Welcome Guest ( Log In | Register )

7 Pages < 1 2 3 4 5 > » Bottom

Outline · [ Standard ] · Linear+

 Itch and pain in anus after hemorrhoid, looking for colorectal specialist

views
     
SUSTham
post Dec 8 2013, 07:48 PM

Regular
******
Senior Member
1,576 posts

Joined: May 2007
QUOTE(finkl1 @ Dec 7 2013, 03:22 PM)
Thanks Tham.
I did mine in Assunta, under Mr.Liew Fah Kong.
I believe the equipment is harmonic scalpel...and the cost was about 1.5k -2k range, adding the rest, brings up to around 2.8k range.

1x 4 degree, prolapsed external
1x 3 degree, prolapse external
1x 1 degree, banding.

The 4th was bleeding, before he decided to cut me the next day.
I was LUCKY I believe, that he did it well, and less complication, and less pain since I had a strict dieting regime before the surgery.
*
You had four hemorrhoids ?

But overall, not that bad. All three of mine were virtually 4th degree, and the largest
one was too big to be grabbed by the staple, so he used diathermy to cut it.


It's good he used the harmonic scalpel. Seals the blood vessels, as well as nerves,
as it cuts. Thus, much less bleeding and pain than a normal diathermy, or bipolar
diathermy.

The healing period is difficult for the first one to two months, as with any form
of hemorrhoid surgery, but there are normally no complications with the
harmonic scalpel, apart from temporary stenosis or narrowing of the anus.

This is evident, as you had no relapses after 8 years. Dr Liew must have done
a good job.



SUSTham
post Dec 8 2013, 08:16 PM

Regular
******
Senior Member
1,576 posts

Joined: May 2007
QUOTE(lowlowc @ Dec 8 2013, 07:47 AM)
Will you describe the kind of itch you encounter during healing? Inside or outside? Prickly or wriggly itch? Yesterday night I had a very bad itch that I am now paranoid that I might have worms. The skin around the anus (I don't know if it's eczema or what) is still irritated that I've become very depressed now. Plus I'm very concerned about the undigested food in my stool.

My friends advise me to just go to work if it's not painful because I've been thinking too much.
*
If it is itching, that means the wound is healing. Usually a kind of wriggly itch,
somewhat prickly too. Do not worry, quite normal. It will last a week or two.
I had that sometime towards the end of the second month.

Moreover, there are staples left inside your rectum, grabbing and retracting
the hemorrhoids up. That is why they call it the staple method. So there will
be bound to be some itching and irritation.

Dr Akhtar Qureshi saw my staples when he examined me in 2004. He said they
will be there for life.

The itching will go away or at least reduce after one or two more weeks, I am
sure it will, do not be depressed.

Have you bathed it with Cosway's Zara Sea Salts yet ?

Did Dr Liew also give you some lidocaine gel, or Xyloproct cream, which has
a mild steroid to reduce the itching ?

I think all the spasm from the trauma of the procedure has affected your digestion,
so there might be some undigested food. Why don't you get some good digestive
enzymes from the pharmacy ? A good one is by Bio-Grow, chewable. Chew two
at each meal.

http://www.rakuten.com.my/shop/caringpharm...H00023_0163321/


Ask the doctor to let you have one or two more weeks of rest. When are you going
to see him for a review ?

If the itch and irritation is unbearable, maybe you should see Dr Liew again tomorrow.



Talking about depression, I'm the one who is even more depressed now, having to
put up with a schizoid and narcissist younger brother, whom I live with. I have far
more problems than you, and mental trauma kills faster than physical ones.

If you're not sure what narcissistic personality disorder is, just seach Youtube and
there will be countless videos describing one. Hitler was definitely one. Combine
that with schizoid and paranoid personality disorders, and you virtually have a
lunatic on your hands.

I'm amazed that such a mentally unstable person has managed to rise to the level
of a $ 20,000 a month Principal Engineer in Western Digital. I've received feedback
that nobody there likes him.

I received another sick SMS from him today.





This post has been edited by Tham: Dec 8 2013, 08:18 PM
finkl1
post Dec 8 2013, 09:29 PM

Casual
***
Junior Member
379 posts

Joined: Jun 2005
QUOTE(Tham @ Dec 8 2013, 07:48 PM)
You had four hemorrhoids ? 

