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Despite what others have said on here, stick with Metamucil- 2 tsp AM and PM with 8 oz of water, followed by another 8oz of water. Metamucil does make stool slightly larger but more importantly SOFTER. It seems contradictory but you want bulky soft stool which relaxes the sphincter.
You mention that you are “picky” and eat veggies and whole grains yet you never mention how much or more importantly how much WATER you drink daily? Please aim for 100 oz daily and this does NOT include coffee or soda, nor does it include the Metamucil you are drinking
Elevate your feet while having a BM, ~6-7 inches to simulate a squat which is better for evacuating
As far as ointments You need to get 2.5% hydrocortisone (prescription only). Your doctor should be doing telemedicine and can prescribe that over the phone, So COVID is no excuse to not get medical care.
You will use the rectal applicator with the ointment to treat internal and external
Also, try and get a prescription of Diclofenac and if you cannot, the alternative is 600mg Motrin 3x/day WITH food to help with inflammation
Sitz baths 3x a day
I might also recommend Daflon500 if you can get it which is difficult in the US, however this is an excellent alternative from Amazon
R.H.O.I.D. - AID | 100% Natural Hemorrhoid Treatment & Anal Support Supplement https://www.amazon.com/dp/B00RDNATG2/ref=cm_sw_r_cp_api_i_UQ6LEbTPK279N
So sorry to hear that! Try out our Sitz Bath Salts for Hemorrhoids formula. We spent 2 years researching and developing a unique blend, just for hemorrhoids. We were able to combine 15 ingredients known for their all-natural hemorrhoid wellness. Check out what they are saying on Amazon: https://www.amazon.com/Revivol-XR-Hemorrhoid-Cream-Sitz-Salts/dp/B09RG3YWGM
I’ve put some notes on this page: https://www.notion.so/tempshare/Notes-on-hemorrhoid-treatment-dbb985ca1737424fb528b6d760077e5f
Basically THD (which also have some other similar variations or names like HAL, HALO) is another less invasive way that doesn’t use cutting.
Then there are surgeries that are less painful than a mechanical cutting, e.g. laser, or ultrasound (which is said to be even more precise and less invasive than laser). They all show promise but the challenge is whether it’s easy to find someone who can do them.
Also CRH is technically a type of banding, so potentially when a doctor says RBL there is a chance that they meant CRH rather than traditional RBL.
As long as you're not putting it directly on an open wound, I'd recommend a diaper rash ointment. I put some on as soon as I start to sense sweat-related discomfort. Keeps things from getting worse.example
Without knowing more details, it is hard to predict your situation and what might help. Suggest you see a colorectal surgeon ASAP given what you described. Hemovir may help with symptoms but wont cure.
Recommend: i) Squatty potty or equivalent ii) venixxa (follow instructions for acute, but you also then try the longer chronic course) iii) 2.5% (prescrption) or 1% (OTC) hydrocortisone cream for swelling/itching iv) aloe vera gel daily post (sitz)-bath https://www.amazon.com/Fruit-Earth-100-Aloevera-oz/dp/B07TY8JPV9/ref=sr_1_6?crid=2001KVCM6ZSLY&keywords=aloe+vera+gel&qid=1656034189&sprefix=aloe+vera+g%2Caps%2C231&sr=8-6 v) witch hazel (alcohol free) and/or witch hazel epsom salt baths (2x day) https://www.amazon.com/Dr-Teals-Epsom-Clarify-Smooth/dp/B08SCL5MZY/ref=sr_1_8?crid=147F32ALIKYKC&keywords=epsom+salt&qid=1656034228&sprefix=epsom+sal%2Caps%2C96&sr=8-8 vi) acetaminophen before using the bathroom, ibuprofen to help any swelling/symptoms afterwards (avoid if it gives you stomach problems) vii) high fiber diet + lots of water (2l/day)
You might have tried many/all of these things. Really needs a Dr visit. If you're getting muscle spasms as well diltiazem could be an option and this would help to control the more acute symptoms. You might also have internal feeding into the external hems so banding could also help resolve symptoms without a huge operation.
