Piles (Haemorrhoids or Hemorrhoids), part two.
Treatment of piles may be conservative (=without surgery) or operative (=by operation).
Almost all piles will eventually shrink. The key is to allow them to shrink. Avoiding straining at motion allows piles to shrink.
Lifestyle changes include taking a high fibre diet to produce soft bulky motion. Both hard motion and loose motion cause straining at motion. Loose motion (diarrhoea) causes straining because the patient tries to evacuate “everything” to avoid going to toilet again too soon. However, there’s nothing to evacuate from the rectum, so it results in futile straining. Straining leads to increase in the piles.
Visiting the toilet only when there’s an urge to void helps to reduce straining at motion.Going by the clock may result in futile straining at an empty rectum.
There are various oral and topical preparations that may help shrink acute swelling of piles.
Rubber-banding is a simple, cheap and painless method of treating piles. The rubber band strangles the piles. They end up shrunken and drop off. The lining of the rectum becomes scarred and prevents recurrence of piles. Here’s a diagram of banding piles:
Haemorrhoidectomy (haemorrhoid=piles, ectomy=cut away) is the operation of choice for piles with a large external part. This may be open (wound left open after operation) or closed (wound closed after operation).
After open haemorrhoidectomy
Stapled haemorrhoidopexy may be used for 3rd and 4th degree piles. The advantage of staplers is less pain compared to haemorrhoidectomy.
Stapled haemorrhoidopexy
The stapler pinches a ring of rectum mucosa, including the piles, into the space between the head and the anvil and cuts the ring out. At the same time, a row of metal staples are inserted to keep the cut edges together.
This action also results in smaller external piles being pulled up in to the rectum. If the external bits are too large, however, they have to be cut off separately.
was told that prunes may help to prevent constipation but it works the other way around for me.
fresh fruits works best.
wahhhhhhhhhhhhhhhh…tenkiu bernard for the info…*eh dari buku mana ni?….kekeekkkeke…the stapler part..u have to put the anchoring sutures one meh?…mine tarak wor..
Wah!!! Very interesting! A relative of mine had banding done for her hemorrhoids but the surgeon said she has to do it several times to remove all (as hers is huge). Is that truly necessary? Why didn’t he remove all at one go? Anyway, she didn’t go for 2nd op coz her symptoms dissapeared after the first one.
Nyonyapenang, prunes works for most ppl. Some ppl even get diarrhoea after prunes or prune juice. But you’re right, fruits work great!
Eve, these pics (except the open haemorrhoidectomy photo) is from the net. I usually use the other retractor included in the set. That one is mobile and can’t be anchored.
Just did one yesterday… i’ll post a pic of the instrument later. Wish i had photos of the procedure but as you might expect, my hands were a bit full already.
SK, multiple session banding is safe and sometimes necessary if there are a lot of piles. Having too many banded at one time can be rather uncomfortable and the patient feels like having motion to pass all the time until the piles drop off. I mean, imagine all the banded piles putting pressure on the anus.
Plus, it’s a much cheaper alternative to stapling (a stapler costs RM2000, ok?).
You mean, if you get 3 staplers, the operation will cost Rm8000 onwards?
yenjai, no. you only need one stapler. it takes care of the whole circumference of piles. RM2000 is the cost of the stapler. The whole deal might come to about RM4,500-RM5,000.
That is still pretty acceptable
Hrmm .. I still can’t comprehend how the ’stapler’ work. After all the info above, I’m very careful during my toilet ritual now. No straining, no stress and importantly no reading in the toilet!! hehee
Used to suffer constipation. Papaya is too troublesome to prepare, apple is too hard to bite. I found out that grapes and milk is very effective for me.
hoiling, glad that sumbody’s inspired to be careful with toilet habits :-D. you’re right, reading in the toilet can cause piles.
don’t worry about understanding how the stapler works, a lot of doctors don’t either.
Thanks alot for the info you posted there. It certainly created awareness.
