My...(gasp!) 'anus' really hurts...absolutely DREADING.....

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teachtoreach
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Date Joined Mar 2010
Total Posts : 78
   Posted 12/6/2011 1:45 AM (GMT -6)   
So, my anus hurts dreadfully each time I use the restroom.  I know I have inner and outer hemmoroids.  Each time I use the restroom, I can also feel old/new cuts splitting and bleeding.  While I bleed a bit each time I use the restroom, my inner hemmoroids only bleed PROFUSELY about once a week.
 
I need to get a sigmoidoscopy next Monday.  My doctor said the prep is 3 Fleet enemas.
 
My behind can barely deal with the 10+ times a day I'm going.  I think I might pass out if I have the 3 fleet enemas. 
 
I've tried Preparation H's wipes...burned like hell...just got the cooling gel, can't tell much of a difference.
 
PLEASE...I need your suggestions for a very inflamed, itchy and IRRITATED bum!!

notsosicklygirl
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Date Joined Dec 2008
Total Posts : 10349
   Posted 12/6/2011 2:01 AM (GMT -6)   
You poor thing. I recommend you see your GI before the scope and have him take a look to see what is going on. I was in terrible pain and it turns out I had 2 fissures. The best treatment for them is a sitz bath with hot water for 15 minutes 3x a day. I've used calmoseptine to soothe and protect the sensitive skin and it helps but it doesn't stop the pain. Mine went away with baths and time.
Co-moderator: Ulcerative Colitis
Diagnosed with Pancolitis, Laryngopharyngeal Reflux & Migraines. Battling Extreme Exhaustion.
Currently: Asacol (3200mg) + 6mp (50mg) + Pristiq (50mg) + Canasa (1g PM) + cerazette

teachtoreach
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 12/6/2011 2:32 AM (GMT -6)   
What is a 'sitz' bath?  Also, is the other ointment you mentioned available over the counter?
 
I'm 33.  I have had 20+ colonoscopies over the years.  These days, what I experience daily, is what I would have before experienced only towards the end of my colonoscopy preps...a completely raw, totally inflammed, and bleeding tush!! 
 
I'm just SO worried.  Every time I sit on the toilet, it hurts so much!!!  After I've left the restroom, I have to sit in a peculiar position until the pain subsides...some 10-20 minutes later. 
 
Just super worried about inserting a fleet enema three times, without any prep the day before.  :(
 
 

tournevice
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Date Joined Mar 2008
Total Posts : 713
   Posted 12/6/2011 4:10 AM (GMT -6)   
OH i feel for you.
Its so painful indeed. Almost to the point you forget your colitis.. if only the colitis wouldnt be in the same area.
I agree with notsosick about the baths.
It helped me when it was bad.
You can do a sitz bath with your own bath. You put lukewarm water and you take the squat position and dip the inflammed part in the water.
I found that laying on your side with ice cubes wrapped in a very clean towel and compress it help to cool down.

You can get anagelsic creams too thats gonna numb the pain. Its difficult to have a hemmies treatment successful with the pain and burn and itching. Im sure you can get a numbing cream. I dont have any to suggest you as im canadian but just moved to london so im a bit mixed with all the meds names now :P But make sure you ask for numbing agent cream!

You dont need to suffer that much and yes like she said.. patience patience...

xx

sherbear46
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Date Joined Jun 2011
Total Posts : 2688
   Posted 12/6/2011 8:14 AM (GMT -6)   
Your GI can also prescribe a cream that has a numbing effect that also helps reduce inflammation of the hemmeroids. I have used this a few times when mine got really bad. I forget what its called exactly but I know there are several. It did what baths, and OTC creams couldn't do.
Diagnosed April 2009

Currently taking Lialda 2 tabs in am, Protonix 40mg every day, Singulair, Zyrtec, Probiotics, and Rowasa enema once a week.

deltaforce
Veteran Member


Date Joined Jun 2010
Total Posts : 1945
   Posted 12/6/2011 9:44 AM (GMT -6)   
I don't know the contents of Preparation H and have never used it. I have Xylocaine 5% cream that I use when I face these issues,
Diagnosed March 2007 with left sided UC at the age of 30.
Currently on,
Colazal 9 daily, Imuran, 100mg + 50mg, Vit. B12, 1mg, Multivitamin, 1 tablet daily, Fish oil 1200mg daily, Vit D 2000 IU daily, Butterbur 150mg daily.