But overall, not that bad. All three of mine were virtually 4th degree, and the largest
one was too big to be grabbed by the staple, so he used diathermy to cut it.
It's good he used the harmonic scalpel. Seals the blood vessels, as well as nerves,
as it cuts. Thus, much less bleeding and pain than a normal diathermy, or bipolar
diathermy.

The healing period is difficult for the first one to two months, as with any form
of hemorrhoid surgery, but there are normally no complications with the
harmonic scalpel, apart from temporary stenosis or narrowing of the anus.

This is evident, as you had no relapses after 8 years. Dr Liew must have done
a good job.
*
Nope. It's 3...only 3 blood veins in the anus...should NOT be more. I just mentioned them each by the degree they were in.
Touch wood...no relapse, and hopefully not ever.

It is genetic for mine. Grandfather, father, brother and me...all the males in the family has them.

This post has been edited by finkl1: Dec 8 2013, 09:31 PM
TSlowlowc
post Dec 10 2013, 04:11 PM

Enthusiast
*****
Senior Member
918 posts

Joined: Jul 2011
Thank you Tham for your encouragement. Narciscism, although I may not be able to spell it correctly, I certainly had encounter enough of narcisist in my life to know how terrible it is. I'm sorry that you have to deal it at home.

Today is my second day at work and I am glad I did that. Sitting at home alone makes me think too much and depressed. Also at work, my colleagues encourage me not to think too much about the itch.

My bowel movement changed from twice a day to once only, so I don't have to go in the office. Now the fiber is finished, I need to eat more fruits and vege to make my stool softer. I had some bleeding today during bm. cry.gif

I think I know now why I have frequent constipation. My body have problem with animal protein, even fish's. My stool became harder since I added fish to my diet. Need to buy pears and dragon fruit later.

As for the wriggly itch, I need to pantang like women in confinement. This lessen the itch.

This post has been edited by lowlowc: Dec 10 2013, 09:05 PM
TSlowlowc
post Dec 10 2013, 04:16 PM

Enthusiast
*****
Senior Member
918 posts

Joined: Jul 2011
My follow up with dr lim is next week. Hopefully my bleeding during bm is solved by that time. Going to ask him why stapler method yet there's a piece of hemorrhoid being cut out. I hope he'll have something for my irritated skin. So far he have not prescribe any cream for me.

There is a possibility the staples will be in there for life? blink.gif I thought I will loose itself and come out in stool. What's the staples made of?

This post has been edited by lowlowc: Dec 10 2013, 09:03 PM
SUSTham
post Dec 11 2013, 02:28 AM

Regular
******
Senior Member
1,576 posts

Joined: May 2007



Obviously they would be there permanently fixed to the rectal wall,, otherwise
how are they going to pull up the lumps of hemorrhoids ?

This is not like ligation or banding, where the rubber band falls out after it
has cut off the blood supply and the hemorrhoid shrinks.


As Dr Qureshi told me : '' ...... they (the staples) will fall down to the grave with you. ''


I believe they are made of stainless steel. Can't be cheap iron which can rust, like
those office staples.


The correct name is actually stapled ''hemorrhoidopexy'' or ''anopexy'',
not hemorrhoidectomy.

Any surgical procedure ending in '' - tomy '' normally means removal of tissue.


As mentioned here :

'' The procedure causes internal hemorrhoids to pull up and retract. It also severs
the blood supply to the hemorrhoids which may encourage a reduction of size of
the external hemorrhoidal component. ''


http://www.sages.org/meetings/annual-meeti...morrhoidectomy/




You can also see a piece being cut out as ''tissue specimen'' in the last photo of
the above link.



As this surgeon says :


'' I was so excited about stapler hemorrhoidectomy at first .… especially because it
caused only little pain postoperatively until I found out that it can be done on really
a small portion of patients... Only those with pure Prolapsing Internal Hemorrhoids .…
( most of these patients in real life they have advanced mixed hemorrhoids by the
time they reach this stage ) and it leaves - the stapler method that is - half of the
hemorrhoids behind, making long term recurrence of symptoms a problem, and then, c
ame the reports of increasing rate of postoperative pelvic infections to add to my fears
..... so I decided to leave it for only a small number of selected cases. ''

http://www.apcourse.org/template/tools_and_techniques.htm



'' ..... having recurrences after your stapler “Hemorrhoidopexy” - not Hemorrhoidectomy
- because you’ve barely removed 20 % of their Hemorrhoids and left the external elements
up for grabs ( because they ‘re not addressed by PPH alone) ? ''

http://www.apcourse.org/template/for_gener...al_surgeons.htm



I think the surgical specimen which you had cut out was the above 20 %, which
would also be the ''strip of mucosa'' mentioned below, the so-called ''doughnut''.

