetic when you massage it in...

Oh man, you’re totally right—thanks so much for catching that! I honestly have no clue why Lidocaine popped into my head in the first place.
So, Linea, what you really need is the Dolokain gel😁. And there's one more thing I completely blanked on, which in my experience is absolutely vital! I swear by Advil granules for the pain; they were a total lifesaver for me, and that's exactly what my doctor put me on. So the lineup is: Medazol, Detralex, Dolokain gel, and Advil granules (or whatever else helps with the pain). Maybe Michael Diaz4 has a better suggestion, but those worked wonders for me.

Anyway, Michael Diaz4... as someone who isn't a medical expert, it feels perfectly logical that thrombosis is dangerous and needs to be dealt with immediately, and I definitely get the point the professor was making. But how is it possible that the doctor told Linea she could just leave things alone? He didn't say it was an emergency or anything...

Elizabeth Price85 said:Yeah, I actually went to the Sun City Clinic. The doctor was really sweet and totally down-to-earth; I think I was just secretly hoping I wouldn't have to go through with the surgery (crazy, I know!), so his attitude really caught me off guard when he was just like, "Look, if you want to do this, we can head straight in." He wasn't pushy at all—he told me I could just sit tight and do nothing, but warned me not to be surprised if that large one kept dragging on for a while.

He mentioned it's just a mild thrombosis (right under the one that prolapsed), which might cause some discomfort. He said if I felt up to it, I could even head back to work on Monday, provided the pain stayed manageable.

Karen Thompson10, what was your prep like before the surgery? What kind of stuff did you take or apply? Also, what should I pack in my bag? And which painkillers should I have ready for afterward?
P.S. Did you pay upfront in cash or did you do a payment plan?

Haha, that’s exactly how I approached him too—acting like I wasn't going to do the surgery and suggesting that maybe Dr. Misir had recommended it unnecessarily. Total panic mode, right? 🙄
His reaction actually surprised me too; he made it clear it just needs to be done, period. But he wasn't forcing my hand; instead, he was incredibly calming. I honestly don't know if it's just my case, because I usually get terrified of doctors. 😁

As for prep, I didn't really have any special routine. Did he give you specific instructions on what to do? I had my surgery on Tuesday, and I hadn't eaten anything from Monday afternoon until about 4 PM on Tuesday. Plus, after 10 AM on Tuesday, I couldn't even have any liquids. I didn't even have to do a full cleanse like Michael Diaz4 did, though I have no idea why.
Oh, and yeah, I wasn't allowed to apply any creams or take any painkillers for those two days because of the anesthesia.

Honestly, you won't need much because they provide almost everything there. But I still brought a few things just in case. Grab a robe if you have one, otherwise they’ll give you one there. Bring pajamas if you want, though you can sleep in a robe (though I personally found the pajamas way more comfortable). DEFINITELY bring some thick socks, because you will get freezing cold after the procedure—I was literally shivering. And slippers. That’s pretty much it.

I packed a whole bunch of extra stuff, but I never even got around to using it. Toothbrush, toothpaste, a little toiletry bag... but none of it came in handy. You won't have much time anyway, since you’ll probably be wrapped up around 6 PM and then you'll just be dozing off until midnight because the anesthesia leaves you feeling so groggy, and people will keep popping in to check if you need anything or if you're okay. Then the night nurse takes over and checks on you regularly until morning, but after that, you'll sleep normally, assuming the pain isn't too bad.
The doctor will come by as early as 7 AM to check on you, write up your discharge papers, and you'll be heading home around 10 AM.
And that's the whole deal. Basically, you're just going to spend most of your time sleeping.

For aftercare, you'll want to have Medazol, Detralex, and some Lidocaine gel on hand.
I paid for everything in cash.

Don't be scared; you'll see it's not nearly as bad as you think, and you'll feel so relieved once you've finally gotten rid of that constant nuisance forever! 😉

p.s. I actually need to go back for a follow-up, so let me ask... did you just call the clinic and book an appointment, is that right? Around what time does he usually do his exams, and how much does it cost? And how does the exam actually work there? Dealing with hospitals is such a nightmare; you have to jump through so many hoops. Thanks!

You aren't going back to work that quickly. They’re going to have to do quite a bit of cutting—not quite as much as they did with me, but there's still plenty of surgical work involved. It's going to hurt. I don't know what kind of pain you've been dealing with up until now, but honestly, for me, it actually felt less painful after the surgery than it did before, though I know some people don't deal with massive pain beforehand and then end up screaming afterward because they weren't prepared for the intensity.

