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Help with hemi's

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Posted 1/23/2013 9:09 PM (GMT 0)
I have a hemi, it feels like it's half inner and half outer. There is pain and blood when having BM. I tried to put in hydro-cortizone supository, got it in, but it hurt like heck. Any idea on how to deal with this?
Posted 1/23/2013 9:14 PM (GMT 0)
I used lidocaine . Helped with the pain . Just about gone .Used hydro Cort cream too.
Posted 1/23/2013 9:18 PM (GMT 0)
Where can I buy them? Are they otc?
Posted 1/23/2013 9:22 PM (GMT 0)
Long story with the lidocaine . Got a script from GI. The pharmacy gave me spearment lidocaine twice . Did a trade with a permanent makeup person. My lidocaine for hers. The one I am using is called numpot. You can get it online. Works great!!!!!
Posted 1/23/2013 10:52 PM (GMT 0)
Easiest and cheapest (IMO):
Try using a blob of petroleum jelly (from $1 store) to help ease the suppository in without irritation.
Insert some into your rectum and put some on the suppository.

It comes in handy for enema insertion as well.
Posted 1/24/2013 12:16 AM (GMT 0)
Ugh, hemi's are the worst. :(

I redefined my definition of pain after a few months of some pretty bad ones. Suppositories helped the most for me, but had to use them consistently to see results. I second the use of lube to ease it in, as long as you can still hold it. I also found using a fiber like Metamucil helped a ton. It made my urgency a but worse, but helped with the pooping not being as painful. So I guess depending on how you handle fiber, that might be worth a shot.

Get better soon. :)
Posted 1/24/2013 12:42 AM (GMT 0)
I use a slippery elm powder "cocktail" at night for 3 reasons:
-It soothes the digestive tract,
-Solved urgency issues for me,
-Results in a softer stool in the morning that does not irritate hemorrhoids.
Posted 1/24/2013 12:46 AM (GMT 0)
sodbuster, I use these suppositories here: www.rockwellnutrition.com/wise-woman-herbals-supplements-suppositories-2-12-count.html. I'm in a flare right now :( and they seem to be helping if I keep at 'em nightly. I've tried Canasa and butyrate+gutathione suppositories in the past with no relief.
Posted 1/24/2013 1:09 AM (GMT 0)
Well now I can't even get the supository in its so painful. I bought some cream and I'll see how that works.
Posted 1/24/2013 2:08 AM (GMT 0)
Lidocaine numbs the entire area. My GI said you can get 5% OTC .
Posted 1/24/2013 2:46 PM (GMT 0)
Well the cream didn't work to good. It hurts so much I'm afraid to eat anything cuz I don't wanna go to the bathroom
Posted 1/24/2013 3:57 PM (GMT 0)
What cream did you get?

You can try a sitz bath with epsom salt...or just warm water.

If you have the option to lay down rather than sit..that would take some of the pressure off the area.

q

Posted 1/24/2013 6:21 PM (GMT 0)
I bought some hydrocortisone cream. I did take a bath with warm water and have been laying down about 20hrs a day for the last 2days. I put a call in to my GI to see about getting in tomorrow. I never had to deal with this before so I really don't know what else to try.
Posted 1/24/2013 6:25 PM (GMT 0)
I ate some applesauce but not sure what else I could eat that won't be too painful.
Posted 1/24/2013 6:42 PM (GMT 0)
:( I'm so sorry sodbuster19. I wish they'd just leave you alone.

The only other thing I know that helped with mine is the opposite of what you wanna hear: time. Mine always seemed to get really bad and then after about a week they'd go away. Over the process I just learned that I had to start using fiber, especially between when they were flaring. And start using suppositories as soon as I felt them coming on again. That's just my experience, though. Hopefully the Dr will have some insight. I know they can be removed, but that there's also a lot of potential complications with that. Just ask a lot of questions. :)

Will keep you in my thoughts and prayers today.
Posted 1/24/2013 10:13 PM (GMT 0)
Well my GI's office never called me back, so I'm thinking I should go to the urgent care. The constant throbing and pain when I have a BM is starting to just be too much. Thoughts on this?
Posted 1/24/2013 10:51 PM (GMT 0)
You could try applying cold "directly" like you would for an injury.
They actually sell round hemorrhoid packs that can be put in the freezer. You could freeze a wet rolled up cloth.

Witch hazel is also a standard home remedy. It's a liquid that you put on a cotton ball and apply directly to shrink the hemi.
Prep H sells wipes that contain it but it's cheaper to just buy a bottle.

Prep H makes a cooling gel but I think the witch hazel and/or icepack works better.

Hydrocortisone cream is not meant to be applied internally.
You're better off using petroleum jelly to help get the suppositories in place.

Taking a warm bath with epsom salts helps, too.
Posted 1/24/2013 11:42 PM (GMT 0)
Just got back from urgent care and after the exam he said that it was hemmis and they were VERY infalmed. Gave me a script for Hydrocort-Pramoxine cream to use. Also said try baths with salts, and just need to relax. He also said it could take a week or more before I can go back to work(I drive a truck). I never had hemmis before and I hope I never get them again, but I'm sure I will.
Posted 1/25/2013 4:17 PM (GMT 0)
Got an appt with my GI for monday afternoon, so hopefully he can figure something out. I'm also starting to flare now, so all in all, not a good week
Posted 1/25/2013 7:55 PM (GMT 0)
Oh no.... Monday can't arrive soon enough.
He might be able to inject it with a saline solution or band it for you. I hear both can have successful.

Driving a truck as your income is definitely hard on your hemmied butt.

Hope you get some relief asap.

q
Posted 1/25/2013 8:08 PM (GMT 0)
Prolapsed Hemi, sounds like fun. I've had them and I haven't found anything that helps too much to heal it aside from not using the toilet. My GI said possibly stool softners may help and sitz baths. I just don't have time to sit in the bath tub 3x a day for 15 minutes. I waited it out, it was PAINFUL but probably not as bad as the fissues I've had. I wouldn't wish either on anyone. I've tried a lot of OTC treatments and none provided relief for me.
Posted 1/26/2013 2:50 AM (GMT 0)
Dumb question...do we get them because we sit on the toilet so much? I have my first one which thankfully is not bad-external no pain or itch, just a knot at my rectum.

Only thing that has changed lately is I sit a lot more at work and spend longer on the toilet when I go. I have wondered if my prednisone taper could have contributed.
Posted 1/26/2013 3:59 AM (GMT 0)
I do not know why we get them but it seems very common for UCers. I've had them when I wasn't sitting on the toilet all that much so i am not sure it's related. I've also had fissures that I've mistaken for hemis so apparently I don't know exactly what's going on all of the time. I swear I felt a bump near my anus and it turned out I had a fissure. I think it's good to get your GI to look at it because it may not be what you think it is.
Posted 1/26/2013 5:55 AM (GMT 0)
You could ask your doc to Rx Proctofoam HC, which has a short applicator. Get some K-9 or other sterile water-soluble jelly to lube with rather than petroleum jelly. I hope you can shrink the hemmis before your next long haul assignment. / Old Hat (32 yrs with left-sided UC; presently in remission taking brandname Colazal)
Posted 1/26/2013 9:14 PM (GMT 0)
Well I don't drive long haul anymore so thats good. It still hurts like crazy and the throbbing is a pain, but what really hurts is when I have to pass gas. Hurts a lot, also, when I have to pee, I feel like I have to sit or make an accident, then I pass a little gas and blood, and more pain. I'm glad my wife is here and since she also has UC, she understands what I'm going through. Guess all I can do is deal with it, I think the only really good thing is I get to control the TV. haha
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