Dealing with hemorrhioids long-term?

So I haven't posted on here in a while. Last time was before I got to see a GS about my problem. For most of the year, I've had symptoms driving me insane on a near daily basis. Namely, the feeling of something being stuck in my rear, or to be more technical - the feeling of excess tissue in my anus, making it uncomfortable for me to sit down. I've also had on and off rectal itching, which I suspect is being caused by small amount of a leakage onto the skin.

On the first visit, I had an exam and was told that I have grade 2 internal hemorrhoids, but external was fine. Was advised to use daily fiber supplement, and go on a strict vegetable, fruit and protein oriented diet and avoid grain products. I've tried, with varying success to stick with it (as much as taking food that you like away really drains a lot of joy from your life) I could do better. I was told that increased fiber would result in better bowel movements and less pressure which would relieve the hemorrhoids.

I just returned for a follow up. My symptoms aren't gone, although I can say they might be a little less severe, I can still feel it. So had another examination, this time by a different physician. He told me that there were "no obvious hemorrhoids" that he could detect. That's the story with doctors - the first one tells you one thing, then the next one tells you something different. So if they're not obvious why do I still feel them? Of course I know that they're considered dynamic, in that they aren't the same from day-to-day. But this is the question I've never been able to get out of any doctor. Do internals ever subside and return to normal state of not feeling them? Or is it a condition that I'll constantly need to manage for the rest of my life? Because at this point, it seems chronic for me.

So this time I was advised to increase fiber dosage and bowel movement frequency to more than once a day. I find that very difficult to do. The only other option from there, is a colonoscopy to check for other issues and to have the hemorrhoids burnt or pinched off. A pretty drastic measure especially for the uninsured, and no guarantee that I'll be relieved of my symptoms.


Has anyone here dealt with hemorrhoids (in particular internal ones) for nearly a year or longer without relief? What are my chances, if this is infact hemorrhoids, that it will ever actually resolve on it's own? Also, does anyone notice trace amounts of leakage while having hemorrhoids? That is not a symptom I hear mentioning of very often. I often suspect it, as it usually feels like tiny pocket of gas throughout the day.

Post Edited (needsomehelp22) : 9/25/2017 8:03:02 PM (GMT-6)

rufous57 said...
According to my general surgeon and my colon & rectal specialist, hemmorhoids, rather internal or external will never go away on their own. They can go from being in a flare to a non-imflammatory state. But the only way to get rid of them is surgery. Also, you don't feel the internal hemmorhoids because that part of your rectum doesn't have the nerve endings, it is the external hemmorhoids that you feel the swelling and burning and itching. i've been able to manage with Citrucel, plus I make sure I have flaxseed daily just in case, plus I drink tons of water and plenty of fruits and vegetables. If I do have a flare up, my doctor gave me a prescription for niphediphine cream. It is actually for high blood pressure but it also shrinks hemmorhoids. If you can't get that, you can try an over the counter with lidacaine.

I read your last posts, did you ever resolve your issue after taking the Cipro? If you had chronic diarrhea, that will definitely aggravate hemmorhoids as it causes straining just the same as being constipated will cause straining.

Btw, I have not experienced leakage and I have not ever heard of this with hemorrhoids. Did you ask your doctor about this? Please let us know how you are doing!

Yes, I realize that they never completely go away, but should remiss into a state where you don't feel them. Yet, I've always felt them, and I've never had a even a brief period of not feeling them. Which often makes me wonder if I'm dealing with something else like a fistula that keeps getting re-infected. Neither GS mentioned anything like that to me though.

Not sure to what issue you are referring with the Cipro. I had a mild reaction to it, but it also upset my stomach for a few months, but the diarrhea wasn't chronic. I had strange BMs for a few months that looked to be festered with candida. However, I've been back to "normal" for a while now in that regard. Though the rectal issue has persisted ever since. I've not had diarrhea for a long while at this point.

I can't say for sure there is a leakage problem, I just suspect it because I often use hemorrhoid medicated wipes multiple times a day, and I find that I'm not clean even when I should be. I've read that hemorrhoids can leak a type of mucus, so that could also be it but I find it strange either way. I didn't mention that to the doc. I've not been recommended or prescribed any kind of medications to manage my symptoms as of yet. The first GS that saw me said internals would sometimes feel like minor "pressure" in the anus, and that's what I've always felt. It's not that it hurts, it just feels weird and uncomfortable.