Oh, please, don't go scaring her more than she already is! I'm positive they won't be doing any heavy cutting and she won't be in unbearable pain, because if that were the case, I'm certain her doctor wouldn't have told her she could be back at work by Monday. If he said that, he wouldn't be trying to mislead her, and I truly believe he isn't the type to play games like that.
You definitely had a tougher situation on your hands. 😢

I know this because my doctor specifically told me it was going to be pretty painful due to the fissure, so he insisted I take a full week of strict rest and expected a complete recovery to take about four or five weeks. He didn't say all that to her, so her case might just be a much lighter one.
The DG HAL RAR method is non-invasive, and as long as nothing goes wrong, it doesn't really hurt. Some people are even heading back to the office the very next day. It’s the exact same story with the THD method.
It's a completely different story when people wait until the absolute last minute and end up developing complications. 😁

There is absolutely no need to stir up unnecessary panic! I'm saying this because if she's seriously considering the procedure, the last thing she needs right now is a horror story that makes her want to back out. That's just not part of the equation here. 😉

Elizabeth Price85 said:So there I am, just finished my exam with Dr. Ivanovic. He told me that one of my internal hemorrhoids had prolapsed—it’s quite large—and apparently, I have several others tucked away in both typical and atypical spots. He managed to push it back in, but I can already feel it trying to make its way back out. The pain just isn't letting up.

Dg: Internal hemorrhoids, grade II and III, plus thrombosis on top of everything else.😢

The recommendation: surgery (HAL+RAR). He mentioned he could fit me in as early as this Wednesday (the day after tomorrow) at 4:00 PM. He wants me there around 2:00 PM; I'll go under light general anesthesia, sleep it off at the Sun City Clinic, and be back home by Thursday. I should even be able to get back to work by Monday. Since there's thrombosis involved, the pain might be a bit more intense. Before the procedure, I've been prescribed Detralex tablets, Dulcolax, and Lidocaine ointment.
Price: $2.75.

And I have to let him know by tomorrow morning if I'm moving forward. It caught me a little off guard how sudden this all felt, but I think I'm going to pull the trigger and do it.🤷

I suspect he performs surgeries at the clinic almost every single day around 4:00 PM, which is probably why he needs a heads-up by tomorrow so he can coordinate his schedule.
Since you're dealing with thrombosis... yeah, you really shouldn't mess around with that. You need to get it sorted as soon as possible. That said, if it doesn't feel like an absolute emergency, don't feel pressured to rush; take some time to sleep on it and decide if this is truly what you want to do. The doctor will schedule you whenever you feel ready.
But speaking from my own personal experience, I can tell you that I haven't regretted choosing the DG HAL RAR method for a single second. 🙂

It's entirely possible you'll be in a bit more pain right after the operation, but that shouldn't last more than a few days—he wouldn't suggest you could head back to work so quickly if that weren't the case.
In my case, he prescribed a full week of strict rest.

Did you go straight to the clinic? What was your gut feeling about the doctor?
I honestly believe that's the most crucial part—having real confidence in the person treating you. For me, that sense of trust was the deciding factor.

Also, I just wanted to mention that everyone there is incredibly kind, so you won't have to deal with any awkwardness or discomfort. Either way... good luck! 🙂

=Alex Kim;32933643]Reading through these threads, I honestly feel for so many people dealing with this stuff, especially when the immediate suggestion seems to be jumping straight to surgery—which can be quite pricey—without anyone actually digging deep to figure out what’s causing the root issue in the first place.
I dealt with Hemorrhoids myself, though thankfully they weren't severe enough to require a trip to the operating room.
I managed to get everything under control just by tweaking my diet—basically cutting out most meat and loading up on fruits, veggies, and especially seeds—and even switching out the chair I sit in for work.
It was a gradual process with the food changes, and as a nice little bonus, it ended up clearing up my chronic heartburn too.

The causes vary wildly from person to person, almost like how everyone reacts differently to a common cold. It's all manageable as long as you've got a handle on it, but once things start spiraling, you really need to go see a doctor. And let's be real, it's not like everyone is being pushed toward expensive surgeries; since most of us have decent health insurance, you can usually get things sorted out properly at a local hospital. Plus, any decent doctor worth their salt will try to pinpoint exactly why those Hemorrhoids started acting up.