Hello Bernard,
I just went to the Doc yesterday and plan to have mine (3rd degree) done, all 3 of it. I am 39yo, chinese male, overall in good health except piles and poor digestion. He recommended the stapler method, hence I am reading up a little. I have a few questions still swimming in my head, hope you could shed some light.
Hello Milo, I’ll have to just give some information in general. The treatment of your specific problem should be discussed with your surgeon.
1) Is it true a full circumference of metal staples will be inserted?
Yes
2) These metal staples, size of 0.2cm (I was told) will drop off by themselves overtime. Is that within the first 2 wks? Does it rust overtime? What if some are still left behind and didnt drop off?
The staples don’t rust. They are inert. There’s no problems if the staples are left behind.
3) Bleeding, some site indicates none, some indicates minimal, some also indicated complications. Does bleeding usually stop after 5 to 7 days?
Bleeding should stop in OT. During the post-op period, there may be minimal bleeding after bowel movement for a few days.
4) “If the external bits are too large, however, they have to be cut off separately”. Does this mean cut off with laser?
No, cutting is done with a scalpel or diathermy.
5) What type of medication would be given after the ops normally? Is it just pain-killer and something to ease passing motion?
Yes, that’s right.
6) “This action also results in smaller external piles being pulled up in to the rectum.” I think this means the doc really do not know at the point when it was being pulled by the stapler device, if it will be pulled up sufficiently. Does the device provide feature which allow the amount of rectum mucosa to pull, for example, 1cm up or 2 cm up, etc?
There’s no measuring device. It depends on the distance of the staple-line from the external piles and the amount of mucosal tissue drawn into the stapler by the surgeon.
Look forward to hear from you.
Regards
Milo
Hey Bernard,
Thanks for answering my queries. I fully agree that the details should be discussed with my surgeon. Just that at the time he was going through the details with me, I could hardly digest it all at once.
I like to ask for your opinion on the level of pain. I was told the level of pain subside or vanish after 5 to 7 days (though complete healing may take up to one month). If I am given pain-killer, and I am taking them for the 5 to 7 days, do I still have to experience pain? To what degree of pain would you think that ops of this nature does the patient have to undergo?
No problem Milo. The post-op pain is variable. The actual site of the procedure is in an area that is painless. There may be some pain for few days (up to a week) due to the stretching done on the anal skin. Often, the pain occurs only during bowel movements. Some patients may experience a sensation of needing to go to the toilet even when the rectum is actually empty. This is due to the presence of a wound and staples in an area that normally functions to sense and signal to the brain the presence of stools.
Usually, patients are back at work in a week. Some patients go back to work as early as 2-3 days (really motivated people, salute.)
Appreciate your comments. Thank you so much.
Milo
I am more at ease now that I am gradually understanding it abit more from you. The surgeon also mentioned about people going back to work on the 3rd day. However, he cautioned me not to try to be a “HERO”.
Wise words.
One of the other thing he mentioned very quickly was, he saw a blood clot, hence, I think the present staining plus discomfort (requiring manual push of the prolapse after passing motion).
1) Will the spot of the blood clot heal naturally after the ops?
Blood clot might be in the internal or external origin. Clots in internal piles would be excised by the stapler. Clots in external piles would be drawn in. Sometimes they need to be excised separately. Check with your surgeon.
2) I kept thinking that the prolapse areas are “bad” and hence removal is much better. With the stapler procedure, its keeping them except pulled back like a face-lift. Whats your view on this?
Yes, I agree. They’re pulled up into the anal canal.
3) Is it necessary to be on antibiotics for the wounds in that area after the procedure to avoid risks of infection?
Usually, no. These tissues heal rapidly because of excellent blood supply.
Hey man, thanks again for provide so much insights. Really appreciate it. At least I am not having a personal nightmare now. YEP… was freaking out somewhat!