Verapamil 240mg for migraine, Migraine episode now at least twice a month,
Ibuprofen 400mg is the only solution (but leads to bleeding). Looking for alternatives.

imagardener2
Veteran Member


Date Joined Jan 2010
Total Posts : 3787
   Posted 12/6/2011 10:12 AM (GMT -6)   
Wow you are brave to have a sig-scope done while you are experiencing such pain. I would take a pass and say "Get my hemmies better first and THEN I'll do a sig-scope." I refused a c-scope 2 years ago because my UC was in high flare and the prep would have seriously hurt me. Doctors have no idea what we go through unless we tell them.
In remission April 2010 after 10 years of UC with no remission ever
Jan 2010 began SpecCarbDiet (modified to remove dairy, fruit & juices,)
Gluten-free=bleeding stopped in 3 days, 95% remission in 5.5 months on SCD
SCDiet: Gluten/grain-free, low starch, low carb, honey as sweetener
(9)Balsalazide+(6)Citrucel, mesalamine enema as needed
(1) VSL#3 nightly-adding fruit back in small quantity 2011

notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 10349
   Posted 12/6/2011 11:48 AM (GMT -6)   
It sounds like a fissure. That's the only thing THAT painful! Last time I had one, I would practically cry before getting on the toilet to go because I knew it was going to be so painful. It feels like someone is squeezing a lemon into a paper cut on your anus... I did sitz baths the following way, I fill the tub with a few inches of hot water (enough to cover the anus) and sit in it for 10 or 15 minutes. The hot water should help to heal the tears. My GI recommende sitz baths, stool softners (I know UCers hate soft stools) and lotion to protect the area. Calmoseptine is OTC but usually behind the counter at the pharmacy. If you ask, they will probably have it. I know there are some numbing creams you can get by prescription but you would have to have your GI diagnose the fissure.

Does it hurt after you use the toilet? Mine would hurt for a few minutes before I got some relief. It was horrible. My GI didn't give me the cream because she said I should try sitz baths & stool softners first. The other annoying thing is trying to use an enema when you have pain in the anus, it is so uncomfortable.

Sorry you're in so much pain. :(
Co-moderator: Ulcerative Colitis
Diagnosed with Pancolitis, Laryngopharyngeal Reflux & Migraines. Battling Extreme Exhaustion.
Currently: Asacol (3200mg) + 6mp (50mg) + Pristiq (50mg) + Canasa (1g PM) + cerazette

Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5508
   Posted 12/6/2011 1:31 PM (GMT -6)   
     You have my sympathy because I have walked in your shoes and know how painful your tush feels sad .
     I suffered with ulcerative proctitis for twelve years before having a total colectomy with end ileo last year.  Four months prior to my operation, my GI doctor decided to do a sigmoidoscopy on me.  UGH!  When I tried getting that first Fleets Enema up there shocked ....thought I would die!!!!!  It felt like someone shot a blow torch up there.  I was not able to take the second enema AND he had to put me out to do the sigmoidoscope.  I never in all the years that I suffered with UP had to be knocked out for a sigmoidoscope.  Turned out he was unable, even with me not conscious, to complete the test.  He was afraid of perforating the ulcers.  So, all that pain for naught.
     A month later, I took matters into my own hand, sought out a good colorectal surgeon, and had surgery.   
     You may have just bad hemorroids but I would NOT take a Fleets enema if you are suffering like that.  Call your GI and explain.
     Hope you feel better soon.

soystud
Veteran Member


Date Joined Jan 2004
Total Posts : 5150
   Posted 12/6/2011 1:53 PM (GMT -6)   
another vote for a sit's bath (what the heck is a sitz anyway) - i use a small plastic cat litter box ( new, not used ) with some warm water, epson salt and a little witch hazel, put it in the bath tub and ....... aaaaahhhhhh - 2 or 3 times a day for about 15 minutes - then i put a little prep h on while it was still a liile wet - my butt and i are friends again -


hope you get som relief soon -
diagnosed with pancolitis december 21, 2003
currently taking: --pysillum , mega probiotics !