It sounds like your diet was the main culprit, and it's awesome that you were able to turn things around so easily, but I wish everyone could say the same.
I’ve always been pretty disciplined about eating well and staying active, yet these issues just popped up out of nowhere a few years ago. Turns out, it’s purely genetic—so many people in my family deal with this...
In my case, no amount of salad or lifestyle shifts would have made a dent in it.

Honestly, the single best piece of advice I ever received on this forum was simply to go see a medical professional. I'd recommend that to everyone, especially if adjusting your diet doesn't seem to be doing the trick. 🙂

Jeremy Kern;32923635]Thanks so much for the reply and for trying to calm my nerves.🙂 I think it’s actually eased up a tiny bit (I applied some St. John's Wort oil last night), but there's still this persistent ache. It's not like an agonizing pain, per se, but more of this constant, nagging discomfort. Honestly, I even find sitting down a little easier than standing up or walking around.🤷
It isn't really about being afraid; I’ve never been the type to shrink away from doctors, and I've already seen two different specialists. It just feels like I'm constantly fighting one health battle after another—first dealing with gynecological stuff and then that whole candidiasis issue—and I just wanted to get one thing settled so I could finally focus on fixing the next. But clearly, life doesn't work that way.🙂
Thank you, I'm going to call Butterfly tomorrow to schedule an appointment. Then we'll see what the doctor says. (Is it okay if I ask how much the exam usually costs, just so I can be prepared?)

Ah, well, that's great that you aren't easily spooked! I remember the first time I was actually trembling in fear at the doctor's office (with Misir), and the nurse had to hold my hand and talk me through it. 🙄
I am truly sorry you're juggling so many health issues right now, and I'm sending all my best vibes that you can get everything sorted out as quickly as possible. 🙂

Oh man, I honestly have no clue what the exact cost is, because when I saw the doctor who works at Butterfly, I went to the hospital for the initial checkup and then went straight to the clinic for the surgery. Hmm... back when I saw Misir, the exam was $200, though typically they range from $300 to $200. I'd say things at Butterfly tend to be a bit more affordable.

If you decide to go to the hospital, keep in mind that he only does exams there on Friday mornings starting at 10:00 AM. There's also a chance he might tell you it's nothing urgent, which means he'd refer you to the hospital where you wouldn't have to pay out of pocket. He is such a wonderful human being because he never pushes his own methods on you or pressures you into choosing the private clinic and spending the extra cash; instead, he just settles your nerves and tells you to feel free to seek a second opinion.
Please, please let me know how it goes and what your impression of him is—I'm crossing my fingers that everything turns out perfectly! 😉

Elizabeth Price85 said:A hemorrhoid just popped out on me.😢 It wasn't even because of hard stools—which actually caught me off guard since I’ve been having soft, easy movements every single day for the last ten days. It's pretty large and it hurts whenever I walk, and sitting down is just pure discomfort.😢 Is there any chance it will relax, shrink, or just slide back inside on its own?
What’s the absolute best-case and worst-case scenario here?

And is this a sign that I need to rush to the doctor to get this handled right away, or is there really no reason to panic?
(I'm constantly trying to find that sweet spot where I don't spiral into a total panic—because let's be honest, I'm a bit of a worrier by nature—but I also don't want to wait too long and turn a small issue into a massive headache.)

Don't go spiraling just yet, because there's honestly no reason to freak out. 🙂
In my opinion, the smartest move you can make is to just head to the doctor and get it sorted out once and for all.
The best thing that could happen without seeing a professional is that the hemorrhoid simply recedes and the pain vanishes, but since you've been dealing with this for a while now, I think deep down you already know it'll just come back.
On the flip side, the worst-case scenario is that you end up facing complications like fissures, fistulas, polyps, or who knows what else. And trust me, if that happens, you'll really regret not stepping up and fixing it sooner. Recovering from those kinds of issues is a much steeper hill to climb.

Going to the doctor isn't nearly as terrifying as it sounds! I used to get so nervous about it myself, but looking back after everything was resolved, I actually regretted not going earlier. You mentioned your mom went to the doctor too, so what did she tell you about it?

I don't know... I know the pain is the hardest part right now, because if you haven't experienced it, you truly have no idea how much it sucks. Ugh... maybe try applying some Faktua ointment; that might give you a little relief. There are also specific hemorrhoid creams available. But honestly, those are just temporary Band-Aids, and I think you realize that. 😢

I really hope the pain eases up quickly for you... but please, stop putting off that doctor's appointment. 🙂

And don't wait until you're officially in "panic mode," because by then, the pain is usually so intense that you can barely function. You definitely don't want to find yourself in that position.