Milo
Dear Bernard,
Many thanks for your comments once again. Over the last 5 years, I started paying a whole lot of attention to what I eat. That has helped to a certain degree. I am one who like to take much proactive measures. I still find that the many changes I am making to my diet intake are insufficient. I still end up with stools which does not float on certain days of the week, to me thats already a sign of insufficient fibre. I go regularly, at least once a day, otherwise twice.
Most people say 2 servings of veg per meal and 2 servings of fruits per day would be sufficient fibre intake per day. What type of fruits and veg are considered most beneficial for people with piles? I really hope after the surgery, I dont need another one some years down the line.
Best regards
Milo
Milo, floating is not a sign of adequate fibre intake. Actually floating stools is not a good sign, because it may indicate that the fats in the diet is not well digested and absorbed. It may be due to pancreatic disease. If you do have floating stools, you need to mention this to your surgeon and he/she will assess you for other symptoms of pancreatic disease.
The best sign that you are getting enough fibre in your diet is the consistency of the stool. It should be soft and bulky.
All fruits and vegetables, plus wholegrains (e.g. bran, husk, whole outs etc.) are a good source of fibre. Really, it depends on your local diet. If I tell you to eat lots of prunes or dates or oats but that not a part of your local diet, it would not be helpful to you. If it’s expensive, it’s not useful either. If you don’t enjoy it, it’s not useful too. So, the simple answer is adequate amounts of fibre-containing foods in the diet to obtain soft bulky stools. And don’t forget to drink enough water. Hope this helps.
Soft bulky stools…roger that! I noticed the color changes from day to day. Whats considered good color for stools and if thats at all important to take notice of?
Oops…another likely complication. I will go do some reading on pancreatic diseases and see if I get anyway with it. It usually end up floating the next morning when I take Fybogel the night before. Otherwise, stools rarely float.
Thanks for your input Bernard. Really appreciate it. : )
Cheers
Milo
Milo, soft, sticky, jet-black stools (a.k.a. malaena) is a sign of bleeding in the GI tract. Pale-coloured, floating stools indicate poor fat digestion as mentioned earlier.
Stool after fybogel floats because of the ispaghula husk in it. There’s no problem if it floats because of fybogel.
Dear Bernard,
I enjoy fruits and vegetables and does make it a point to include them in my diet daily. Was taking prunes at one stage and now wonder why I stopped. I include a whole lot of oatmeal, seeds, raisins and cereals in my breakfast these days and am enjoying that too.
Will look out for malaena stools. So far mine has been different tones of brown, dark to very light. Look bulky sometimes but can’t really tell if its soft, unless I give it a squeeze?? Recently watched a show of Oprah and the expert there said the best stool is the one that is shaped like a ‘S’. I would imagine thats soft, as it is able to curve. Mine sometimes is more like two ‘C’s, instead of a complete ‘S’.
I do find that I don’t drink enough of plain water daily. I think its about 8 glasses a day or at least 1.5 litres?
About the stapler, how far up from the opening is the stapling usually done? Or is this case by case also?
And also hygiene for piles, is it a norm to clean the bowel internally with soap after going each time? I would imagine putting soap on the finger kinda procedure.
Appreciate any comments. Thank you so much again.
Cheers
Milo
Good for you! That sound like a good amount of fibres and water.
It sounds like your stools are OK too. I wouldn’t suggest being too preoccupied with it.
Re: the staple-line, usually it’s about 3 cm to 4 cm from the verge of the anus.
Re: anal hygiene. Is that the norm where you come from? I don’t think that cleansing the anal canal would make a difference. Only the skin needs to be cleaned gently; avoiding abrading the skin.
Thanks Bernard for having shared your expertise in so many of my queries. ‘The’ day is approaching and as advised by my rather comical surgeon, go buy all the DVDs you ever wanted to watch and sit back to watch them after the surgery and just take my mind off it all.
Hahaha Milo, good advice. Relax and enjoy it.
