I had hemorrhoid surgery yesterday and have suffered mightily since. I started to maintain a blog to document what has happened and would appreciate any advice as to how to manage the pain.
Those who don't want to access the blog can view my thoughts below.
Day 1 Friday 9/3/2010
• Report to the hospital 6:32 a.m.
• Surgery started at 9:15 a.m.
• Surgery over at 10:10 a.m.
• Directions along with supplies provided by hospital
o 10 mg Percocet 1-2 tablets every 6 hours
o Take stool softener & laxative. (Colace & Milk of Magnesia)
o Wipe anal area with cotton after going to the bathroom
o Soak in Sitz bath as often as needed.
o Eat high fiber diet. (Fiber One cereals, pears, bananas)
o Two best friends will be the bath and the medicine.
• First sign of pain was at 12:05 p.m. upon exiting the hospital. Spirits very good until early evening as anesthetic wore off.
• Shopping list included the following items:
o Ginger Ale
o Huggies baby wipes
o Cottonelle wipes
o Extra strength Tylenol
o Sparkling water
o Crisp vegetables.
o Lettuce, tomato
• Pain limited desire to eat and sleep. Consumed ½ bowl of oatmeal, 2 slices of water melon and a couple of crackers over a 24 hour period. Slept approximately 2 hours the first night.
o Percocet caused nausea. (found that at her weight of 104 lbs it was best to take only a ½ of a tablet wait 30 minutes and take other half. Used anti-nausea medicine to control urge to throw-up)
o Extreme pain could not be managed. Onset of this type of pain around 11 hours after surgery.
o Unable to urinate.
• Called doctor around 9 p.m. with concern about
high temperature of 99.7, nausea, inability to urinate and question as to whether a topical numbing solution could be applied. Doctor said the following:
o Medical professionals do not considered a patient to have a fever until the temperature reached 100.7.
o Nausea is a side effect of the narcotic
o Doctor recommended soaking in luke warm water to help with urination. Also gave instructions to limit fluid intake until the body began processing fluids.
o No topical solutions can be applied to relieve the pain.
• At the worst spent the night laying on the bathroom floor doubled up in pain.
• Meds at 12 p.m., 4 p.m. 8 p.m., 1 a.m.,
Day 2 Saturday 9/4/2010
• Extreme pain continues to limit ability to sleep and eat.
• Called doctor again at 9:15 a.m. no answer until
• Relief found with the used of the Sitz bath and warm soaks in the tub.
• Able to urinate after soaking in warm water.
• Medication is does not help to manage the pain.
• First bowel movement around 1 p.m. was not as painful as anticipated. Pressure relieved when gauze used to pack the area was forced out. Found Tucks pads to be cooling to wipe the area.
• 2nd bowel movement occurred approximately at 10 p.m pain was more severe that what was experienced during the 1st bowel movement.
• Meds at 5 a.m., 9 a.m., 1 p.m.
• Consumed ½ bowl of soup in early afternoon.
• Became concerned about
the lack of preparation for the surgery after researching the Internet for potential methods of pain relief.
o No communication from the doctor in the weeks leading up to the surgery. Most document a change in diet recommended by the doctor at least one week in advance of surgery.
o No recommendation of first night hospital stay.
o No medical professional assigned to observe the area for excessive bleeding in the immediate hours following the surgery.
o No instruction as to how to respond to complications such as no ability to urinate.
o Some patients claim that topical solutions such as Americaine were effective in reducing pain.
o No steroid or antibiotic was prescribed.
• 28 hours post surgery very little change in condition. Severe pain, limited appetite and no ability to sleep.
• 2 p.m. washed hair and showered for the first time post surgery.
• Spirits lifted after showering. Still in pain but able to think clearly and move around a bit.
• Another trip to the store for supplies:
o Balneol (Hygienic cleansing lotion)
o Tucks cream
o Neosporin + pain reliever (applied immediately with no effect)
o Large ice pack
• Made an attempt to apply topical lidocaine solution called Staphaseptic.
• Switched to Tylenol PM at 11 p.m. in hopes of gaining some sleep.
Day 3 Sunday 9/4/2010
• Slept better (about
6 hrs) but pain still very bad. The pain itself was a bit different than than the night before when I felt pressure along with the terrible feeling of having razor blades in my butt.
• Soaked in Sitz bath three times throughout the night.
• Woke at 5 a.m. to take Percocet.
• Pain seems to be more difficult to manage at night as opposed to the daylight hours.
• Only eating saltines and nothing else.
More to come
Post Edited (late_bloomer) : 9/5/2010 12:40:17 PM (GMT-6)