dutta
Regular Member


Date Joined Nov 2011
Total Posts : 20
   Posted 12/7/2011 1:35 AM (GMT -6)   
ive posted dis earlier....have a handful of daisy leaves...grind them wid some water and take da juice out of the pulp...half a cup after breakfast till u r cured...i ws cured in one day and u dnt knw hw much pain i ws in...afraid to go to da toilet n unable to even sit...plz try dis
19 y/o male dxd wid left sided UC march 2007 confirmed 2008 DVT left leg...doctors said wud have died if there wud hav been a delay...pancolitis dxd 2010...met a gardner and his medicines removed all da symptoms excpt d...currently on asacol 800 mg 3x imuran 100 mg folic acid 15 mg medrol 32 mg

teachtoreach
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 12/7/2011 2:01 AM (GMT -6)   
Thanks for all of your responses!!  Unfortunately, I HAVE to have this sigmoidoscopy on Monday.  I have a very high deductible, $2500, that will start over again January 1st.  Due to all of my medical problems, I met my deductible for 2011 early on, so my insurance will pay 80% of my procedure.
 
You all have provided me with very helpful information.  I just have a couple of questions.  How is a 'sitz bath' different from a regular bath?  Do I have to squat for 15 minutes with only my tushy submerged in the water?  If that's the case, you all must have thighs of steel, as I am quite sure I can't maintain that position for that long.  Also, why only warm water?  Why not hot?
 
Many of you mentioned fissures.  What are they, why do we get them, and what are the symptoms?  Also, how can our gastroenterologists diagnose them?
 
All I know is, I have, what feels like several cuts on my anus, that hurt like the dickens when I, either sit on the toilet or have a BM, pain me to wipe, cause blood to be on the tissue when I wipe, and they're the reason I'm so fearful of my sigmoidoscopy.

dutta
Regular Member


Date Joined Nov 2011
Total Posts : 20
   Posted 12/7/2011 2:06 AM (GMT -6)   
All i can say plz give it a try....plz it relieves vry quickly....at da end its upto u
19 y/o male dxd wid left sided UC march 2007 confirmed 2008 DVT left leg...doctors said wud have died if there wud hav been a delay...pancolitis dxd 2010...met a gardner and his medicines removed all da symptoms excpt d...currently on asacol 800 mg 3x imuran 100 mg folic acid 15 mg medrol 32 mg

Nate in NY
Regular Member


Date Joined Mar 2010
Total Posts : 66
   Posted 12/7/2011 9:04 AM (GMT -6)   
Visiting from the Crohn's side.
When I was in the hospital they gave me Calmoseptine for the butt pain. I found it worked wonders for me. Now I buy the big tube. The only local pharmacy I can find that still carries it is Wal-Mart but you can get it on line.
Good luck
Sigmoid colectomy x 3 Winter 2009.Peritonitis then ileostomy. Reversal and gallbladder removal Memorial Day 2009. Bilateral uveitis dx 2/10,Crohn's dx 5/10
6-MP started 4/11,cholestyramine started 10/11
Psyllium and Flax seeds, Metamucil(not sugar free)PB-8 probiotic, omega 3 fish oil,folic acid,b-12, zinc, L-Glutamine, Manuka honey, no Inulin or chicory root

Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5508
   Posted 12/7/2011 10:34 AM (GMT -6)   
     Seconding Nate's suggestion, my surgeon suggested I use Calmoseptine for anal discomfort too.  Even though I have no colon or rectum (perm. ileo), my surgeon did not sew the anus closed and from time to time I still get some discomfort.  I have external hemorroids but I don't have the pain you describe.
     I recently had a boil between the anus and vagina and had to take two to three sitz baths a day. 
     You can purchase a sitz bath at your local pharmacy.  Mine is manufactured by Carex and came in a blue box.  I don't use the little hose because I have nothing to hook it up to.  I just fill the little tub with hot water, put the toilet seat up and place it there and sit on it. 

cupcakespinkgal
Veteran Member


Date Joined Jun 2010
Total Posts : 720
   Posted 12/7/2011 11:01 AM (GMT -6)   
I get Calmoseptine at Walgreens. Sometimes they keep it in the incontinence aisle with the adult diapers or they keep it behind the pharmacy. If they don't have any at the time they can order it and have it there by 12 the next day.