I'm sorry you're going through this. I'm finally rounding the corner after two weeks of pain. I shyed away from much of the medication I had because it brought on intense burning (lidocane, hyrdocortisone) and rectiv was no longer working for me (life saver first time around).
All those things might help you, but here's where I'm at now:
- 2-3 Sitz baths a day in warm water with a strong herbal soak of witch hazel and Mugwort (soothing and healing)
- A tablet each of turmeric and citric bioflavinoids daily (anti-inflammatory)
- Preparation H suppositories (2-4/day)
This is the regimine that seemed to offer the most relief. However, I still have some pain and blood during BM's. So today I finally went to my local Chinese herb shop and picked up the Musk Ointment. It has a very cooling feeling which I like very much so far. The review of it are amazing and I hope this takes my healing the rest of the way.
Best of luck to you 💜
Wiping is pretty harsh. If you need to use the bathroom outside of your home, you should order a pack of generic portable bidet nozzles - I got a 2 pack on Amazon for 5 bucks. You pop them on a water or soda bottle with a standard sized opening, and they work like a bidet. I tested one of them out and it works just as well as a peri bottle.
Depending on how much it is you could just use sanitary pads. I also used these for a bit after my hemorrhoidectomy (https://www.amazon.co.uk/gp/product/B074VCQYJ9/ref=ppx_yo_dt_b_asin_title_o06_s00?ie=UTF8&psc=1). They worked pretty well.
It’s my understanding that RBL is reserved for grade 1 and 2 hemms 🤷♂️
I am recently getting over an aggrevated internal hemm and I have been trying something a little different and so far so good
I might suggest using an ointment and coat your whole anal canal, yes you will need a glove and some privacy and yes you need to be gentle and not force things. The key thing here is coat your anal canal, all of it.
I got to thinking that internal hemms are tissue that get aggravated and get pulled as stool is coming through and over time this causes the tissue to stretch and expand this leading to large hemms and more complications.
If the area is kept lubricated I’d should protect things as stool slides by allowing for the tissue to heal
Initially I did this morning and night with 2.5 % hydrocortisone just to calm things down and now I am just using
Just twice a week and it seems to be working. I even made it through a bout of food poisoning with very little aggravation
Here is the link. Of course they've gone up but still cheap. https://www.amazon.com/Perineal-Lavette-Irrigation-Bottle-Pack/dp/B07B9N9RQH/ref=mp_s_a_1_4?crid=2PBNYKXS4GDXM&keywords=perineal+bottle&qid=1641508235&sprefix=perineal%2Caps%2C108&sr=8-4
I have heard this complaint quite frequently working in the GI/Endo field. My recommendation is either Tucks if your just trying to find relief or Dude Wipes Medicated if your wanting both reliefs and cleaning like Preparation H wipes would have provided.
DUDE Wipes Medicated Flushable Wipes, Fragrance Free Wet Wipes with Witch Hazel, Vitamin E & Aloe, 48 Count https://www.amazon.com/dp/B092XNW1F9/ref=cm_sw_r_cp_api_glt_fabc_A29W1QWDN9BPC95P2Y3X
Here is what I take: r/Diosmin - Hesperidin 1000mg 180 Veggie Caps (Vegan, Non-GMO, Gluten-Free) Supports Lymphatic Function and Antioxidant Activity* https://www.amazon.com/dp/B0794D63HV/ref=cm_sw_r_cp_apip_FC6KEKC8lE4nx
Organic Probiotics 100 Billion CFU, Dr Formulated Probiotics for Women, Probiotics for Men and Adults, Complete Shelf Stable Probiotic Supplement with Prebiotics & Digestive Enzymes; 30 Capsules https://www.amazon.com/dp/B0811P73BT/ref=cm_sw_r_cp_api_glt_fabc_Z8PR8CQQEG1DREVK33NB?_encoding=UTF8&psc=1
Best of luck man, yeah that needle poke was something else, but the weird feeling of them carving you out was what got to me, almost passed out. So you're gonna have about a week of decent pain, but take it easy and it won't be so bad, I had a bachelor party for which I was the best man THE DAY AFTER THE OPERATION. So I didn't have the option lol. But it was a blessing because the air bnb that we stayed in had bidet sprayers, which I have never used before but in that time of pressure I gave in and IT IS THE BEST THING IN THE WORLD FOR YOU. No seriously, here is the link for one on amazon, if you don't have one GO ORDER ONE RIGHT NOW. No lie I don't think I could a made it through without it.
