embaressing question....

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star1234
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Date Joined Sep 2006
Total Posts : 188
   Posted 10/27/2007 9:27 PM (GMT -7)   
hey all,
 
quick embaressing question. i have 2 lg external hemorrhoids that can become really irritated when im have lots of d (ive had them for a long time). my ques is has anyone had a hemorrhoidectomy and how did it go?  how long was it before you felt sorta back to normal.  ive read up on it on the internet, that it can be done as an outpatient procedure, and you should be back to normal in 10 days or so. i work in a hospital, and want to make sure this is completely outpatient, and that i wouldnt have to be out that long before i could return to work, and that no one there knows that im having surgery.  thanks for any help!
24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 10/27/2007 9:32 PM (GMT -7)   
Are you sure that they aren't skin tags? I have skin tags, and when I am flaring, they become really big and sore, but now they are just shriveled up pieces of skin since I am doing fairly well for the time being.

I am pretty sure that it isn't recommended to have them removed when you have crohns.....and the experts will be along soon to give you all the info.....

star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/27/2007 9:35 PM (GMT -7)   
yes theyre hemorrhoids, i thought thats what they were all along, but the the gi doc confirmed it when i was scoped last year.  mine never shrivel up, theyre the same size when theyre not irritated, but when they do, they become painful and swollen. bah. no fun.
 
24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/27/2007 10:54 PM (GMT -7)   

Ya, I had a colon and rectom surgeon also tell me that I had hemmies and she did a hemheroidectomy on then (by banding them) only for it to turn out that they were infact perianal crohns skin tags, on which you should NOT have surgery on while they are in a flare (large and painful) only when they've shrunk back down can you get them snipped off....so here's a link, the first one shows pics of hemmies, the second shows pics of anal skin tags (aka: elephant ears)....

 

 

 
 
:)



My bum is broken....there's a big crack down the middle of it!  LOL  :)


bektold
Regular Member


Date Joined Jul 2007
Total Posts : 456
   Posted 10/28/2007 9:20 AM (GMT -7)   

I had a hemorrhoidectomy and a couple of skin tags removed- and then I found out I have Crohn's.  That was six months ago, and the incisions still haven't healed completely.

I was miserable after the surgery.  It was very painful, and the pain meds didn't help much.  It was 4-6 weeks before I could sit normally.  (I went into the hospital at the four week mark, and when I came out two weeks later I was able to sit again, so I'm not sure exactly when it happened.)

As awful as the experience was, I can't completely regret it.  I was in constant pain with the hemmies.  I'm an Office Manager, and sitting at my desk every day was miserable.  Having a bm was agony.  I frequently had to lay down for a half an hour or so afterwards, just to recover.  Even my first bm after the surgery was less painful than it had been before the surgery.
 
I've heard of people having this done and being back at work in a day or two with no pain.  That was absolutely not my experience.  It wasn't just sitting that was a problem, either.  Walking was very painful, also.  Basically, anything that jostled the area hurt.  Just shifting in bed could take my breath away.  Sneezing was enough to make me scream.  Think about every time you engage the muscles in your pelvis.  That all hurt.
 
I don't mean to scare you.  I know my situation was pretty much worst case senario.  The fact that I had undiagnosed Crohn's, and that the surgery kicked off a major flare, made the whole thing worse than it had to be, too.  But I do think some doctors soft pedal the recovery from this surgery.  It's no joke.

star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/28/2007 9:31 AM (GMT -7)   
thats what my fear is. when im having normal bms its not so bad, its only when i have horrible d that its really irritating. so when im ok, i wonder should i really even have it done, because like bektold said, its not as easy for some as others. and im sure crohns only complicates things.
 
thanks for the link pb4, looking at the pics, mine sort of look like skin tags, but i only have 2. so now im not 100% sure of what they are.  and it makes me nervous that my docs said they were hemorrhoids, but with your expereince they were wrong. id hate to have that happen.  would it be best to get a 2nd opinion!


24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.

Post Edited (starbucks1617) : 10/28/2007 10:34:03 AM (GMT-6)


karendee
Veteran Member


Date Joined Mar 2007
Total Posts : 1642
   Posted 10/28/2007 1:40 PM (GMT -7)   

I have internal hemorrhoids and I am miserable when I have D I have lots of bleeding and pain. I also have a skin tag or something similar, yuck!

I find for the hemmies a hot shower or bath seems to soothe after BM's. Also I use lots of hemmie cream. At least a few times a week even if they are not bothering me. When they are really hurting I get the hemmie wipes that have witch hazel in them and wipe with those then add creamm. I do this each time I have D or when I have bleeding.

