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

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SUSTham
post Dec 17 2013, 03:41 AM

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You never mentioned you were a woman. I was under the impression you
were male all the while.

I'm guessing you have a fungal infection from your vagina to your anus.
In your gender, your anus and vagina are just about an inch apart, virtually
a hop,skip and jump for any bacteria or fungus from one opening to the other.

Well, go see a gynecologist or dermatologist and see if he/she can check that out.

Otherwise, go to your friendly pharmacy, ask for miconazole + hydrocortisone cream
to apply around your anus. Some generic brands around, like ''Micort'', ''Zaricort'',
''Decocort'' for example. The pharmacist would know what to give you.


Kotra Pharma's product, Axcel Fungicort, which is in micronized form, looks
a superior cream.

http://www.kotrapharma.com/search.asp?by=b...atological+Care


Plain miconazole cream (''Daktarin'' or generics) may also be used.


In fact, I applied Decocort around my ass today. Dr Ting had given me the
same type of cream years ago after checking out my itch there, so I have
followed up with it since.


The other antifungals typically used for vaginal candida infections are :

Clotrimazole
Econazole
Nyastatin


So you can also apply those on your ass or vagina, with or without steroids.



Secondly, stop the prunes for at least two weeks, plus whatever ''lui cha''
you are taking.

The ingredient in prunes which account for its laxative action is phenolphthalein.

Not only is that an irritant, it is carcinogenic.


Phenolphthalein-induced toxic epidermal necrolysis.

http://www.ncbi.nlm.nih.gov/m/pubmed/9337441



Subchronic (13-week) toxicity studies of oral phenolphthalein
in Fischer 344 rats and B6C3F1 mice.

http://www.ncbi.nlm.nih.gov/m/pubmed/1601209/



The Toxic Powers of Phenolphthalein.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC402437/



It is also the ingredient used in the antique laxactive, ''Brooklax'',
long taken out from the market. My father used to take this in the 60s.


http://www.oldshopstuff.com/Shop/tabid/124...ve/Default.aspx



Phenolphthalein Poisoning.

http://archive.samj.org.za/1976%20VOL%20L%...SE%20REPORT.pdf






SUSTham
post Dec 17 2013, 03:48 AM

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What are some things to know about phenolphthalein before pranking with it?



http://answers.yahoo.com/question/index?qi...25131318AAM8Xws






SUSTham
post Dec 17 2013, 07:18 AM

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I don't think your friend's case was cellulitis.

The incision and drainange surgery is to drain out the abscess
caused by the serious bacterial infection.

Once the abscess is drained out, and strong antibiotics are given IV,
the infection usually subsides, and with it the swelling.

Usually any physician or surgeon should be able to treat him.

The wound has to be left open, unstitched, after the surgery,
otherwise another abscess would form again, as the bacteria
are still active inside.

Mine took a week to subside after the drainage. I was on one of the
strongest antibiotics IV, imipenem ($ 250 a bottle), followed by
ciprofloxacin ($ 100 a bottle, usually given for anthrax).

If his leg is still swollen, it may be due to something else. Congestive
heart failure, diabetes, arthritis ?

If it is really cellulitis and the infection is not cleared, it would go into
the lymph nodes and cause lymphagitis (as mine did right up to the groin),
and then on into the blood, as you had read. The end result is septicemia,
which can kill.

Celllulitis is usually caued by Staphylococcus aureus, the bacteria normally
found on our skin.




TSlowlowc
post Dec 17 2013, 09:20 AM

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Sorry anak kenyalang, I m using mobile now and the reply button is missing. I m not sure whether if u have hemorrhoid or not. Do u constipate a lot all theses years, pushing stool a lot? Bleeding when bowel movement? Any protruding flesh, swelling there (means u have external one). And one thing very important is to know whether the itch is started by hemorrhoid or the other way round. Mine is sonething causing the itch and flares the hemorrhoid. In my case, the surgery did not solve my problem.

Usually for your first consultation u have to pay by yourself, if doctor suggested surgery, only after admission for tge surgery, insurance will cover. Insurance requires u to be hospitalisee in order to use insurance guarantee letter to pay. After hospitalisation normally follow ups within 30 days are paid by insurance too.