It is the only thing that I feel like soothes the area and also promotes healing and helps things get better.

It sounds like you might have fissures, if it feels like you have cuts. That is pretty much what it is a cut on your anus. They are really painful and the only thing I have had that causes severe pain while I am going and after. The sitzs baths right after really helped the post bathroom pain.
Diagnosed with Crohn's in 1998, father has UC we were both diagnosed at 20 yrs old. Diagnosis changed to UC Sept 2011

Meds ~ Proctofoam, 10 mg Prednisone, biweekly Humira
Supps ~ Fish Oil, folic acid, D3, K2, B-complex vitamin.

sherbear46
Forum Moderator


Date Joined Jun 2011
Total Posts : 2688
   Posted 12/7/2011 11:43 AM (GMT -6)   
In answer to why not hot water---it will hurt more. An open "cut" having hot water poured on it will hurt really bad because there is no skin to protect it.

I understand about the deductible thing and don't blame you. I would tell the doctor before the procedure so that maybe he can be a bit more gentle. Good luck.
Diagnosed April 2009

Currently taking Lialda 2 tabs in am, Protonix 40mg every day, Singulair, Zyrtec, Probiotics, and Rowasa enema once a week.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 18011
   Posted 12/7/2011 3:49 PM (GMT -6)   
You can get fissures from having prolonged D, constipation can also cause them from all the pushing you're doing trying to pass a BM...if it feels like you're pooping razor blades (stinging feeling) then chances are it's a fissure(s).

and sitz bath with water as hot as you can stand it along with lots of epsom salts can aid with pain relief as well as healing, contrary to some thinking it can make things worse...you can fill the tub and soak in it for a bit or just fill it part way.
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

teachtoreach
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 12/12/2011 2:00 AM (GMT -6)   
Thank you for all of your helpful answers!!! I'm going to start my 3 enemas tomorrow morning at 6am. My mom is coming to my apartment at 8:45am to pick me up.

I KNOW I will be in tremendous pain early tomorrow morning when I start and finish my prep. I KNOW that I will probably bleed...a lot. I KNOW it will be beyond painful when I hobble into that hospital room. And I HOPE that my doctor will be gentle and have a sliver of understanding of what I and many others endure on a daily basis.

Marsky
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Date Joined Jul 2007
Total Posts : 1955
   Posted 12/12/2011 8:56 AM (GMT -6)   
A sitz bath is a plastic insert that fits inside your toilet (purchased from your local pharmacy). Nurses usually give you one after delivering a baby, vaginally that is. I had kept mine when I had rectal surgery for rectal cancer, etc. It was a God send. They come with a tube and a plastic bag if you want to hang the bag up high and have the water flow thru the insert. I didn't bother with the bag, nor the tube. I just fit the insert inside my toilet and added either 1 tablespoon of baking soda or the most soothing additive I've discovered is Aveeno powder (the packets you use in a large tub bath for poison ivy). I just tear open a packet and add about 1 tablespoon. I keep an old ratty and beat up 2 gallon plastic pitcher under the bathroom sink for this purpose and add the water that way. Warm to hot. I still occasionally need it if you read my bio (multiple bm's, per day, for the rest of my life, stool consistency greatly varies as well and I often have a raw and sore bottom). I just rinse the insert out and keep in a plastic garbage bag, it goes on the floor our bathroom linen closet.

Sitz bath's are great, simple inventions!