Does yours look like a doughnut ?



'' PPH employs a unique circular stapler which reduces the degree of prolapse
by excising a circumferential strip of mucosa from the proximal anal canal.
This has the effect of pulling the hemorrhoidal cushions back up into
normal anatomical position ''


http://en.wikipedia.org/wiki/Stapled_hemor...opexy#Procedure



Hospitalised a second time in Sunway after the surgery, under Usha Rani, a
chest physician as well as Akhtar Qureshi, I kept running to the toilet for one
bowel movement after another, and the stools were pencil thin and black.

The nurses noticed this, informed Dr Qureshi. Luckily, the activated charcoal
he gave me reduced it.


Persistent pain and faecal urgency after stapled haemorrhoidectomy.

http://www.ncbi.nlm.nih.gov/pubmed/11085693



Adverse Effects Following Stapled Hemorrhoidectomy.

http://www.aafp.org/afp/2001/0201/p550.html






This post has been edited by Tham: Dec 11 2013, 02:30 AM
TSlowlowc
post Dec 11 2013, 11:58 AM

Enthusiast
*****
Senior Member
918 posts

Joined: Jul 2011
"Persistent pain and faecal urgency after stapled haemorrhoidectomy."

I do have feacal urgency now, always hit me very sudden and I have to stop everything and rush to toilet ASAP. Sometimes after rushing to toilet just to find out it's gas only. I do hope it's not permanent. I don't really like having bowel movement for 2 or 3 times a day. I am now trying to 'train' myself to empty bowel every morning after waking up by drinking a large jar of water. Sometimes works, sometimes no. Hope I can succeed.

I seemed to have more bleeding today. Although not painful, doesn't feel good either to see bloodied stool.Now that I finished all the fiber they prescribed to me, I am using psyllium husk + 3 portion fruits. Maybe I really need to banish fish from my diet.

My incised piles doesn't look like doughnut. If anything, it looks more like mini curry puff hmm.gif .
TSlowlowc
post Dec 12 2013, 09:28 AM

Enthusiast
*****
Senior Member
918 posts

Joined: Jul 2011
double post

This post has been edited by lowlowc: Dec 12 2013, 10:27 AM
TSlowlowc
post Dec 12 2013, 09:29 AM

Enthusiast
*****
Senior Member
918 posts

Joined: Jul 2011
Bad news. I think I may have stenosis. I feel the urgency to go toilet, but when I m there it wont come out,it took me 30 minutes in toilet just to have a few small thin stool to come out. I cant seem to clear the bowel 100%.

What can I do? I know I cant push but I had push a little because it s stuck. The opening there seemed to be a little swollen.

Cosway sea salt is finally in stock but they no longer carry the plain type, only those with lavendar fragrance. I dont thik my skin can handle perfume right now. So I tried epsom salt this morning. The irritated skin seemed to be less itchy now.

This post has been edited by lowlowc: Dec 12 2013, 02:28 PM
SUSTham
post Dec 12 2013, 05:58 PM

Regular
******
Senior Member
1,576 posts

Joined: May 2007



There is a plain type ? They stock only one type of the Zara's salt, blue.

Quite idiotic of them to add fragrance to it, I know, since they know very well
that Dead sea salts are meant to be used by eczema and psoriasis sufferers,
which is just why they had that product in the first place.

But I think it should be alright. I've used it many times on my legs as well as the
anus, and the fragrance isn't really irritating. Just go ahead and try it.

But if you find the Epsom's salts work, then use that first. Everything
is money these days.


You had better visit Dr Liew. One way of correcting stenosis is to insert his finger
inside and move it around to try to dilate it.


Otherwise, you can go to your company's GP, or any GP near your house,
and he could also try doing this finger dilation for you.


Once, visiting Dr Ting, my usual skin specialist in Imbi Road for eczema a few months
after the surgery, I requested him to check me out there to see if things had improved.