Anyways, I ended up with two sutures, and as soon as those badboys fall out there will be a MASSive reduction in pain. After that it's basically just discharge for about a month and the odd shooting pain in your booty hole.
Oh yeah, also, take the milk of magnesia, it makes the world of difference when it comes to a BM, take a tablespoon before you go to bed
It looks like an external hemorrhoid and it sounds like it's irritated. Are you having pain or bleeding with BM? Are you straining at all to pass stool? If you are, you need to increase your fiber and water intake. You can do this through diet or adding a non-stimulative laxative like miralax into your diet and using a stool softener so it's not so hard and rough coming out. Another thing for irritation is to ice the area, or soak the area in warm water for 20mins a few times a day. Preparation H (or store brand) hemorrhoid suppositories can help with the pain as well. Also, when you have a BM try to avoid using toilet paper and use water instead. You can buy a portable bidet/perineal bottle on Amazon that'll allow you to wash the area without further irritating the hemorrhoid.
Hey man sorry you’re going through this hemorrhoids are some bloody cocksuckers. I’m by no means a hemorrhoid expert but here are some things that might help you get them under control.
Get on a high fiber diet and drink a shit ton of water as well as take a stool softener so your stool is as soft as possible and will aggravate the hemorrhoid as less as possible.
Might have to stop hitting the weights for a while. I know it sucks as I’m a lifter too but lifting is one of the main causes of hemorrhoids because of the straining. Lifting weights is a great stress reliever and goal achieving activity but trust me stopping for a bit until your hemorrhoids aren’t wreaking such havoc is better for your health at the moment. Do cardio instead as that even helps hemorrhoids.
Buy this cream as soon as possible. It has great reviews and has helped many people who suffer from these bastards. https://www.amazon.com/Mayinglong-Musk-Hemorrhoids-Ointment-Cream/dp/B000F34TCC/ref=mp_s_a_1_3?dchild=1&keywords=mayinglong&qid=1626895172&sr=8-3#aw-udpv3-customer-reviews_feature_div
Look into rubber band ligand. It costs a lot less than surgery and totally gets rid of the hemorrhoid (new ones can form but get rids of existing ones). I just got the procedure today actually. Mine are internal though and it sounds like you might have external hemorrhoids. I’m not sure if the treatment can be used for both. If yours are in fact internal I recommend you look into this procedure.
Good luck man hope all gets better!
Sure! I’m in the US so this is what I usually get
Idk why the prices you found are so expensive. 😅 I got the ointment cream
I'm an old dude, I use one proudly and I don't care who knows. My comfort/health is more important than what people think. If people look at me funny, I just ask them "If you got poo on your arm, would you be content with just wiping it off with some TP?" If you want to be macho, say it's because the EPA has listed your toilet as a Superfund site because of a recent Tacobell incident and the bidet is a new HAZMAT requirement; if you're a lady, just say it's a girl thing and leave it at that.
But I digress, I like the Luxe Bidet Neo 185. I also recommend the Aquas T Adapter and some bigger spacers for the toilet seat, so it doesn't rest on and break the bidet. You will also need a new line from the shutoff adapter to the T-adapter. Don't reuse the existing one. I good braided stainless steel line will cost about $5-10.