Day 1
- fasting with no food, no water, from 12midnight day before
- 12:30 magic hour
- 1:20pm woke up from GA
- 2pm stabilize - back to ward
- Then I was told, no urine, NO…go home!
- Pain level around 8 out of 10
- 8:25pm took arcoxia
- 9pm - Bloated already full tank. Given two options to induce urine (tube or medication). Tube means I have to stay overnight. Medication has no guarantee and may still end up with tube. I requested to try for another half hr.
- 9:25pm …at long last…urinated, not much but it was a great relief after 9hrs. With the pain killed by the arcoxia, I was able to switch my focus on urinating again. Yipy!
- 10pm went home.
- Every hour I slept, I woke up to urinate to try to clear my bladder.
Why did I need pain-killer to urinate while the other 3 people all could urinate without any problem?
I was told my muscles are in shock down there?
Milo, you’re a haemorrhoidectomy veteran now ;-).
Re: your question; “With the pain killed by the arcoxia, I was able to switch my focus on urinating again.” There you have your answer :-).
Haha…I am such a major pain in the a**!
Thinking about it now, I probably should have asked for the pain-killer earlier or those experts could have suggested. Fortunately I toyed with the idea around 8pm+ that if I could reduce the pain, I may just have a shot at gaining control over relaxing the muscles in the urinary track. I guess this means those four other chaps could tolerate pain better than me.
Day 2
- I was a farting timebomb (each time soil boxer with blood + you know what).
- Pain level = 6 out of 10 throughout the day.
- Stool = That shot up the pain-level to an agonzing 8 just to get one 2 inches drop out of my system : (
Day 3
- Migrated to wearing a towel instead.
- Pain level = 6 out of 10.
- Stool = Sent 2 bananas out. While I was at it, felt like someone jabbed a knife out my rear end. Fortunately I had enough fibre going there so it didnt take long for it to get out.
Day 4
- Pain level = 5 out of 10 (in the morning)
- Went for a slow walk in the park. Good to get out of the house and get some fresh air.
- Stool = enormous amount, soft and brown. I love my oat, banana and prunes breakfast.
- Pain level - strangely dropped to 3 out of 10 in the afternoon, especially after passing such a huge amount of stools in the late morning.
Do you know why I ended up farting so much on Day 2?
Another thing I didnt quite figure out, how to sit without pain?
You were probably retaining a lot of gas on the first day because of anal muscle spasm, plus spinal anaesthesia may have caused some amount of slowing down in peristalsis. That returned to normal later and you passed a lot of the retained gas.
Is it painful just sitting down? Perhaps there was an associated procedure performed?
That explained the gas. Thanks Bernard. What is the average number of times an individual should be farting per day anyway? I read somewhere it says 14 a day.
With the pain, still there now on Day 5. I have to sit side ways like a leaning Tower with no backbone and then alternate leaning left and right every 5 mins as it does get tiring sitting that way. In bed, my chest have to face down and by backside upwards, neck turned alternating sides, thats why I have not gotten much sleep at all in the last 4 days. The Docs never mention of a separate procedure after the surgery. I looked at the area with a mirror, nothing appears excise externally. Its clean, no wound externally at least. Strangely, the prolaspe pile is gone or perhaps lifted so high up into the bowel now.
Still experimenting various positions. See which has less pain.
The prolapsed piles are usually lifted into the anal canal.
Kesiannya. *feel sorry for u*
i better start taking high fibre diet.
4 days not enough sleep; stressful days due to the pain; must be very tired yet can sleep… may be some sleeping pills might help for the moment?
sorry… can’t sleep
Hi Milo,
Hope this painful episode will be over soon for you. Hang in there.
It has been very informative read from both you and Dr Chan’s interactive postings. It certainly helps to those who suffered the same prob. Cheers!
Dear Bernard, On Day 6, I can finally sit on a chair as per normal. Thanks for so many of your input. Really appreciate your understanding and support over this period.