He put his glove on, inserted his finger and moved it around, and he said
it look alright with no stenosis.




This post has been edited by Tham: Dec 12 2013, 06:15 PM
SUSTham
post Dec 13 2013, 06:49 AM

Regular
******
Senior Member
1,576 posts

Joined: May 2007




If there's a good supplement for constipation, it's artichoke extracts.

It works by causing extra bile secretion from your gall bladder.

There will definitely be more stools, but softer and yellowish.

Improves digestion, reduces flatulence, knocks down triglycerides.

Liver protector and detoxifier.

The cynarin in artichokes is also a cancer fighter.

http://www.lef.org/protocols/gastrointesti...isorders_05.htm


I think it is far more useful for the liver than milk thistle.

Here's one which I used to order.

http://www.healthspan.co.uk/products/artichoke-extract


I have this in my office now, almost finished.

http://www.iherb.com/Nature-s-Way-Artichok...0-Capsules/1824







TSlowlowc
post Dec 13 2013, 09:34 PM

Enthusiast
*****
Senior Member
918 posts

Joined: Jul 2011
QUOTE(Tham @ Dec 12 2013, 05:58 PM)
There is a plain type ?  They stock only one type of the Zara's salt, blue.

Quite idiotic of them to add fragrance to it, I know, since they know very well
that Dead sea salts are meant to be used by eczema and psoriasis sufferers,
which is just why they had that product in the first place.

But I think it should be alright. I've used it many times on my legs as well as the
anus, and the fragrance isn't really irritating. Just go ahead and try it.

But if you find the Epsom's salts work, then use that first. Everything
is money these days.
You had better visit Dr Liew. One way of correcting stenosis is to insert his finger
inside and move it around to try to dilate it.
Otherwise, you can go to your company's GP, or any GP near your house,
and he could also try doing this finger dilation for you.
Once, visiting Dr Ting, my usual skin specialist in Imbi Road for eczema a few months
after the surgery, I requested him to check me out there to see if things had improved.

He put his glove on, inserted his finger and moved it around, and he said
it look alright with no stenosis.
*
Dr Ting will do that for me? Somehow the last time I was there he wasn't very helpful when I asked question.

I'm in confused state now. I have very bad flatulence yesterday, a bit symptom of diarrhea yet I can't fully empty my bowel. I ended up going to the toilet a few times and the skin is itchy again. Sometimes I went to toilet to pee but ended up have bm.

I stop taking psyllium husk and called Tungshin for the brand of fiber they gave me. Found it in Caring pharmacy and drink it back again. Flatulence is much lesser but still some symptom of diarrhea, but very little at one time. doh.gif Right now, maybe is not the time to visit GP to dilate for me because I may leak. I read some health forum that some people will experience stenosis and leaking during the course when the splinter (not sure i got the spelling correct) is contracting/having spasm while healing. This morning, it does feel like the hole is having spasm. Hopefully will be gone by next week. Right now, I don't know whether to soften the stool (to cure stenosis) or not to soften (to prevent leakage).
SUSTham
post Dec 14 2013, 02:55 AM

Regular
******
Senior Member
1,576 posts

Joined: May 2007




Yes, Ting can be extremely busy, and doesn't say much either, at times.
He shuffles between two consultation rooms when seeing patients.

He probably sees easily 200 patients a day.

I asked him once how he managed to take the pressure, adding that
I could never handle the kind of pressure he faced day in, day out,
resting just a day and a half a week.

Once, I was describing to him a particular symptom. Before I could finish, he
was already walking to the other room, and I had to raise my voice a little so
he could hear what I was saying as he went over the other side !

What fiber did Tung Shin give you ?

Maybe you could try this, which is glucomannan. I tried it once and it seemed
to be quite pleasant to take, caused little flatulence and no cramps, unlike psyllium.

Also increased quite a bit of soft stools. About $2 a sachet.

http://www.youtube.com/watch?v=ceaYCZQqrBc

http://www.rakuten.com.my/shop/caringpharm...TC0006_0209031/


http://www.thestar.com.my/story.aspx?sec=c...ntral%2f7719099



The above, as well as psyllium, are all bulking agents, and just help to make
the stools bulkier.

If you can't push, that will make things worse.

I think what you need is to improve peristalsis in your intestines, i.e. stimulate
the colon's muscles to move the stools.