Drew Booth said:Does anyone happen to know how much that procedure actually runs you?

Thanks

I ended up getting a fissure repair using the DG HAL RAR method, and the whole thing set me back about $8,000$0.00. Honestly, I don't think the price for the specific technique itself is much lower than other options, especially since even a THD procedure costs around $10,000$0.00, and that's considered a permanent fix. It feels like that's just the standard rate for this kind of work.

Also, if my memory serves me right—and I could be wrong here😁—I'm pretty sure they use that same exact method over at Merkur, so it might be worth checking in with them first to see if you can save some money.

And yeah, I'm not so sure if getting ligation is really worth the investment when there's always that nagging possibility that the hemorrhoids might just come right back anyway.

Sophia Brooks50 said:Hey, I’m dealing with an anal fissure too, but they’re sending me in for a rectoscopy; did you have to go through those extra tests, or did you just jump straight into surgery?

I actually saw two different doctors and neither one of them even mentioned a rectoscopy—I just went ahead and had the surgery right away.
It feels a little strange to me that they’d want you to undergo more testing just for a fissure, almost like they're looking for a needle in a haystack. Have you been struggling with this for a while now? It might be because of your medical history... maybe they just want to be absolutely certain everything else is running smoothly before they move forward.🤷

Elizabeth Price85 said:Thanks for getting back to me so quickly.
Given my family history, there’s a pretty high chance I won't make it through life without dealing with some complications in that area.
Just a quick question (I'll Google it later, but just in plain English): what’s the actual difference between THD and DG HAL? From what I understand, there’s also a + RAR version versus just the standard HAL method?

So, does that mean my mom might have made a mistake by opting for laser removal of the internal ones?😢 Her doctor, Dr. Misir, told her they wouldn't come back after that.

I’ve completely overhauled my diet over the last six months (trying to deal with candida), but ironically, my hemorrhoids have actually gotten worse since then.😠
And if I decide to move forward, I could probably get it done at Merkur or go private somewhere (like Butterfly), right? It’s just that the wait times at the hospital can be such a drag.

Honestly, I feel like this has been building up for a while, so it’s clearly Stage II—there’s really no reason to panic or rush into anything blindly. When you see the kind of intense pain and bleeding other people deal with (my mom is a prime example), you don't want to be paranoid. But I do know it isn't going away, and it’s definitely better to tackle it now rather than waiting until things get even messier.

Hmm, from what I’ve read, THD and DG HAL work on very similar principles. Both methods are designed to fix hemorrhoids for good. With THD, you don't even need anesthesia, and people are often back at work within a single day. However, that’s specifically for internal issues. When I called to book a THD procedure, they told me it wasn't an option for me because I have external ones; apparently, that method is strictly for internal cases.

As for the difference between DG HAL and RAR... think of DG HAL as being for the lighter cases, like Stage 2 hemorrhoids, whereas RAR is meant for the tougher stuff (and I think it covers external ones too). Since I had Stage 2 internal hemorrhoids but a Stage 3 external one, I ended up going with the DG HAL RAR.

Look, it doesn't necessarily mean your mom's issues will return; you can never know for sure. Some people go in for laser treatment, get cleared, and never have to deal with it again. But a doctor shouldn't be making absolute promises that laser is a permanent "one and done" fix! It was the exact same situation for me... Dr. Misir told me the same thing, but when I actually showed up at the hospital, the doctor there just rolled his eyes at that claim. He even tried to sell me on this nonsense about Botox injections to permanently fix a fissure. The nurse at Merkur told me straight up that those injections only last about six months before everything goes back to how it was, and they constantly see patients coming back in after Misir "fixes" them. I had a pretty unpleasant experience with him (🙄), but seriously, it’s entirely possible your mom is in the clear.

Yeah, from what I gather, they do offer that method at Merkur too, but if I were in your shoes, I’d call and double-check. My doctor mentioned he could handle it, but I was so confused at the time that I didn't press him for specifics on the technique. The nurse did mention they have the latest equipment, so I assume she was referring to the DG HAL RAR.

Listen, if Merkur offers that method, there’s really no point in paying out of pocket privately unless you’re in a massive hurry. If I were you, I’d just wait. That said, I was really impressed with the service at Butterfly. At Arither, though, they only perform the DG HAL.