Seems like this helps but sometimes I really suffer with them. I thought I had a fissure but I am not so sure now. I know I have internal hemmies though. They really do suck but I am learning to live with them. i wish there was a cure but the cream seems to help some. My Doc gave me a RX cream once and wow it worked well. I would ask him for it when it gets really bad.

I hope you get some relief soon!

Karen


 ...

Karen (Karendee)

Diagnosed w/ Crohn’s Disease  March 2007 On Azathioprine (generic Imuran), Pentasa, & ENTOCORT

Diagnosed w/  Fibromyalgia May 2007 also on Soma

Also have Arthritis, and feel like I am falling apart sometimes...


star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/28/2007 3:46 PM (GMT -7)   
thank you all for you replies! i think before i consider surgery i am going to have someone confirm if theyre hemmies of if its a skin tag. as if crohns wasnt fun enough, we have these to deal with!
24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


bunnypucker
Regular Member


Date Joined Dec 2003
Total Posts : 494
   Posted 10/28/2007 5:07 PM (GMT -7)   
i have 3 large ones myself and i know how bad the pain can be when you are flaring. i went to a colo rectal guy and he said that he does no surgeries like this on people with crohns becasue of the risk of the CD returning at the surgery site, and becasue its more than likely that i would get more. i have really bad internals and fissures as well and when they put me on proctofoam for that the hemmies really went down and arent painful at all now. plus i use witch hazel and proctosol cream from the GI and that helps a lot also.
 
 
bunny 
Crohn's Disease Diagnosed 12/24/03 (Thats Right, Merry Christmas to me!)
Bipolar
Probable MS
 
Im 26 years old, and am currently only taking remicade, protonix and evil prednisone for my CD. am on quite the cocktail for my BP however: Geodon, Lamictal, Celexa, Buspar and Klonopin.
Im also on lipitor for high cholesterol caused by a prior BP med. im on fentanyl patches for pain also, and i take some meds prn for my allergies, asthma, and migrianes.
 
"We are all worms but I do believe i am a Gloworm"
^always makes me smile^
 
 
 


star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/29/2007 6:29 PM (GMT -7)   
ok so another kinda sorta gross question. now the pics of the hemmies were round/oval and the tags looked like they had slits in them, like they were split in half. is this the main difference between the two?
24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


want_2_be_well
Regular Member


Date Joined Sep 2006
Total Posts : 181
   Posted 10/29/2007 7:23 PM (GMT -7)   
I thought I had the same hemmoroids for over a year.  Four doctors kept treating them as hemmoroids, finally GI number 3 and the GI that discovered the chrohn's identified them as perianal crohns skin tags.  Remicade reduces mine each month.  They start to swell again in about 6 weeks after my infusions.  When they are bad I use witch hazel wipes and taken warm epsom salt baths.
want_2_be_well AKA Mel
32 year old Female
Diagnosed with CD 2006, had been ill off and on for over 10 years.
Also have seasonal allergies, milk allergy, and asthma.
CD Meds: Remicade every 8 weeks, Imuran 50 mg, Pentasa
 
 


star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/29/2007 7:49 PM (GMT -7)   

Thats good that the remicade makes such a difference. Im not sick enough to be on remicade, but Im considering before I even consider surgery that I should have a second opinion. It seems as if alot of GI's are labeling them as hemmies, when in reality they're not.

 


24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


bektold
Regular Member


Date Joined Jul 2007
Total Posts : 456
   Posted 10/29/2007 7:52 PM (GMT -7)   

Hemmies are varicose veins.  Skin tags are growths.  It surprises me how many people say that their doctors misdiagnosed their skin tags as hemmies.  I would think they would look very different. 


star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/29/2007 7:57 PM (GMT -7)   
i would to, but here i was thinking for years now they were hemmies, and they might not be. so i guess im confused.
24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/29/2007 8:01 PM (GMT -7)   
Yes starbucks, in general the tags have what appears to be a split in them, hemmies don't...and the reason why you havn't healed so well is because you're not suppose to have any kind of surgery on perianal crohns skin tags while they are flaring (large/hard), only if they shrink down to almost nothing is the time when you can get them snipped off...trust me I speak from my own horrible experiance with this.

And, you don't have to only have one or 2 for them to be skin tags, one person can develop many or just have one...it's the way they look compared to a hemmie that makes them different from a hemmie, very different...perianal crohns skin tags are diseased tissues which is why they don't typically heal well or at all after surgery unlike a hemmeroid which does heal if it's infact a hemmie.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/29/2007 8:06 PM (GMT -7)   
hmm, this makes me think i have skin tags, but mine have never shrunk down to almost nothing. theyre just *there* but get worse with frequent bm's and d. boo on crohn's.
24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


bektold
Regular Member


Date Joined Jul 2007
Total Posts : 456
   Posted 10/29/2007 8:07 PM (GMT -7)   
Also, you can have both at the same time.  That could confuse things, too. And mine never shrank much.  Sometimes they were less big and sore, but they never shrank.  Probably because I was in a low-level flare for a year and never knew it. 
 