I hope you find relief. Feel for you.

jkingfrt
Regular Member


Date Joined Jan 2010
Total Posts : 31
   Posted 12/12/2011 10:00 AM (GMT -6)   
I would talk to your GI. I had similar issues and the sitz baths did not help. My GI diagnosed a fissure and prescribed me a nitroglycerin ointment which cleared it up in a few weeks.

j.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 18011
   Posted 12/12/2011 2:58 PM (GMT -6)   
Just wanted to note as Marsky pointed out about sitz baths, you don't have to buy the plastic tub that fits on your toilet in order to get benefit of a sitz bath, you can use your bath tub (and fill it as deep as you prefer) and it's still a great option...I like using epsom salts since it promotes healing and aids with relief.

Best of luck to you!
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

Marsky
Veteran Member


Date Joined Jul 2007
Total Posts : 1955
   Posted 12/12/2011 11:06 PM (GMT -6)   
pb4, I agree, a tub soak will suffice however I find that in that prone position on the commode opens up tender areas and allows the soothing warm to hot water to seep in. I can't quite get into this position in the tub (no I'm not overweight, 125 lbs). The sitz bath is a really good option for rectal areas.
- Rectal CA 4/29/99, Stage I, 90% sigmoid/15" of colon/GB removed, temporary colostomy, reversed 6-26-99
- Chronic IBS/D symptoms, multiple bm's, on low residue diet
- Colace 50 mg, twice daily + Probiotic: Renew Life/Ultimate Flora/Critical Care/80 Billion daily

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 18011
   Posted 12/12/2011 11:31 PM (GMT -6)   
Marsky, I don't know how much the sitz bath insert costs, but one could probably use one of those hemorrhoid cushions in the tub as an alternative (to help open up the tender area and allow the soothing hot water seep in).....that's what my mom used to do when she got hemorroids. I like doing bath tub sitz cuz then I can still fill the tub full and once done being in position for the sitz, I can lean back and relax for a little while too.
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

teachtoreach
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 12/12/2011 11:54 PM (GMT -6)   
Thank you everyone for your replies!! I had the sigmoidoscopy today. I woke up at 6am to do the first of three enemas.

When I tried to get the tip of the first enema in, I nearly screamed. I had a moment of panic thinking I wouldn't be able to do any of them. But, I knew I had to do it, so gritted my teeth and got it in. I think that was the worst part.

Fortunately, my doctor ordered me to have anesthesia for the sidmoidoscopy. I know everyone else does it without anything, but there's no way they would have been able to get a tube/camera past my anus without me screaming bloody murder! They couldn't use the sedation they use in a colonoscopy because it doesn't work for me; I'm awake and irritated the whole time.

It was, actually, rather comical this morning. I told the anesthesiologist before the procedure, that it takes a lot for me to go under. I also said I wake up very fast. As all the anesthesiologists do with me, he said he was sure the amount he would give me would be sufficient. I mentioned that I was at this same hospital 3 months prior and received anesthesia. I also said the previous anesthesiologist had to give me more. The nurse said she would get my chart. When she brought it in, the doctor gasped and said, "Wow! That was a 'healthy' dose!" He said the doctor had to give me double what they would give someone of my height and weight.

So, the anesthesiologist proceeded to fill up this ginormous syringe with the happy medicine. I watched as he slowly squirted the entire thing into my IV. After, I was still watching...as were the astonished doctor and two nurses....because I was still awake and fully alert. I asked the anesthesiologist if he could perhaps give me more, since I really didn't want to be awake. He looked flabbergasted as he once again filled another syringe. Fortunately, I went out shortly after.

The next thing I remember, I popped my head up and in a clear voice, asked if it was done. At that point, the nurse was pushing my bed out of the exam room to go to recovery. She was very astonished as was the anesthesiologist who commented to anyone who could hear, "I just literally seconds ago stopped the anesthesia!" He couldn't believe I was awake so fast. I wanted to say, "I told you!!" I didn't feel an ounce of grogginess and I was just ready to go.

Super long story, short...the three ulcers that were in my rectum are smaller the doctor said. He said to go to a surgeon for the fissure...not quite sure I want to. He also gave me a prescription for suppositories and some cream to use before a BM to numb the area.

Overall, not happy with the findings as they don't explain the pain and constant diaerrha (you'd think by now, I'd know how to spell it!!)
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