Elizabeth Price85 said:I’m planning to look through this thread (I’ve heard the Butterfly and Arithera clinics use some really cutting-edge techniques), but I’d love to hear about people's actual experiences. I know hemorrhoids aren't just going to vanish into thin air 🙂, but honestly, I've been treating them like they aren't even an issue—kind of acting like there's plenty of time to deal with it later. Am I being too relaxed here, or should I start getting serious about fixing this now, even if they aren't causing me any pain or bleeding right this second?

It really boils down to how your body reacts, so it’s incredibly individual from person to person. You have people who live their entire lives dealing with hemorrhoids and only face minor inconveniences, but speaking from my own heart, I truly regret not seeing a doctor the moment I realized they weren't going away on their own. Once they actually start hurting... man, it is pure misery. If you scroll back through the last few pages of this thread, you'll see just how many different complications can pop up out of nowhere.

The only thing I’d suggest is staying away from laser removal since it isn't a permanent fix, and if I recall correctly, the prices for the DG HAL RAR and THD methods are roughly in that same ballpark.
I mean, if you are already at the point where you are considering surgery, you might as well go all in and get rid of them for good once and for all.

Plus, since yours aren't even bleeding or causing you pain yet, you probably won't even have much of a recovery period to worry about. I dealt with the exact same issues regarding bowel movements as you are, and for the first time in my life, everything is totally regular and normal. I honestly can't tell if I owe that to the surgery or just switching up my diet...

My best advice to you is to just take care of it and not wait around. 🙂

Michael Diaz4 said:>> Like I mentioned before, I went ahead and checked out exactly what was going on with me. It turns out it was a whole combination of things—basically a standard cleaning paired with a DG HAL RAR procedure to reduce and reconstruct the anal mucosa. There were some polyps involved too.

Oh man, Michael, I honestly can't believe everything you've had to endure and everything you're still dealing with right now. I am truly rooting for you to have a super fast recovery, and more than anything, I just hope that pain lets up for you as soon as possible. Even I was feeling completely overwhelmed after just a couple of days of pain... 😢

So, it looks like you ended up going through the DG HAL RAR procedure just like I did. Honestly, it’s great because at least now people are actually getting some real information about this stuff.
In my opinion, THD and DG HAL RAR are the least invasive ways to handle this, and if you get them done while you're still in the early stages of recovery, you're almost golden. If I could give one piece of advice, it would be to head straight to the doctor the second the pain starts so you can deal with it once and for all.

Hang in there, Michael... you've got this! 🙂

Dennis White43, thank you so much for the kind wishes; you are truly such a sweetheart. I sincerely hope you can leave all this misery behind you forever, because I know firsthand just how grueling this journey can be. 🙂

Since you’ve gone through my previous posts, you probably realized I waited until the absolute last second to act, mostly because I felt so incredibly embarrassed to even admit what I was dealing with to anyone. But honestly, the pain I was in eventually became so overwhelming that it just swept all that shame away, and I found myself practically sprinting to the doctor's office.
Because I tend to be a total worrier and someone who needs to know every single detail, I did an exhaustive amount of digging into every possible hospital, clinic, treatment method, and specialist out there.
And I didn't just stop at browsing things online; I made sure to look into everything in the real world too.

It’s been twenty days since my surgery, and I feel absolutely wonderful! There’s zero pain, no discomfort... I’m walking, sitting, and keeping a regular bathroom routine just like I used to, almost as if nothing ever happened. Everything normalized so quickly for me because the specific method I chose was the least invasive option available. I did have some pretty intense pain during those first couple of days, though, but I suspect that was mainly due to the fissure, since I actually had to undergo two procedures at once.
After that initial period, the pain just vanished quite suddenly. And truthfully, the discomfort after the surgery wasn't even more intense than what I was feeling beforehand.

Honestly, Sun City Clinic turned out to be the best decision I could have made. I noticed someone else on this forum visited them too and had nothing but glowing things to say. You should definitely spend some time looking into them.

Phew, I did a deep dive into Phil's work, and while I would never dream of questioning anyone's medical expertise, I personally wouldn't opt for his specific approach. He performs a hemorrhoid ligation, which from what I gathered, uses laser technology. That isn't a permanent fix, and as for the traditional version, there was simply no way I was going to agree to that because it sounds far too painful.