I hope u are not having the same symptom as me, but we do have commons here, burning and itch after bowel movement, uncontrolable itch. Did the itch stop when u r in sitting position? No one should suffer this, I wouldnt even wish it upon my worst enemy.
TSlowlowc
post Dec 17 2013, 09:41 AM

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Tham, sorry I never mentioned I m a female. The probkem is only at anus area and inside it, never went to the genital. I had zaricort and used it for 2 days stopped using it because it s time for my surgery. Maybe I ll try it again, but how about the itch inside? The cream does not come with tube for insertation and is it safe to use it after the surgery?

As for my friend case, no doctors can give him definite answer what s his illness.

I ve stopped prunes and everthing acidic now.
TSlowlowc
post Dec 17 2013, 09:44 AM

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Tham, sorry I never mentioned I m a female. The probkem is only at anus area and inside it, never went to the genital. I had zaricort and used it for 2 days stopped using it because it s time for my surgery. Maybe I ll try it again, but how about the itch inside? The cream does not come with tube for insertation and is it safe to use it after the surgery?

I only reason I self assume I have yeast is from itchy anus forums that discuss candida yeast causing anus infection.

As for my friend case, no doctors can give him definite answer what s his illness. Now I know that feeling.

I ve stopped prunes and everthing acidic now.
anak kenyalang
post Dec 17 2013, 11:16 AM

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QUOTE(lowlowc @ Dec 17 2013, 09:20 AM)
Sorry anak kenyalang, I m using mobile now and the reply button is missing. I m not sure whether if u have hemorrhoid or not. Do u constipate a lot all theses years, pushing stool a lot? Bleeding when bowel movement? Any protruding flesh, swelling there (means u have external one). And one thing very important is to know whether the itch is started by hemorrhoid or the other way round. Mine is sonething causing the itch and flares the hemorrhoid. In my case, the surgery did not solve my problem.

Usually for your first consultation u have to pay by yourself, if doctor suggested surgery, only after admission for tge surgery, insurance will cover. Insurance requires u to be hospitalisee in order to use insurance guarantee letter to pay. After hospitalisation normally follow ups within 30 days are paid by insurance too.

I hope u are not having the same symptom as me, but we do have commons here, burning and itch after bowel movement, uncontrolable itch. Did the itch stop when u r in sitting position? No one should suffer this, I wouldnt even wish it upon my worst enemy.
*
I'm 80% posirive that I might have a hemorrhoid. I seldom have constipation, and blood never comes out when there's bowel movement. And yes, its flaring upo there, and there is protuding flesh, something that comes out. Bad news is, I might suffer the same thing as u. Unbearable itch and flaring feeling on the anus after bowel movement. And plus, its always feel like kinda tight down there. I'm not comfortable when I'm in sitting position either. The protuding flesh seems jellyish whenever I sit on it. Its getting worst mow, I can't fall asleep last night because of the ithiness, and have to take MC today. I think I might see a local clinic first, and under their recommendation letter, I will go to hospital.
TSlowlowc
post Dec 17 2013, 03:03 PM

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Yes, get a letter from clinic and maybe see specialist in govt hospital, maybe can get a totally different opinion from me. I heard the specialist in govt hospital can be very skilled. Unfortunately the clinic I initially went refuse to issue letter for me, so I went to private

Remember to point out just how itchy and burning it is, or they wont take the word 'itchy' seriously, just brush it as normal hemorrhoid.

Can we compare a few more symptom? Did u started on new food or supplement when this happen? How long has it been? Itch first or the hemorrhoid protude first? Is it wet but it s not pus, more like no color secretion? The burning itch is more worse when something touches it, like clothing or even just the touch of hand?
SUSTham
post Dec 17 2013, 08:18 PM

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I thought you said your itch was just at the anal entrance.

Didn't you discuss with Dr Liew about this ? What did he
say ? Didn't he give you some Xyloproct or Protosedyl cream or
suppositories for it ?

As mentioned earlier, I still think the itch is a symptom of the wound healing.

You could visit Dr Ting or other dermatologist and let them assess you further.


Otherwise, go to a Chinese medicine shop, ask for ''Musk Hemorrhoid Ointment''.

Me and my parents used to apply a lot of it, Quite cooling and soothing, so it
may reduce the itch. Apply a small amount externally first to see how it feels.

It was a yellowish/green tube and box, and the cream was yellowish/brownish.
Smells a bit.

