Dealing with hemorrhoids – any advice?

Christian Smith2 and Michael Diaz4, thanks for the heads-up. This info is going to be a lifesaver for me and anyone else who feels like they've run out of options. I finally got my results back—apparently, I've got grade 3-4 external hemorrhoids, according to the report—and they've scheduled me for surgery in about a month. Honestly, I haven't even decided if I'm actually going through with it yet. A little bit of panic has definitely set in. 🤦🐔

Kate Kim7 said:Christian Smith2 and Michael Diaz4, thanks for the info. It’ll be a huge help for me and everyone else who feels like this is the only way left. I just got my results back—they say I have stage 3-4 external hemorrhoids—and they want to schedule the surgery in about a month. I haven't quite decided if I'm going through with it yet. Honestly, the panic is starting to set in. 🤦🐔

Look, once I made it through, everything changed. Read about what I went through and you'll see—don't let the fear get to you. There's a solution for everything, and from a medical standpoint, hemorrhoids are actually pretty easy to fix these days. Will there be some pain? Sure. The HAL procedure can be tricky... but you can definitely handle it.

Kate Kim7 said:Christian Smith2 and Michael Diaz4, thanks for the info. It’ll be useful for me and anyone else where this is the last resort. I found out mine are grade 3-4 external hemorrhoids according to the report; they scheduled me for surgery in about a month. Still haven't decided if I'm going through with it. A bit of panic set in. 🤦🐔

Panic hit me too. But once I was actually in the hospital and saw what other people were undergoing surgery for—the actual diseases they face—this DG HAL RAR seemed like a minor thing. I opted against general anesthesia and went with spinal instead. I could hear everything during the procedure and even chatted with the anesthesiologists. It took about 45 minutes, according to my watch.

Christian Smith2 and Michael Diaz4, you both hit the nail on the head. When you look at the absolute nightmare list of diseases out there—surgeries that drag on for hours—this procedure actually feels pretty minor by comparison. Michael Diaz4, once I get a chance, I’m going to dive into all your old posts and catch up. The bottom line is that you just have to power through it so you don't have to deal with this mess ever again.
Once again, thanks guys.👍
You just gotta man up, grit your teeth, suck it up, and get it over with. 😁
Best, 😉

Kate Kim7 said:Gentlemen, Christian Smith2 and Michael Diaz4, you're both absolutely right. When you look at all the terrible illnesses out there—surgeries that drag on for hours—this procedure really starts to feel like a minor thing. Michael, once I have a moment, I’m going to go back and read through all your old posts. The main thing is just getting through it so there aren't any more problems down the road.
Thanks again, everyone.👍
You just have to man up, grit your teeth, brace yourself, and get it done. 😁
Best regards, 😉

😁 You won't be sitting on it... if they perform the DG HAL, it's basically the gynecological position. How tough the RAR ends up being just depends on the stage... Just be prepared, it's a rough surgery, but the nurses at the clinic always tell me women handle it better. Personally, I handled mine like a champ because the pain I had before the surgery was so horrific that everything afterward felt like a breeze. Honestly, don't worry... My doctor even joked during one of my checkups, "Well, now you know what it's like for women giving birth..." So, I guess I've had that experience too...😁
Just stay calm. If the surgery is necessary, you can endure anything...

wiredotter12 said:Hi. After dealing with minor internal hemorrhoids for a few years—likely caused by too much sitting, heavy lifting, and constipation—I've now developed an external hemorrhoid about the size of a large pea.👎

I'm heading to the Lastric clinic for an exam ASAP. What can I do on my end right now to improve my condition? Thanks.

Just had the Excisio PT procedure done.Check out the service pricing here: an operation to remove a large perianal thrombosis, but a new one popped up just 1 or 2 days later. 😠
Check out this info on internal hemorrhoids: http://www.lastric.com/ob...ski-hemoroidi/

What now? Again? Does this even make sense? How am I supposed to help...

I’ve been dealing with hemorrhoids for quite a long time now—years, actually—but things have taken a bit of a turn lately. It’s not that they itch anymore, nor is there any pain; externally, you wouldn't even know anything is wrong. However, I am bleeding during every significant bowel movement—and I want to be very clear about that—there is absolutely no pain or burning sensation involved. What exactly is going on here? Is this something dangerous?

My experience with the Morgan-Milligan procedure (Medicare + supplemental insurance):

I dealt with internal hemorrhoids for quite a while, and once they finally stopped tucking themselves back in, I headed to the hospital and—surprise, surprise—got scheduled for surgery (the classic scalpel cut).

Before you go under the knife, there’s all the pre-op prep: blood work, EKG, X-rays, chatting with the anesthesiologist, and all that fun stuff.

On day one at the hospital, it’s all about the "cleansing." You have to drink this salty-sweet solution—about half a liter—along with tons of water. Let's just say you'll be spending a lot of quality time on the toilet. After that comes the enema, then a shower with some antibacterial soap, and finally, a sleeping pill in the evening.

Day two starts with another enema, shaving, a shower, and then the surgery itself under general anesthesia, preceded by a sedative. Once I woke up from the anesthesia, I was hooked up to three IV drips and given an injection. I spent the rest of that day stuck in bed.

I stayed in the hospital for another three days. Every day I got an injection that's mandatory after anesthesia, though you can also ask for pain meds if you need them.

I didn't get my first "real" meal until day three, and for some reason, I was stuck on a liquid diet on day four—no idea why.

Anyway, I had two large internal ones and a few smaller ones. The pain wasn't intense; I just had occasional, pretty nasty cramps, maybe twice an hour.