For that, try taking a small dose of senna (Senokot), maybe half a tablet. Don't take a full
tablet for a start, can cause spasms or cramps - that's how it makes the colon push.

Another one is Skilax liquid - I still have a bottle in my office, which is sodium
picosulfate, similar to bisacodyl (Dulcolax).

I prefer that because you can control how many drops you want to take.
Try just 3 drops into a glass of water for a start. About $11 a bottle.

http://www.globalnapi.com/PR_Consumer.asp?ID=26

http://www.ubuy.com.kw/images/productImage...32012123254.jpg


http://parenthots.com/q_a/panel_of_experts...x?c=0&q=145&p=1



Multicenter, 4-week, double-blind, randomized, placebo-controlled
trial of sodium picosulfate in patients with chronic constipation.

http://www.ncbi.nlm.nih.gov/pubmed/20179697


Laxigal effectiveness in constipation of various etiology.

http://www.ncbi.nlm.nih.gov/pubmed/11210355



Psychological well-being and symptoms in women with chronic
constipation treated with sodium picosulphate.

http://www.ncbi.nlm.nih.gov/pubmed/15738724



Randomised, placebo-controlled, double-blind study to investigate
the efficacy and safety of the acute use of sodium picosulphate in
patients with chronic constipation.

http://www.ncbi.nlm.nih.gov/pubmed/17504357



SUSTham
post Dec 14 2013, 03:12 AM

Regular
******
Senior Member
1,576 posts

Joined: May 2007




Why don't you go see Dr Anantha at Sentosa for a review ?

I went to see him about two months after my surgery. He was very nice
and accomodating, even though I had not selected him as my surgeon.

He's quite experienced and skilled. If Sentosa had the harmonic scalpel
at that time, I would have chosen him. He only had diathermy.

As mentioned earlier, he had done the hemorrhoidectomy for my father
some time in 1994. Despite using diathermy, which is supposed to be
quite painful, my father, who had very big, bleeding piles, said he had
pain like just ''ants biting'', recovered quite soon with virtually no
complaints of contipation, diarrhea, bleeding, gas, stenosis or any
other problems !

Before the surgery, my father, who had delayed surgery because
people told him he would ''lose control'', bled so much many times
(never told us because he was an introvert) that he ended up being
hospitalised in Damai Hospital with five pints of tranfusion !

This neighbour woman near my house told me that Dr Anantha had
done five surgeries on her !



TSlowlowc
post Dec 14 2013, 09:55 PM

Enthusiast
*****
Senior Member
918 posts

Joined: Jul 2011
Will artichoke extract make us dependent on it?

I haven't seen Dr Lim yet until another 2 days. Going to ask him whether it's stenosis or swelling down there. I keep on feeling the urge to go but when I was in toilet, just can't get them out despite eating vegetable, rice and fruits only + 3 liters of water. Today I feel the 'real pain' for the first time when I try to get them out but fail. Miserable... This is a big setback for me, since I didn't experience much pain during the first week, not even during bm so I thought it will continue like this until totally healed. No doubt the itchiness returns again. Alas..

The fiber they prescribed to me is Total Fiber. Apparently it has both soluble and insoluble fiber in a ratio that will decrease flatulence. I drank 1 sachet this morning and managed to BM. But after lunch and dinner, I feel the urge again but very little come out. I drank another sachet again but no bm. I'm starting to worry of overloading myself with fiber will make the 'constipation' worse. Maybe the swelling is making me feel like wanna bm but actually not?

Thinking back, this is what always happen to me and gradually constipated. Went to toilet but lose all the urge after settling down and no matter how hard I tried, I can't get it out.

I started to have some kind of swelling at the old place of hemorrhoid, I freaked out because I was afraid the hemorrhoid was not completely removed. Went to a few hemorrhoid discussion forum, most mentioned it's normal and the swelling can easily be mistaken as another hemorrhoid.

Maybe will consider Dr Anantha only if it's not healing by another 2 weeks time.
SUSTham
post Dec 15 2013, 12:54 AM

Regular
******
Senior Member
1,576 posts

Joined: May 2007


Just go and see Dr Anantha to check you out properly for a second opinion,
regardless of how you are next week.

His charges won't be very high, and his assessment would be well worth it.