Another thing to consider- skin tags can grow back very quickly.  I had a new skin tag within a week of my surgery.

Post Edited (bektold) : 10/29/2007 9:10:47 PM (GMT-6)


star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/29/2007 8:11 PM (GMT -7)   
and to think i thought i had my crohns figured out. *sigh* i guess its still going to come to a 2nd opinion before i let anyone cut me there.
24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/29/2007 9:50 PM (GMT -7)   
Ya the skin tags have a freaking mind of their own like the rest of the disease...My CD actually started with perianal crohns skin tags when I was a teen, but every doc told me they were just hemmies and they weren't too bothersome at that time either...they would come and go on their own fairly quickly so technically I've had crohns since my early teens with having the skin tags popping up and down, the rest of the symptoms didn't come until my skin tags appeared in my early 20's when I was pregnant with my first and I gained a ton of weight and again I was told they were just hemmies, then when my first born was about a yr and a half old the skin tags became uncontrolably painful and I went in for an emergency hemheroidectomy (they banded them) which was a big NO NO...and I've been screwed with this disease ever since....JUST BEFORE I went in for the surgery I told my docs that for some strange reason I was having more then my normal amount of daily BM's, they were still formed (no D, no blood or any other CD symptoms other than the tags) but they dismissed my frequency issues and said it was simply hemmies....WRONG!!!!

CRAP, if I new then what I know now!!!!


:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


karendee
Veteran Member


Date Joined Mar 2007
Total Posts : 1642
   Posted 10/30/2007 5:04 AM (GMT -7)   

wow, this thread has been very helpful to me. I think for sure I have a skin tag. I also have internal hemorrhoids. I think my skin tag gets bigger sometimes and when I had my scope i don't remember having it. Right now it is very swollen. Yuck! I thought it could be a fistula trying to break through until I looked at it... yucky

Crohns is so fun huh?

Karen


 ...

Karen (Karendee)

Diagnosed w/ Crohn’s Disease  March 2007 On Azathioprine (generic Imuran), Pentasa, & ENTOCORT

Diagnosed w/  Fibromyalgia May 2007 also on Soma

Also have Arthritis, and feel like I am falling apart sometimes...


star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/30/2007 1:04 PM (GMT -7)   
im thinking i have a skin tag too, but mine never shrink down to nothing. but ive had them long before i had serious syptoms with the crohns. grr. im glad i have this board, because honestly where else can you ask things like this without people looking at you and going 'ewwww'
24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


bektold
Regular Member


Date Joined Jul 2007
Total Posts : 456
   Posted 10/30/2007 1:50 PM (GMT -7)   
They grow and shrink based on level of inflammation, so if you've always had disease activity then they wouldn't shrink.  There's only one time, right after I came out of the hospital, when mine shrank.  They didn't disappear, they were just really soft, like loose skin.

star1234
Regular Member


Date Joined Sep 2006
Total Posts : 188
   Posted 10/30/2007 2:46 PM (GMT -7)   
i guess mine sometimes get like that. but not real small, not small enough where i would think they would be snipped off in the office. ouch.
24 years old, dx sept with crohn's in the terminal illeum 2006. on pentasa 4500/day, multi vitamin, niferex, b12, 6mp 50/day.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/30/2007 9:53 PM (GMT -7)   
Mine never shrink down anymore since I had that stupid surgery on them (un-necessary hemheriodectomy) when I never should have (stupid docs), but before all that when they used to shrink up they shrank to almost nothing, just tiny little things and that's when they can get snipped off, with some local freezing of course, in the docs office.

Before, when I was a teen I never had any other symptoms of CD (D, frequency, ect) just the tags swelling up and then disappearing down to almost nothing, so I don't know if it's necessarily always the case of then growing and shrinking based on levels of inflammation, although I don't know how much inflammation I would have had to have to make my skin tags flare up but have no other signs of CD.

Every doc that has seen mine from the time after having the surgery and discovering I was actually dealing with crohns disease, told me it was in my best interest to leave them alone, especially because they are permanately in a constant flare thanks to that stupid surgery I had on them.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


peachpitt
New Member


Date Joined Oct 2007
Total Posts : 6
   Posted 10/31/2007 10:31 AM (GMT -7)   
aw, i hope you feel better! mine arent that bad, but they might be some day. let us know how it goes.
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