I think it was a different brand from this one here.

http://myhemorrhoid-treatments.blogspot.co...01_archive.html



I also tried these ''Fargelin'' tablets in those days, but didnt' really help me.

He also says here that his piles itched when they were healing.

http://myhemorrhoid-treatments.blogspot.co...argelin-36.html




SUSTham
post Dec 17 2013, 08:26 PM

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As for your friend's case, with a symptom like leg edema, how can
it be that no doctor was able to tell him as to what might be the cause ?

Surely they can find out with proper investigations ?

Well, tell him to try my schoolmate, Yap Boon Hung, a physician and
rheumatologist in Tung Shin. I'm sure he can figure out what's wrong.



TSlowlowc
post Dec 18 2013, 11:54 AM

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The itch is inside near the anal entrance and outside the surrounding skin. The itch is burning kind of itch, the one I had before the surgery. After the surgery in first week I had wriggly itch which many told me it s healing itch. I believe so.

Now I am having the burning itch just like before I had the piles remove. So I tried using the anti fungal zarticord yesterday (issued by mediviron previously). it burns and stings like crazy that I cannot sleep. I don t remember it stings that much when I use it before my surgery. Is it normal?

ebizpro
post Dec 19 2013, 01:26 PM

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QUOTE(lowlowc @ Dec 16 2013, 10:06 PM)
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.
*
I truly sympathize with your condition and pain. I have been following your case closely,
hoping that you will find a solution as soon as possible.
And I can understand your serious depression after not really getting your problem solved.

Please hear me out, especially when you are running out of options:-

This is my suggestion & recommendation:-

Recently, I came to know of this doctor in Pudu-KL, by the name of Dr. A.K. Ng who
has been practicing "Natural Preventive & Curative Healthcare for the past 40 years.
(Note & Disclaimer: He is not a Sin - Seh and does not practice any form of chinese medicine
or chinese healing theraphies)

He uses Natural Approach methods, avoiding drugs where possible.He treats his patients
with these alternative methods. Patients with heart disease, stroke, diabetes with complications,
chronic recurrent pain, dengue. chicken pox, etc have been treated successfully without drugs.
He has also successfully treated non-wound healing cases, especially post operation wounds that
does not heal.

He mainly uses a natural product containing Xanthones, Catechins, Polysaccharieds, Proanthocynadins.

If you google Xanthones or search PUbmed on Xanthones, you will find tons of info there.

But let me not bore you with these details (which I can email you later if you PM me)

The good news is Dr A.K. NG (MBBS Adelaide) is currently offering FREE consultation
for any disease (Preventive & Curative) and to anyone.

Why? Because many of his patients come to him as a lst resort after trying many other options
whether natural or pharmaceutical and spending so much money & time in the process.

So he does not want to burden his patients with the consultation fees which may stop
people from seeing him in the first place.

So I hope you decide to see him, and call me and I will inform him about your case.
You can see him from Mon-Fri @ 10am to 4.30pm / Sat : By Special Appt Only
You can come alone or with your husband
(If you walk in directly, you have to pay the consultation fees)

My adivise is, you have tried so many options, what have you got to lose
since you pay nothing and there is no obligation.

I sincerely hope to see your problem solved.

Thank You
Simon Jayadevan (019.220.1530 / 018.2562.747)
Health Advisor
NATURAL HEALTH & WELLNESS CENTER SDN BHD
345 & 347, Jalan Pudu,
55100 Kuala Lumpur

SUSTham
post Dec 19 2013, 10:09 PM

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QUOTE(lowlowc @ Dec 18 2013, 03:54 AM)
The itch is inside near the anal entrance and outside the surrounding skin. The itch is burning kind of itch, the one I had before the surgery. After the surgery in first week I had wriggly itch which many told me it s healing itch. I believe so.

Now I am having the burning itch just like before I had the piles remove. So I tried using the anti fungal zarticord yesterday (issued by mediviron previously). it burns and stings like crazy that I cannot sleep. I don t remember it stings that much when I use it before my surgery. Is it normal?
*
If it stings, then you should stop using it.

As I have suggested, go get that Musk ointment from Chinese medicine shops.
It's quite common and costs just a few dollars.

The cool and soothing effect of the ointment would reduce the itch.