I don't know his consultation fees these days, but the last few times I saw him
maybe five years ago, it was just about $ 35. He's also very considerate, and
asked me if I wished to buy the medication he prescribed for me outside, since
the cost would obviously be higher at the in-house pharmacy.

After that, you could always follow up with him on this, or any other future
problems. He's really an experienced and reassuring surgeon.

He's the surgeon I should have gone to in December 2004 for the cellulitis infection
at the bottom of my left big toe, but my elder brother took me to Sunway instead
because it was nearer, where an orthopedic surgeon, Lee Chong Meng, did an
extremely painful I & D (incision and drainage) surgery on it to drain out an abscess
there. I was left hopping about for two months with a one and a half inch OPEN
wound there, which looked like a huge gunshot wound.

I also saw Anantha to assess that after I came out from Sunway.

I intend to see him one of these days too, for this persistent pain on the right side
of my right lung, after the chest drain for the pleural effusion done by my schoolmate,
Yap Boon Hung, in November 2011.

You may have fecal impaction. You can't be drinking too much fiber as I said.
You'll just be causing more stools to form inside with no means of pushing it out.

It's like pouring more rubbish down a clogged drain.

And what do you think will happen if the opening of the drain has narrowed too,
as with rectal stenosis ? How are you going to push it out a pencil-thin opening ?


There are two main types of laxatives :

1. Bulking agents, which is fiber. Lactulose and probiotics would also cause more
bulk (and gas) to form, but without any assistance of peristaltic effect.

2. Peristaltic agents, which stimulate your colon to propel out the stools.
Senna, bisacodyl, sodium picosulfate.


The elderly, for example, need the second type, because their colon have become
immotile with age.

Obviously you won't become dependent on artichokes. It's just a vegetable.
It stimulates bile movement from your gallbladder, which accounts for the
yellowishness of the stools passed out.

Thus it is not recommended if you have bile stones, because the flow of bile
may cause the stone to move and get stuck at the bile duct opening. I have
long wanted to give it to my father, but was afraid this might happen because
I know he has a small stone in there, from an ultrasound done at Tung Shin
about 15 years ago.

In a sense, it is also a bulking agent, causing the formation of more stools, but
safer than fiber, which just attracts water to the stools, causing them to swell up,
which are obviously going to make things worse if your colon is obstructed
with fecal impaction, or stenosis at the end of the rectum.






This post has been edited by Tham: Dec 15 2013, 01:07 AM
TSlowlowc
post Dec 16 2013, 04:19 PM

Enthusiast
*****
Senior Member
918 posts

Joined: Jul 2011
QUOTE(Tham @ Dec 15 2013, 12:54 AM)
Just go and see Dr Anantha to check you out properly for a second opinion,
regardless of how you are next week.

His charges won't be very high, and his assessment would be well worth it.

I don't know his consultation fees these days, but the last few times I saw him
maybe five years ago, it was just about $ 35. He's also very considerate, and
asked me if I wished to buy the medication he prescribed for me outside, since
the cost would obviously be higher at the in-house pharmacy.

After that, you could always follow up with him on this, or any other future
problems. He's really an experienced and reassuring surgeon.

He's the surgeon I should have gone to in December 2004 for the cellulitis infection
at the bottom of my left big toe, but my elder brother took me to Sunway instead
because it was nearer, where an orthopedic surgeon, Lee Chong Meng, did an
extremely painful I & D (incision and drainage) surgery on it to drain out an abscess
there. I was left hopping about for two months with a one and a half inch OPEN
wound there, which looked like a huge gunshot wound.

I also saw Anantha to assess that after I came out from Sunway.

I intend to see him one of these days too, for this persistent pain on the right side
of my right lung, after the chest drain for the pleural effusion done by my schoolmate,
Yap Boon Hung, in November 2011.

You may have fecal impaction. You can't be drinking too much fiber as I said.
You'll just be causing more stools to form inside with no means of pushing it out.

It's like pouring more rubbish down a clogged drain.

And what do you think will happen if the opening of the drain has narrowed too,
as with rectal stenosis ?  How are you going to push it out a pencil-thin opening ?
There are two main types of laxatives :

1. Bulking agents, which is fiber. Lactulose and probiotics would also cause more
bulk (and gas) to form, but without any assistance of peristaltic effect.