Hello CSH, On Day 5, I slept through the night without having to empty the bladder and did not have to sleep on my chest…hmm…its a really great feeling. I woke up with a smile on my face. And I am planning to pay good attention to a well balanced diet from now.
Hi hoiling, I know its shameless of me to write a private matter in a public forum. Am glad though that you could look passed that and found the info of some use to you.
Best wishes,
Milo
Milo, I’m glad that you’ve found relief :-). Now to keep it that way… keep the stools soft and bulky.
Day 10, just when I thought the bleeding has stopped, I guess not. Strangely no fresh blood in stools since Day5 and today fresh blood seen attached to all stools (even without straining). I am no longer on Disomin, only 1 arcoxia a day.
I get into those ‘do i go back to see the surgeon’ or ‘wait & see’ scenario.
Milo, delayed bleeding may sometimes be due to infection. I’d say, see your surgeon.
Thanks Bernard. Did check with my surgeon. No further medication required unless blood dripping. Lucky me, Day 12 No blood in stools and that straining feeling in the butt throughout the day is also gone. Day 14 - I am getting myself organize. Going back to work tomorrow.
There is this 2 seconds shockwave thats sent up the anal canal like someone is electrocuting a nerve from down there, when seated. I get this occasionally. What is this called?
I don’t think it has to do with nerves.. perhaps you’re getting the occasional anal sphincter muscle spasm.
Hmm…so its a spasm that hitted me from time to time. Got one today while walking and that triggered my thought I posted a query here : )
a) What is the diameter (cm) of the large intestine?
I wondered how many staplers it took to go round the full circumference.
The diameter is variable. Usually, the diameter at the anus is around 3 - 4 cm. About 15 staples are inserted vertically at intervals all around.
b) Is it true if we sit on hot surfaces, we can also get piles? Or is that just a myth?
You could get external piles, i.e. perianal haematomas.
c) So far could get stools to be soft but not bulky unless I get some help from fybogel. The bulk I think are those non-digested food or fibre from food intake. Does that mean, the bulk is a sign to show we have sufficent fibre in the diet?
Yup. Fibre cannot be digested by the human gut.
d) Does eating a lot of meat or chilli or wine/liquor contributes to constipation, which then leads to straining & eventually piles?
I don’t think so. They all get digested. It’s the amount of fibre in the diet that makes passing motion a pleasure, not the absence of meat, chilli or alcohol.
Having said that, in the presence of a raw surface in the anal canal, it can be painful to pass motion containing chilli.
e) How many cm of the large colon do you think is roughly being cut off from the stapling technique?
It’s not the colon being cut. It’s the mucosa of the upper part of the anal canal. About 1 cm only.
f) How come when a full circumference is being cut off and sealed together with staplers, the body still could retain control of the anus opening and closing movements?
Only the inner layers are cut. The muscles that control the anus (called sphincters) are arranged in a “outer circle”. These are intact.
g) In most diagrams, it shows the large colon surrounding the small intestines. I really don’t understand this picture. Just couldnt visualise this. Inside our body, I seriously doubt its organize that way. Just dont see how or what is holding it together. Is it our surrounding abs muscles? Or something!?!
That’s the way it’s arranged alright. Anatomy lesson time: The colon runs from the lower right up to the upper right, then across to the upper left and down to the lower left side and then loops a little before going south to the rectum. They are plastered down to the back wall of the abdomen in some places and, in other places, attached to the back of the abdomen by a short and broad piece of membrane and fat (called the mesocolon).
The small intestines are longer and more mobile. They are attached to the back of the abdomen by a longer piece of membrane and fat (called mesentery). Since the mesentery is attached to the back of the abdomen in the central region, the small intestines are generally located in the centre and the colon in the periphery.
Hope you have a little spare time to share your thoughts.
Thanks Bernard.
