Why Patients Are Afraid Of Hemorrhoidectomy ?

Anticipation of severe pain in the postoperative period is the most important reason why patients try to avoid hemorrhoidectomy asmuch as possible. It is well known that hemorrhoidectomy and tonsillectomy, surgical procedures on opposite sides of the gastrointestinal tract, are considered to be among the most painful. Complete elimination of pain after the hemorrhoidectomy is not realistic. Overly aggressive use of opioid narcotics may cause respiratory depression and decreased bowel function. Although some degree ofpain is inevitable after hemorrhoidectomy, it is important to remember that severe pain out of proportion to findings on

physical examination could be a sign of other sequelae. Sitz baths, as described above, are helpful in controlling pain. We favor oxycodone with acetaminophen (Percocet1, Endo Pharmaceuticals) as analgesia to be used at the patient’s discretion.

Bleeding After Hemorrhoidectomy - A Postoperative Complication

A small amount of bleeding can occur after any type of hemorrhoidectomy, regardless if it was open or closed. It is very important to mention this during the preoperative counseling. Although six days was an average time period in our study, delayed bleeding can occur up to two weeks postoperatively. It is difficult to determine the exact amount of bleeding based on patients’ observations via telephone. In these cases, it may become necessary to make arrangements to see the patient immediately in the office or the emergency room. Vital signs and hemoglobin levels should be obtained. Any symptoms of hypovolemia will require admission to the

hospital for intravenous hydration and serial hemoglobin measurements.

Most cases of postoperative bleeding can be controlled in the office or emergency room. A Gelfoam1 (Pfizer, Inc.) 100 pack, rolled as a tampon and wrapped with Surgicel1 (Ethicon, Inc.) is introduced in the anal canal through an anoscope, only after the blood in the ampulla and the sigmoid colon is evacuated via a sigmoidscope, before insertion of the anoscope. Only very rarely is a trip to the operating room necessary, in order to identify and control the bleeding site by suture ligation. Excisional hemorrhoidectomy, dreaded over the years, can be

performed safely and with controlled pain, if designed with appropriate preoperative counseling and postoperative management.

HemClear Review ($24.95 Loss)

HemClear Review: ($24.95 Loss)

I have brought HemClear and used it as it was prescribed in its leaflet. After using around half, I started symptoms of itching and pain. I have to rush to the doctor and this added $80 in my expenses. Hem Clear guys says it contains Witch Hazel, I think it contain bitch's piss. Witch hazel works wonders for external hemorrhoids–especially ones that bleed–Witch hazel–a tincture of the leaves and bark of the native North American witch hazel. I will probably use Witch Hazel manually rather than using this HemClear.