2. Peristaltic agents, which stimulate your colon to propel out the stools.
Senna, bisacodyl, sodium picosulfate.
The elderly, for example, need the second type, because their colon have become
immotile with age.

Obviously you won't become dependent on artichokes. It's just a vegetable.
It stimulates bile movement from your gallbladder, which accounts for the
yellowishness of the stools passed out.

Thus it is not recommended if you have bile stones, because the flow of bile
may cause the stone to move and get stuck at the bile duct opening. I have
long wanted to give it to my father, but was afraid this might happen because
I know he has a small stone in there, from an ultrasound done at Tung Shin
about 15 years ago.

In a sense, it is also a bulking agent, causing the formation of more stools, but
safer than fiber, which just attracts water to the stools, causing them to swell up,
which are obviously going to make things worse if your colon is obstructed
with fecal impaction, or stenosis at the end of the rectum.
*
35 only? That's really cheap because I understand at very least the consultation alone is 60 or above.

I went to Dr Lim today. He inserted finger and moved around but there's no pain, so it means no stenosis. Just swelling and (unfortunately) I was given Daflon again for the swelling. Plus the Daflons I got from KPJ and Mediviron, I think I have half year supply already if I eat 2 each day. Luckily my Guarantee Letter is still in effect, so I don't have to pay. The swelling causing the urgency to move my bowel.

I am trying prunes now despite the experience with cramps from it. If possible, I am trying to swear off whatever packaged fiber or laxatives cause I read somewhere in lowyat, a girl depending on a certain supposedly natural laxative/fiber (based on her doctor recommendation) and ended up with very inactive colon. She had to remove part of her colon. Prunes seemed to bring a little diarrhea effect on me so I'm going to cut down on it (yesterday I ate around 6-7 pieces of them). If still having diarrhea from it, I may move on to try figs. I am a bit worry to try out the artichoke since you mentioned it's not recommended for ppl with bile stone. I don't think I have bile stone, but since I've never got there checked, I'll never know for sure.

The bad news is, I have developed a skin tag and I may probably have to live with it for the rest of my life. I am very saddened by this, because the first week after the surgery, the place where the hemorrhoid used to be, was healing fine, no tags nothing. I thought I had got rid of that ugly irritating thing for life! doh.gif

As for the sensitive skin there, no one seemed to be able to give me a solution. I think I may try natural healing like some i read on other pages - to restore the PH balance for the skin down there and see if anything works. Any idea where can I buy PH litmus paper?

Sentosa Medical Center is now KPJ Sentosa (as I searched online)? Does he has clinic outside? Can't find Dr Anantha in the list of General Surgeon.

Did you ever fully recover from the cellulitis drainage you did? My friend did such drainage before 5 years ago, and never really recover from that. He ended up couldn't stay on any job for long (as he can't walk much). Every time he work for a few weeks, the symptom came back and he has to resign and rest at home. I feel very bad for him.

This post has been edited by lowlowc: Dec 16 2013, 05:49 PM
SUSTham
post Dec 16 2013, 06:00 PM

Regular
******
Senior Member
1,576 posts

Joined: May 2007




Well, disappointing news, my worst fears confirmed. I called Sentosa and
Dr Anantha has retired. Hopeless operator service, nobody seems to answer
most of the time.

Before I could ask her when Dr Anantha had retired, she put the receiver down.

http://www.nsr.org.my/list1viewdetails.asp?Account=1073


From the year he obtained his MBBS, he would be about 62 to 63 now. Hard to
find another surgeon with his level of experience, skill and etiquette.

Why do you have so many unfounded fears ? The case you mentioned of some
girl having to resect her inactive colon is a very rare, extreme one. You are not going
to end up with an immotile colon just because you took sodium picosulfate for a
few weeks, at a low dose, let alone artichoke extracts.

I don't think you have bile stones, so just go ahead and try it. If you wish to be
even more cautious, pour out half or two-thirds of the capsule to another empty
one, and take the rest.

I also have a few small skin tags there, a bit painful in fact if you touch it, and itches
at times too. Started with one, Dr Anantha examined it, I asked him to cut it away
but he said no, might cause infection.

No, never fully recovered. There is still some pain there when I walk or put a bit of
pressure there at times. I am wondering if it was due to that stupid, irresponsible
staff nurse called Juliana who did the initial cleaning of the dressing after the surgery
- she kept poking away with her tweezers at the open wound without a care in the world,
causing me to scream repeatedly in front of many visitors at that time. She must have
damaged some of the nerve fibers there permanently.

