SRT and hemmrhoids

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Veteran Member

Date Joined Nov 2009
Total Posts : 7270
   Posted 1/20/2011 1:00 PM (GMT -6)   
I will probably be starting SRT by the end of next month, barring a surprisingly pleasant PSA result.
When I saw the radiation oncologist, I know he expressed a concern because I do have hemmorhoids. I think I have quite a few of them. But he didn't pursue it because I they rarely give me problems. They will sometimes hurt quite a bit for a few days -- this happens on average once every 2 years. Also, I have had two significant bleeds (last one 3 years ago and one 8 years ago). Each time it was a single bleed and a subsequent colonoscopy yielded no other cause.
Now surely some of my fellow old farts on here have had radiation and also have hemmies. Well? Any problems? Did you have problems with your hemmies before the radiation? What about after?

Veteran Member

Date Joined Dec 2010
Total Posts : 3888
   Posted 1/20/2011 1:26 PM (GMT -6)   
I just completed HDR brachytherapy and IMRT. The IMRT was pretty wide to take in a good margin, the bed and nodes. My rad-onc had me get a colonoscoppy first to see how I was. It was fine. I do have one hemmie that will inflame every five years or so for a week. It was not bothered at all. Doc would ask every week about the state of my colon and examined a couple of times. He said he didn't expect hemmie problems as that area wouldn't receive radiation, but warned that it can contribute to hemmies. Be prepared.

Veteran Member

Date Joined Jan 2010
Total Posts : 1011
   Posted 1/20/2011 1:35 PM (GMT -6)   
I only have minor issues with hemmies. They were not enflamed during SRT. Although I do undertstand that this is a common side effect.
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 30% of all 4 cores.
Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%, nerves spared, no negitive side effects of surgery.
PSA's < .01, .01, .07, .28, .50. HT 5/10. IMRT 9/10.
PSA's post HT .01, < .01

Regular Member

Date Joined Oct 2009
Total Posts : 252
   Posted 1/20/2011 1:55 PM (GMT -6)   
I've had hemi problems for years.  The srt did not seem to affect them.  I went on the pre-radiation bowel prep my doc set up - 6 celium caps each morning for fiber, gas-x before each meal and Phillips each night.  After one swallow and gag session with the liguid Phillips, I switched to the tablets.  Since the completion of radiation, I continue to only take the cellium capsules for fiber which really have made bowel movements easier and "cooled down" the hemmi problem.  I have gone from one bowel movement each day to two, a side effect of the radiation as well as the occasional, unexpected "wet fart".  I noticed somebody mentioned that after radiation the only time you should fart is when sitting on a toilet.  That might be good advice. Squid.

Regular Member

Date Joined Oct 2009
Total Posts : 419
   Posted 1/20/2011 2:45 PM (GMT -6)   
I have dealt with hemmies for years. Finally had surgery about ten years ago and fixed the problem up until I had RP in 2008. The constipation that came with the meds after RP and the sling and AUS surgery in 2010 brought a reoccurance with 3 internal hemmies that flare up occasionally. Not real serious, just aggrevating. I am now on my second rubber band treatment and have one more to go.
I did all the things they recommend including stool softeners and trying to avoid the constipation but it only helped to some degree. The pain killers that slow down the bowel system still produced a log jam or two for me and I must have done too much straining. Plus, repair job I had done ten years ago may just have run it's course.
66 year old male
PSA jumped 3 to 8 Jan 2008
pt2b NO Mx with a Gleason score 3+3=6.
DaVinci RP, 7/23/08. Tumor type: Acinar
size 5.5 cm x 5.7 cm weight: 77 gm.
Incontinence & ED. Dry nights , no control during day.
FUDS and cystourethroscopy testing 10/09.
24 hr pad wt. 219gm. AUA sympton index 13/35=moderate
Virtue sling surgery 2/3/10 NYU med center
Appeared to help but gradually returned to pre surgery condition.
Back to 3-4 pads/day.
Latest PSA 4/1/10 negative.
AMS 800 artificial urinary sphincter implanted 7/8/10 at U of MI.
AMS 800 activated 8/25/10 Dry for first time in 2 years.
Links to my journey posts:

Forum Moderator

Date Joined Jan 2010
Total Posts : 7085
   Posted 1/20/2011 2:48 PM (GMT -6)   
My 'rhoids had been an annual deal - calm time measured in months. I did have to go see the colo-rectal guy before starting since I've had surgery in that area. He cleared me, but they woke up and got worse in the last couple of weeks of IGRT, and 7 months later have not calmed down a bit.
Analpram (Hydrocortisone pramoxine) - just go ahead and get a prescription for it and pick up a tube. Does wonders.
The important thing is not to let them wake up - anything that needs to heal won't while you are in radiation, they told me. Seems to be true.
DaVinci 10/2009
My IGRT journey (2010) -

Jerry L.
Veteran Member

Date Joined Feb 2010
Total Posts : 3072
   Posted 1/20/2011 7:47 PM (GMT -6)   
Before surgery and radiation I didn't know what hemmies were. I thought it had to do with a type of truck engine. After my radiation and subsequent colonscopy I got one. Seemed to go away, but just recently came back. I don't know if radiation is why I seem to have them now or not. Right now, it is just a mild pain in the a..
Nov. 2009 Dx at Age 44
Dec. 2009 DaVinci Robotic Surgery
Jan. 2010 T3b, Gleason 9
Feb. 2010 Adjuvant Radiation

PSA History:
Nov. 2009 4.30
Feb. 2010 <.05
May 2010 <.05
Aug. 2010 <.05
Nov. 2010 <.05

Veteran Member

Date Joined Jun 2007
Total Posts : 789
   Posted 1/21/2011 1:33 AM (GMT -6)   
Made mine worse, and also completely changed my bowel habits, and colonoscopy showed radiation scarring to bowel, still you may have a different outcome.

Regards Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept. Totally dry since catheter removed
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA from 30th April 08, until now range- 0.5 to 0.6, I am now 70
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