Warm regards
Milo
With ref to the above:
a) If the piles are merely just pulled up into the rectum, would it be correct to say, I probably still have 1st degree piles, since instead of it being outside, its just sitting inside now?
All of us have piles, they are just not pathological (’cos they don’t cause any problems). By definition, first degree piles are piles which bleed but not prolapsed. So if they bleed, then you have first degree piles
b) Very surprise this is true. Thought it was just some old folks tale.
Yup
d) Its rather weird, when I was have 3rd degree piles, drinking a glass of Remy Martin/Brandy would almost definitely meant next morning stools would have blood. Is that an allergy of mine or is it just the piles reaction to it?
I don’t have an answer for that. Perhaps it may due to dilatation of blood vessels from the alcohol.
e) If that 1cm that got cut also happen to include part of the piles, then I am lucky I supposed, as then I think it also mean I dont hang on to even the 1st degree piles.
It’s not meant for the cut to include the piles. It’s s’posed to pull them up.
f) Good to hear that. Why I asked the question was, lately feel like I am getting a whole lot of “mixed signals” from down there. When I thought I need to go, I ended up just purging out a lot of gas. And once the gas is out, that tightness suddenly vanished. Its funny that gas could bloat up in the anus at one time and at another, it just get released naturally. Other times, when it became tight, stools turn up instead. Coping but just wonder why the sensation or messages sent to my brain is so different. Its like I have to learn all over again which is what.
I agree. Sometimes you do have to re-learn the signals. Some patients feel like there’s something to pass even though the rectum is empty.
g) Strangely if I detox (liquid meal) for one meal per week (typically on a sunday or sat night), the small and large intestine area of the body would flatten quite a bit and my head is also exceptionally clearer (instead of heavy & cloudy), the next morning. I feel the detox is really giving my digestion a break from all the hard work. I dont understand where the fats are. Is it in the colon thats making our tummy so huge? Looks like all the sit-ups in the world is not working, maybe a look at where the fats are hidding would help.
Strange that you get heavy and cloudy in the head every morning when you’re taking normal meals. Perhaps it’s the content of your meal rather than the consistency of the food that you’re taking. In fact, besides the fibre, all your food would’ve turned to liquid form when it reaches the small intestines. Although liquid diet gets into the small intestines faster, and the digested components are absorbed into the blood faster, I would expect that to cause you to feel any better than solid diet.
Regarding abdominal fats: that’s a different topic, but generally, the fat in mesentery and mesocolon is only a small part of the total fatty tissue (adipose tissue) that contribute to the shape of the abdomen. The others are in the omentum (another membrane attached to the colon) and the abdominal wall.
Slimming takes more than sit-ups. You need to limit your energy (= calories) intake level to match your physical activity level. And increase your physical activities (= exercise).
Must say I have learnt so much from you, Bernard.
Thank you for your guidance.
Warm regards
Milo
This is a bit off topic already…. but NVM, we can still talk about it
With the detox thingy I was attempting, actually I used to get migraines at least once a week (not everyday). On bad week (high stress work, over-eating, too much junk food, eating too full too late in the evening, little exercises, insufficient water intake, insomnia) migraine can last anything between 1 to 3 days. At times I felt like vomiting. Other times, I get bloated especially after dinner and though I am feeling really full, I am usually too tired to stay awake. Going to sleep with a tummy full of undigested food, I usually feel unwell the next day. These are my observation so far and I am CHANGING it. Lifestyle change by far has been really beneficial. Trouble is, first I got to recognise what I am doing wrong.
I agree with you the content of the meal also play a big part. I never realised that before until I started doing some little research on my own on food combination some 2 years back.
a) These days, I feel a whole lot better by mixing (protein & veg) or (veg & Carbo) meals. I felt that I could digest better with this combination.
Sure, our normals are almost always from a variety of food groups.
b) I also avoid drinks and soup with my meals. Liquid have the tendency to give me that overwhelming bloated feeling when taken with my meals. And I think its probably not too great for the digestive juices which otherwise would have done a proper job of digesting my food.
