I changed GIs recently and when we were discussing treatment options, I said to her, "I believe in 'treat from both ends'" illustrating with my fingers waving in the air and pointing at each other -- I quote you CONSTANTLY.
One of the reasons I wanted the hemorrhoids removed is that they were making any kind of rectal treatment uncomfortable, well, frankly, day to day life was uncomfortable. My butt doc warned me that it's a long healing process and that there are no guarantees that this will be anything like a permanent solution, but I'm willing to give it a whirl. Particularly given that my first podiatrist, back in about
'92, told me that removing planter's warts from my feet wasn't a permanent solution, yet they've never come back.
I'm not bleeding, which is insane, I can't figure out what to think when I have every other symptom, and had a bad accident in the workplace bathroom (LUCKILY it was after everyone else had left the office so I had plenty of time to clean up myself and my surroundings), but no bleeding. But zero solid stool -- colonoscopy prep was not much different from everyday life for me.
So yeah, I'll return to rectal meds as soon as I heal up. I learned that mesalamine suppositories during the day and corticosteroid enemas at night seem to help. My new GI is trying to get a Uceris (budesonide) prescript
ion authorized by my insurance company because I really truly don't want to resort to prednisone again if I can possible help it.