I wrote an email to Sunway some time ago, threatening to sue them because of that
dumb b****.

Worse, the scar is at the outer edge of the toe, so forms a callous when I walk.
I have to file it away once a week.

Dr Ting said some time ago he could use liquid nitrogen to burn it off.

Which part did your friend have that incision and drainage ? Was it due to cellulitis ?
Did he not try other treatments or procedures to lessen the pain ?




TSlowlowc
post Dec 16 2013, 10:06 PM

Enthusiast
*****
Senior Member
918 posts

Joined: Jul 2011
Other than Dr Anantha is now retired, another bad news is my burning itch has return. This is definitely not the wriggly kind of itch when the wound heals. This is the itch I had since more than a month ago, long before my surgery, the reason why I made so many trips to hospitals, the one that cause me to decided to have hemorrhoid remove. I do not know anymore who to seek help. I am thinking hard what causes the itch to come back and there's many suspect:

Prunes that I started to eat yesterday.
Diarrhea caused by prunes irritates/burns the inside of my anus.
The Lui Cha I ate this afternoon that contains "chai bok"
The gel the doctor used when he inserted his finger to anus
Daflon that I started on. Prescription is 2 X 2 times a day, but I started with 1 this afternoon and later 2 after dinner.

I am seriously depressed now, I do not know where or who to consult anymore. I even try assuming I am having yeast infection and sit myself in water with Apple Cider Vinegar, but nothing works miracle. Heaven knows whether I can sleep tonight with the burning itch. I pity my co workers who have to handle my job because of my frequent absence from work, my hubby who has to take leaves to accompany me to so many trips to clinics and hospitals.


Tham, I didn't know if my friend has the exact problem as you (cellulitis) but the draining concept you mentioned certainly rings the bell. I did a search and from Webmd

"Cellulitis is a skin infection caused by bacteria. Normally, your skin helps protect you from infection. But if you have a cut, sore, or insect bite, bacteria can get into the skin and spread to deeper tissues. If it is not treated with antibiotics, the infection can spread to the blood or lymph nodes. This can be deadly."

Yes, my friend started out with something like skin infection on legs, then spread deep within with fluid buildup. Went to SJMC and the doctor (I do not know which one) suggested the procedure just like the one you did. Pain was reduced but not for long, everything became worse. He can't walk and leg swollen, has to quit his job and rest at home. I know he went to a few hospitals but all treatment doesn't work. In the end went for Chinese medicine, improved a little. Just when he thought he can start working again, symptom came back again. The only thing (I don't mean this sarcastically) I really thankful for him is he came from a generation of landlord family so he succeeded his family tradition of collecting rentals for livelihood, no need to work while with the illness.
anak kenyalang
post Dec 17 2013, 12:36 AM

Getting Started
**
Junior Member
85 posts

Joined: Jul 2013


Hello guys. Luckily I came acroos this thread, so I have someone out there to share my problem with. I suspected that I might have hemorrhoid, based on these few symptoms; my butt itch most of the time, and whenever I'm defacating, feels like fire coming out from my anus, and even after that, its still feels hot and itchy. Sometime it get wet, and by the time it get wet, the itchiness is unbearable. Few times I scratches my anus until it bleeds. I think it might get worst now, I can't sleep at night because of the hot feeling and itchiness of my anus. The thing is, I'm still young, 24 to be exact. I never share my problem with any specialist before, but I think its time to do so. From what I read, I should not squat always. The thing is, I'm an MMA fighter, and I did squat a lot for training. I stop training for one month already because I can't stand the itchiness. Its really troublesome to stop in the middle of the training, take of my glove, run to toilet and scratch my anus. I did took a lot of fiber recently, but doesn't seems to work. The hotness, the ithiness is there. And yes, I think some of my intestine is out too.

So before I go for checkup, wanna make something clear first. Is the checkup and the surgery is covered under insurance? Do I need some kind of recommendation letter, or I can just come to the hospital? I would like to do my surgery at Sunway Hospital.

7 Pages < 1 2 3 4 5 > » Top
 

Change to:
| Lo-Fi Version
0.0212sec    0.40    5 queries    GZIP Disabled
Time is now: 29th March 2024 - 05:57 PM