Just the actual oil and it Hass be virgin, organic, and unrefined. 365 by Whole Foods Market, Expeller Pressed Coconut Oil, Unrefined Virgin, 14 Fl Oz https://www.amazon.com/dp/B00KK679FS/ref=cm_sw_r_cp_api_glt_fabc_GAYCDZDH9VY1B3QJW3GP
Of course! I got these with the lids and since coconut oil is soft, I figured I could heat up a butter knife under warm water and cut the sticks into thirds and they’d last forever. Lily's Home Silicone Narrow Ice Stick Cube Trays with Easy Push and Pop Out Material, Ideal for Sports and Water Bottles, Assorted Bright Colors. With Lids https://www.amazon.com/dp/B0843H8P6H/ref=cm_sw_r_cp_api_glt_fabc_R59BHZH52JHX6D7RD77D?_encoding=UTF8&psc=1
Colace and Metamucil to keep the stool soft and easy to pass. 4x4 non-woven gauze like these to tuck between the cheeks. I haven't been bleeding enough to saturate something like an adult diaper, but I do seep blood/mucus onto the gauze that I change every time I urinate. The non-woven kind is much softer and less abrasive than normal gauze pads. If you have a bathtub I find it is much better for the sitz bath than the kind that goes over the toilet, although some people that have a lot of pain while having a BM prefer to have the over the toilet kind so they can have a BM right in it to ease the pain. It also helps to have either a shower wand or squeeze bottle that you can shoot some warm water over the area, it really helps to cleanse and "scratch that itch" at times.
Other than that just have some tylenol/ibuprofen stocked, you want to take as little of the prescribed narcotic as possible to keep from getting backed up. Have a lot of fruits, veggies, eggs, yogurt, soups, soft foods available. I would stay away from the meats and sweets for the first few days or so. I hope it goes well for you both!
DM me. I will send you a PDF copy of the book I wrote on dealing with fissures. My pleasure. After what I went through, I am happy to help anyone I can. Facts!
As far as I know, hemorrhoids don't cure themselves. You can minimize the discomfort and adjust to living with them, but other than removal via surgery or rubber ligation, they don't go away. Creams help some people. They don't help me. I have a bidet like this:
https://www.amazon.com/Luxe-Bidet-Neo-120-Non-Electric/dp/B00A0RHSJO/ref=sr_1_5
Best one out there
Bobbe Collapsible Sitz Bath for Toilet Seat- Yoni Steam Kit - Discreet Intimate Self Care -Clean Salt Soak Bath Seat Bowl -Convenient Soaking Steamer Pot for Hemorrhoid https://www.amazon.com/dp/B08BBN3GNP/ref=cm_sw_r_cp_api_fab_rmLFFbPGE1JTB
Yep, me too. Then I got the second banding and it was much worse.
I just learned that Rutin ( https://www.amazon.com/Solgar-Rutin-500-mg-250Tablets/dp/B00014FLOA ) may be helpful in reducing hemorrhoids. Check for yourself, but it might help you heal. I'm going to try some today or tomorrow.
This product has helped me tremendously with my constipation. Everything comes out very smooth and quick. However, this is not the most tasteful thing to drink. If you can down it with a large glass of water quickly once a day, you will be set. You can buy this at a whole foods store or amazon
I have IBD and unfortunately issues down there are common.
This was a lifesaver once I found it. It’s very thick and it covers things very well to protect when you have to go to the bathroom. And it’s got zinc and stuff like that to help with infections. I was on my stomach for about three weeks straight when I found this stuff for the first time. Within days i was able to go back to work.
If you don’t like Amazon they also sell it at pretty much every pharmacy. It’s cheaper on Amazon by far but I picked it up from Walgreens and CVS before.
So: I wrote a book about managing Hemorrhoids and Hemorrhoid pain.. The reason I wrote it is because I know WAAAY too much on the subject and I felt obligated to share my own success techniques. It’s $3.99 on Amazon and I’m happy to message you a PDF copy.
Folks go through life silently dealing with the pain of Hemorrhoids, and because nobody talks about that suffering, people get to deal with shame as well. That’s not the way to make the world a better place. You already did good by asking for help!