My heart was set on either THD—though that wasn't an option for my specific situation—or a laser procedure. However, once the doctor explained the DG HAL RAR technique to me (by the way, he performs both at the Sun City Clinic), the choice became crystal clear.
I read a massive amount of articles about it (in English) and it turns out it's currently one of the most popular methods out there. It offers minimal pain, long-lasting results, and a really fast recovery time.

Oh, I'm not sure how the scheduling looks for exams over at Sun City, because I saw Dr. Ivanovic at KB Merkur for my check-ups (he only sees patients there on Friday mornings), and then went to the clinic itself for the actual surgery.
Actually, I think this is a really important point to mention... if you aren't in extreme agony—meaning, if you can afford to wait—there's really no need to pay for private care right away, because they perform the exact same method at Merkur (just make sure to mention the doctor), though the waiting lists there can be quite long.

If any other questions pop into your head, please just ask; there is truly nothing to fear. Once you get through this whole ordeal, you'll realize it wasn't nearly as scary as it seemed.

🙂

Dennis White43, if it helps at all, I’m only 24 and I still had to go under the knife, so you aren't alone in this since I've been battling Hemorrhoids for several years now.
In my experience, it really just comes down to your DNA, and from everything I hear lately, it seems like more and more young people are dealing with this exact same struggle.
The checkup isn't scary at all, and honestly, neither is the surgery itself; the recovery period later on just depends on your specific situation, but it's nothing you can't handle. I truly believe you made the right call by seeing a doctor, because if I could turn back the clock, I would have sought help so much sooner.
The real nightmare is when complications start to develop.
Please don't be afraid; just listen closely to what your doctor tells you first. If you aren't in excruciating pain, you might not even be a "tough case," which means your recovery could be a breeze. As for post-op complications, they are incredibly rare—at least, that's what I was told.
Sending you so much luck, there is absolutely nothing to fear! 🙂

I was actually considering the THD method myself, but my doctor told me it’s strictly intended for internal hemorrhoids, and since I was dealing with an external one, that option just wasn't going to work for me.
My plan ended up being the DG HAL RAR approach instead, which people say works about 95% of the time in terms of being a permanent fix, though I suppose we'll just have to wait and see how it plays out. 😁

Josephine, it's possible you might have internal ones that occasionally prolapse, which would make you a great candidate for THD. I could be wrong, but my understanding is that once an external one forms, it doesn't just migrate back inside.
If I were in your shoes, I'd definitely seek out a second opinion and really dig into the specifics of each procedure before deciding. Best of luck! 🙂

Michael Diaz4, that is so interesting to hear... so you actually went through both the traditional route and the THD procedure. I have to hand it to your doctor for offering that choice; if I had known that was even an option, I probably would have gone that way too.

Michael Diaz4 said:Well, I’m back just like I said I would be. I finally went under the knife this past Wednesday the 16th, and I’m actually heading in for my follow-up appointment today. To be honest, things got incredibly intense and honestly pretty scary for a moment there. My surgeon told me that it was a mess—he found four ulcers on those internal hemorrhoids and a massive thrombosis had developed, too. He said it was nothing short of a miracle that the clot didn't break loose and travel elsewhere, because if that had happened, I would have been facing a whole different kind of nightmare.😱🙂

I am just so incredibly relieved to hear that everything turned out okay in the end and that you didn't have to deal with any unexpected complications. Honestly, my own experience was almost a mirror image of yours; I don't think I was even able to catch a wink of sleep until that third night after I finally made it back home. For the pain, I found that taking Advil granules worked wonders for me, though of course, you really have to be careful not to overdo it with those.
It’s been almost two weeks since my surgery, and honestly, the pain has just completely vanished, so I really believe you'll start feeling that same relief pretty soon. For me, it felt like a light switch being flipped—one minute I was struggling, and the next, everything just suddenly settled down.

You mentioned using Doppler and laser vein welding... actually, I think that's exactly that HAL et RAR method I went through myself. It’s funny you brought up Doppler, because that was a huge part of my experience too. 😁

Honestly, whatever happens, I’m just sitting here crossing my fingers and praying that this is finally behind us for good.
I truly believe it’s vital for people to realize that experiencing a dull, nagging ache from time to time isn't necessarily an immediate cause for panic—though, honestly, getting checked out right when you first notice something feels off is always the smartest move you can make. However, once that sensation shifts into something intense, sharp, or just relentless, that's your body's way of signaling that complications have already set in, and at that point, you really need to get to a doctor as soon as humanly possible.

If you find yourself stuck indoors for two weeks or more without any way to get out, you already know exactly what kind of situation you're facing.