There can only be three causes for your itch :

1. The staples fixed on the inside of your rectum, grabbing the muscle there,
is causing some spasm and irritation. This would also likely be the cause
of the fecal urgency.

2. Your wound is healing, and hemorrhoid shrinking.

3. There is some candida infection there, likely spread from your genital area.


You haven't answered if you had asked Dr Liew about this and what he has
said about this.

If you have and he has not been able to help you there, then go see Dr Qureshi,
since Dr Anantha has retired. He should be able to give you a proper assessment.

Or go and see a good dermatologist like Dr Ting, or Dr Koh Chuan Keng in Damansara
Utama.





SUSTham
post Dec 19 2013, 11:18 PM

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You could also try taking an antihistamine like Claritine or Atarax before bed
and see if it reduces the itch.

The old phenothiazine-class drug, Vallergan (trimeprazine), is actually quite effective
for itching. Dr Ting used to give it to me for my eczema when I first started seeing him
over a decade ago.


However, I don't think it is available in the market here anymore. The alternative, and
related drug, is promethazine (Phenergan), usually found in cough syrups and
anti-seasickness pills.



Stapled hemorrhoidopexy vs. diathermy excision for fourth-degree
hemorrhoids: a randomized, clinical trial and review of the literature.



'' Persistence of itching was reported in six patients in the stapled
group and in one of the diathermy excision group. ''

http://www.ncbi.nlm.nih.gov/pubmed/15785901




'' One of my symptoms, post op, is an urgent need to go. Two and a half years
after the op, I still need to get to the toilet in a hurry. I cannot hold it in and
apparently my sphincter muscle was NOT damaged in the op. Extreme urgency
has been noted in some people after PPH surgery.
''


'' I do remember however, the awful internal itch which lasted for about
20 minutes after every BM. If I could have reached inside I would have
ripped out those staples. ''


http://www.healthboards.com/boards/bowel-d...urgery-pph.html




Some studies report less itching with the staple than excision, but actual
experiences, as in the above forum, reveal the reverse is true.


Hemorrhoid Stapling Has More Long-Term Risks Than Surgical Removal.

'' In favor of stapling, results were better in terms of less pain, itching or bowel-movement
urgency; however, these were data "trends" that did not reach the level of significance.
All other clinical outcomes favored excisional surgery. ''


http://www.sciencedaily.com/releases/2006/...61018094723.htm






This post has been edited by Tham: Dec 20 2013, 10:20 PM
abubin
post Nov 21 2016, 03:15 PM

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how come this thread stopped??

anyway, I am trying to look for hemorrhoid surgery but mine does shrink back in. Does the surgery only apply to hemorrhoid that does not go back in?

My goes back in because I am using a special seat that help to make it go back in. Usually it will take like an hour for it to go back in but with this seat, it goes back in almost instantly (unless I strained the anus too much during defacting).

So far the seat is helping but I would like to get it treated once and for all because traveling with the seat in the luggage is no fun.

With all the comments here, looks like laser method is the best??? Or any other better method that have longer lasting effects and less after surgery pains. I am really terrified reading all the stories of after surgery which is really crazy.

Also, thanks to everyone who share their story and experience. It really make it easier to live with this embarrassing issue.
Ramjade
post Nov 21 2016, 03:56 PM

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QUOTE(abubin @ Nov 21 2016, 03:15 PM)
how come this thread stopped??

anyway, I am trying to look for hemorrhoid surgery but mine does shrink back in. Does the surgery only apply to hemorrhoid that does not go back in?

My goes back in because I am using a special seat that help to make it go back in. Usually it will take like an hour for it to go back in but with this seat, it goes back in almost instantly (unless I strained the anus too much during defacting).

So far the seat is helping but I would like to get it treated once and for all because traveling with the seat in the luggage is no fun.

With all the comments here, looks like laser method is the best??? Or any other better method that have longer lasting effects and less after surgery pains. I am really terrified reading all the stories of after surgery which is really crazy.

Also, thanks to everyone who share their story and experience. It really make it easier to live with this embarrassing issue.
*
You can try high flavanoid food+ high fiber. Hemorrhoid is cause by problem with blood vessel.