Post-op, I had to use Fact cream and suppositories for about a month, plus Daflon tablets for three months, and take potassium permanganate baths to make sure the wound didn't get infected. I was also put on a specific diet that I had to stick to.

I didn't experience any major pain after the surgery. For about a week, bowel movements really stung for a few minutes and there was some light bleeding, along with those occasional cramps during the day, but it eventually tapered off. After a month, the area was just sensitive to the touch, with occasional mild pain and a tiny bit of bleeding.

If I could even call it a "problem," there was some excess skin left over after the surgery. The surgeon said they leave that there to prevent stenosis (narrowing of the anus) and told me it’s totally fine and nothing needs to be done about it.

There you go. Hopefully, this helps someone out or makes the process a little less daunting.

If I remember anything else, I'll post it. 👍

I still haven't decided what I'm going to do about these hemorrhoids...

The thought of surgery makes me panic a little, but why worry about things before they happen? Once I get myself there, I'll just go see a specialist and then decide on whatever solutions they suggest. Lately, I've been noticing some bleeding, so now I'm thinking about these miserable hemorrhoids a bit more often. And, if it turns out an operation is the only way, I just really hope they don't keep coming back.

cosmicviper18 said:Still haven't decided what I'm doing about these hemorrhoids...

You should definitely go get a checkup. Honestly, when you're at the point where you don't have any other choice left, having a ton of different medical options on the table is the way to go. 🙂

northernsurfer92 said:You should definitely go get an exam. There are so many more options available once you actually see a doctor, especially when you've reached the point where you don't have any other choice left. 🙂

I've come across a few recommendations for private specialists here, but if I have the choice, I’d much rather go through a hospital doctor first—mostly because money is a bit tight right now. So, if anyone has any suggestions, please speak up; I really need help. Lately, the pain has been kicking in too, so...

wiredotter12 said:I underwent the Excisio PT procedure.Check the pricing list here: had surgery to remove a large perianal thrombosis, but a new one popped up just one or two days later. 😠
Check out this info on managing hemorrhoids: http://www.lastric.com/ob...ski-hemoroidi/

What now? Doing this all over again? Does that even make sense? How am I supposed to help...

Hi. Five days ago, I had two Excisio PT procedures to deal with two large perianal thrombosed hemorrhoids. Now, a third one popped up just two days later. This is getting ridiculous.

I'm heading straight to the specialist at the hospital in Washington, D.C. for an exam. I have no idea what's actually going on here, and I refuse to end up back in surgery for a perianal thrombosis every two days. 👎
These private insurers just bleed you dry as long as they can. 😠

cosmicviper18 said:I came across a few recommendations here...

Even with a good recommendation, you still need a little luck (unfortunately). I went to one hospital where they brushed me off, acting like it wasn't "serious" enough for surgery. But I didn't waste any time—I just went to another one where they told me straight up: "Yeah, that needs an operation."

Some people seem to think folks visit a proctologist just for kicks or because they're bored.

northernsurfer92 said:Beyond just getting a recommendation, you need a little luck too (unfortunately). I went to one hospital and they told me it wasn't "serious" enough for surgery, so I didn't waste any time—I just went to another one where they told me: "That definitely needs surgery."

Some people seem to think folks visit a proctologist just for fun or out of boredom.

I've even heard about spikes occurring in people after hemorrhoid surgery, causing them to come right back. I'm not a doctor and I'm a total layman in this field, but I feel like there has to be a solution out there. If we can get to the moon, surely we can find a fix for hemorrhoids.
Maybe my case isn't severe enough for surgery, but I want this gone. If surgery isn't the answer, then there has to be some other way to treat it.
Last time I saw the specialist, they just gave me some pills and a cream, and that was it—things calmed down for a bit, but now I've been struggling with them again for quite some time.

Yeah, there are definitely people dealing with recurrences. Even as a total amateur, it feels pretty wild that we don't have a definitive fix for this in the 21st century. Maybe it’s because our modern lifestyle—junk food, sitting around all day—is actually "profitable" for them. But hey, I'm not trying to be some deep philosopher here. 😁

I was wondering if anyone might be willing to share their experience regarding Advil tablets. I have been browsing online and noticed some options priced at $599, while others are listed for $33. Even though they both go by the name Advil, one set is produced by Himalaya, if I am reading this correctly. I am somewhat confused as to whether there is a significant difference between them or if there is some sort of catch I am missing. Thank you.

Nicholas Davis27 said:Could someone please help me out? Does anyone have experience with Advil tablets? I'm seeing some priced at $599 and others for $33. They both say Advil, but one brand is Himalaya—or I think it is. I don't quite get it. Is there actually a difference, or is there a catch somewhere? Thanks.

That won't do much for you. There aren't any scientific facts suggesting they actually work. They might help with regulating your bowel movements, sure, but you can manage that plenty of other ways without spending that kind of money.

Michael Diaz4 said:That isn't going to do much for you. There aren't any actual scientific facts suggesting they provide real relief. While they might assist somewhat with regulating your bowel movements, there are plenty of other ways to manage that without spending so much money.

I see your point, then; what would you suggest I use for hemorrhoids?

Nicholas Davis27 said:Okay, I get it. So, what are you actually recommending for hemorrhoids?

And besides that, what else can be done before finally seeing a good specialist doctor...

Nicholas Davis27 said:Can someone help me out? Does anyone actually have experience with Pilex tablets? I see some priced at $599 and others for $33. They’re both called Pilex, but one is from Himalaya—or whatever. I don't get it. Is there a difference or is there just a catch? Thanks.

Took some Pilex recently for $200. Two-week course.
Feeling way better now.
Not sure what that other Pilex for $33 is about.
Some people swear by Daflon too, and it's cheaper.