I had hemorrhoid surgery for a large, thrombosed hemorrhoid. Although I also had a separate internal hemorrhoid and another external hemorrhoid, my doctor decided to only remove the thrombosed one. I was under the impression all three would be removed, until the doctor changed his comments the day of surgery. I read several posts from past surgery individuals, and I will share what worked well for me.
I read that it would be of great benefit in the pain department to start clearing out my bowels one week to four days before surgery, maintaining a lot of fluids and light meals such as soup. (This was a lifesaver, because after the surgery you are in serious pain, and passing stool hurts.) It went a lot easier on me not having a full system. And, because I have struggled with constipation for years, starting a routine a few days before surgery would not have worked. I started seven days before surgery and I am thankful I did so. After surgery, I was sent home with Norco. It took about three or four hours for the anesthesia to wear off once I was at home.
Pain is different for each person, and the Norco did not touch my pain. This was a problem, because due to the change in law, my doctor could not call in a new prescription. I had to go to his office for a new prescription. My surgery was on a Friday, which meant I had to wait until Monday or go the ER and explain things. (You do not wish to walk immediately after surgery, so that was out.) On Monday I was placed on Oxycodone and the pain was brought down to a 5. Also, I increased the amount of non stimulant stool softener to about four tablets (for me, it worked nicely).
Using the sitz bath, or a minimum using a large wash cloth for repeated hot compress really, really, really works. Just warm to very warm water. No additives or you will know what it means to curse. The ice packs also seriously made the swelling go away quickly. I would do this about four times a day and after every bowel movement.
I am 11 days post op, and I manage any pain with Tylenol now. I continue with at least 64 ounces of water, increased fiber (Benefiber) and with stool softeners. And I am very conscious about not straining and not lingering in the bathroom when there is no action, as opposed to trying to force the situation. The surgery recovery period is painful, but manageable with pain meds and the above methods.
I am already happy about the surgery because the removal of my thrombosed hemorrhoid has already improved the quality of my life. Twelve days ago, my life revolved around my non-stop hemorrhoid pain, and going to the bathroom was something I really feared. Work was painful, since sitting was painful. So for me, I am already pleased with the results. – Stephanie