This post has been edited by Ramjade: Nov 21 2016, 03:57 PM
dayalan86
post Nov 23 2016, 11:02 AM

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QUOTE(abubin @ Nov 21 2016, 03:15 PM)
how come this thread stopped??

anyway, I am trying to look for hemorrhoid surgery but mine does shrink back in. Does the surgery only apply to hemorrhoid that does not go back in?

My goes back in because I am using a special seat that help to make it go back in. Usually it will take like an hour for it to go back in but with this seat, it goes back in almost instantly (unless I strained the anus too much during defacting).

So far the seat is helping but I would like to get it treated once and for all because traveling with the seat in the luggage is no fun.

With all the comments here, looks like laser method is the best??? Or any other better method that have longer lasting effects and less after surgery pains. I am really terrified reading all the stories of after surgery which is really crazy.

Also, thanks to everyone who share their story and experience. It really make it easier to live with this embarrassing issue.
*
Indeed haemorrhoid really causes massive discomfort, do you have constipation or IBS?

I used to have very bad IBS, which sometimes causes flare up in the haemorhhoids.
TSlowlowc
post Nov 26 2016, 12:57 AM

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QUOTE(abubin @ Nov 21 2016, 03:15 PM)
how come this thread stopped??

anyway, I am trying to look for hemorrhoid surgery but mine does shrink back in. Does the surgery only apply to hemorrhoid that does not go back in?

My goes back in because I am using a special seat that help to make it go back in. Usually it will take like an hour for it to go back in but with this seat, it goes back in almost instantly (unless I strained the anus too much during defacting).

So far the seat is helping but I would like to get it treated once and for all because traveling with the seat in the luggage is no fun.

With all the comments here, looks like laser method is the best??? Or any other better method that have longer lasting effects and less after surgery pains. I am really terrified reading all the stories of after surgery which is really crazy.

Also, thanks to everyone who share their story and experience. It really make it easier to live with this embarrassing issue.
*
Hi, i am back and considered fully heal. Without doctors answer to my suffering, i began trial and error. I found that area is now very sensitive so any changes to the bm habit can trigger the itch again. My guess is before my hemorrhoid surgery my habit is to bm only once or twice a week but after the surgery i always make sure i go every day. So the extra frequency makes the poo more watery hence it irritates the part which is already very sensitive since the swelling and after surgery. It also itch whenever i have dirrhea.

So i adjusted my habit to once in 2 days. Works for me. And i take care to make sure i dont get constipation. I did water flush once every 2 days before bm. Means drjnking a lot of plain water aftet waking up and standing. Within 30 minutes, i will sure go. Never get constipation again since.

Most surgeon will suggest getting surgery only after seeing the swelling. Try to see a surgeon when it s swelling and they will grade the level of seriousness. Then schedule for a surgery. If it swells up quite often, might as well find a surgeon to remove it. My life is so much better without the hemorrhoids.
The surgery does not hurt much, just the healing part when u need to face the horror of going to toilet.

SUSTham
post Nov 30 2016, 09:59 AM

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Treatment of hemorrhoids with individualized homeopathy:
An open observational pilot study.


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061475/



abubin
post Dec 13 2016, 05:30 PM

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QUOTE(lowlowc @ Nov 26 2016, 12:57 AM)
Hi, i am back and considered fully heal. Without doctors answer to my suffering, i began trial and error. I found that area is now very sensitive so any changes to the bm habit can trigger the itch again. My guess is before my hemorrhoid surgery my habit is to bm only once or twice a week but after the surgery i always make sure i go every day. So the extra frequency makes the poo more watery hence it irritates the part which is already very sensitive since the swelling and after surgery. It also itch whenever i have dirrhea.

So i adjusted my habit to once in 2 days. Works for me. And i take care to make sure i dont get constipation. I did water flush once every 2 days before bm. Means drjnking a lot of plain water aftet waking up and standing. Within 30 minutes, i will sure go. Never get constipation again since.

Most surgeon will suggest getting surgery only after seeing the swelling. Try to see a surgeon when it s swelling and they will grade the level of seriousness. Then schedule for a surgery. If it swells up quite often, might as well find a surgeon to remove it. My life is so much better without the hemorrhoids.
The surgery does not hurt much, just the healing part when u need to face the horror of going to toilet.
*
wow!! nice to hear that. So your surgery is using stapler method, right? And the healing process...how long was it...the suffering???

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