I don’t think that diluting the juices are significant but feeling bloated is true.
c) The amount per meal I am cutting down as well. Instead of the 3 large meals, I now have 3 medium meals and (1 to 2) small snack time to make sure I wont hit ’starvation mode’.
Just don’t take “empty” calories for snacks. Meaning, it’s not a good idea to take snacks that provide only calories without other nutrients, e.g. fibres etc.
e) I also make it a point not to go to sleep at night until at least after 3hrs from dinner. I think this at least give my body a chance to digest the food while I am awake, which I think it will do a better job at it as well.
That’s good too, although the length of time is arbitrary. It avoids the incidence of acid reflux during sleep.
I really don’t know all the technical terms to say this. I should add, this is all very experimental on my own. I am not sure if I am doing the right thing. So far I do see improvements, so thats already good motivation for myself.
The ‘fats’ bit, you have given me some lead there. I will read up and see if I get to understand more of that.
As with the ‘calories’ portion, something I have been reading and until this day still cannot pin it down. Just couldn’t add the 2 and 2 together. With fibre, I was able to see in a chart; per serving gives how much fibre…and you can see it as well in for example an orange before you eat it. With calories, its a somewhat whole different story. You don’t see it, its there, somewhat invisible, yet you get in trouble when you had too much.
Basically, fats give you double the amount of calories that carbohydrates and proteins give per gram. So go slow on fats. Other than that, don’t get too obsessed with calculating calories. It takes the fun out of mealtimes. Take carbo and proteins that come packaged with other nutrients, such as fibres, vitamins, minerals etc. and you’ll alright. To reduce the amount of fat in your body, you need to take fewer calories than you use (temporarily; until you achieve your ideal weight.)
On the contrary, I am trying very hard to gain some weight with no success. At 5ft7, 62kg, skinny arms & limps, I think I am underweight. Definitely got carried away and completely off-topic there. Glad you didnt mind. Many thanks for the good advise. I do feel that I screwed up my own food choices & eating habits, and as a consequence have so much problems with my colon. I remember the external piles started like a harmless little pimple. And overtime, there was another pimple and a third. After that, I think they all joined forces.
I do think the stapling does not mean new piles will not appear. I dread the day when I can feel another pimple erupting from the anus. Its like a one way traffic. It just gets bigger.
I just got my piles done by the stapling method 1 week ago and I still feel extreme pain. The doctor said the staple caught my external piles thus causing more pain then ususal. Is this normal for external piles to be stapled ?
Milo, don’t worry. Just keep your dietary and toilet habits up to the mark and you’ve probably said your final farewell to your piles.
Singapore, usually the external piles are not caught in the staples. Sometimes if the external piles contribute a significant part of the symptoms, they may be excised at the same sitting as the stapling. That will give rise to more pain than stapling alone.
Thanks Bernard,
Yes, my external piles was actually stapled (think accidentially) by the staple and was not excised. This was confirmed by the surgen when he checked me.
Could this cause any complications in the future ?
Just for sharing information. My surgery cost SGD5,800.00 and done by one of the private hospital here. My own experience tells me to expect more than 1 week recovery and I had gases in the 1st and 2nd day after surgery. 3rd~6th day very painful but this could be due to my external piles being stapled. Today (7th day) slightly better but pain is still there.
Singapore, sorry for being late with the reply.. i didn’t realise there was a comment. Hehe. Thanks for sharing.
I’m sorry to hear about your complication but i don’t that there will be long term problems if the staples did not take the whole circumference of anal skin.
Ok after all that..I am scared…now I swear to eat Oats for breakfast and more fruits. Is that part of the perky diet? LOL!!
Great! at least i’ve won a convert to a healthy fibre-rich diet.
….. and yup it’s a perky diet too. ‘cos it’s not easy to be perky when the piles are perking-up down there.
.. but remember the healthy toilet habits too.