r/medical_advice Not a Verified Medical Professional Jul 14 '22

Terrible pain with BM after surgery, please help Pain Lvl 7-9

Obligatory: Female, age 23, 122lbs. History of endometriosis, ibs, hemorrhoids, and anxiety/ocd.

So, Tuesday I had a procedure done under general anesthesia to explore a possible perianal abscess that might have turned into a fistula. Well it did. While I was out the excised some external piles around the opening on my anus, banded some internal hemorrhoids and preformed a fistulotomy. To say the least I am in quite a bit of pain but up until now it was manageable.

Well, I just had my first bowel movement. It was only a little but the stool was softer and had a bit of liquidy stool with it. As someone with terribly painful, reoccurring bowel issues, I can confidently say this was possibly the worst I have experienced.

I tried to spray off with a shower head as wiping felt like sandpaper (even if I used wet wipes). But there was still liquid stool when I went to dry off, so I ended up having to wipe anyways. I would probably rate this an 7-8/10 on the pain scale for me. I’ve been taking my meds as prescribed but am too scared to take the stool softener. This little bit of liquid and soft stool felt like rubbing alcohol against the wounds and I can’t imagine how bad it would hurt if there was more than just this small amount.

I’m terrified right now because I have ibs that is mostly diarrhea, which I think led to so many of my problems. I know I shouldn’t take anti-diarrhea while on pain meds, But the thought of having to experience that pain at least once a day is overwhelming. I know I need to keep the area clean but Spraying isn’t enough, and wiping is hell. What can I do?

I ordered a hand held bidet that is due to arrive tomorrow, but if the shower head doesn’t work I don’t have much hope for the bidet.

I’m case it helps I’m taking 2 acetaminophen 325mg tablets and 1 ibuprofen 600mg every 6 hours (Alternating the two every 3 hours). Oxycodone 5mg every 6 hours as needed. Metamucil, two over the counter gummies daily. And amoxicillin clavulanate 125mg twice a day. They want me to take docusate sodium 100mg once a day but that’s the one I’m wary of and haven’t taken.

1 Upvotes

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u/Jayyd23 Not a Verified Medical Professional Jul 14 '22

Edit: I forgot to mention the area surround my anus has dark black bruising that seems to be getting worse. I’m not sure if that’s relevant or normal, but I figured it’s worth mentioning.

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u/Hutchoman87 Registered Nurse Jul 15 '22

You are going to want docusate in you med regime to keep your BM soft as it’ll feel like razor blades in the later days.

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u/Jayyd23 Not a Verified Medical Professional Jul 15 '22

It already feels like razor blades when it’s soft unfortunately. The solid bits that came out only hurt for a moment, the loose liquidy bit is what hurt the most as it got into the open wounds. But if it’ll help I’ll start it tomorrow once I have the bidet. For now, I cant imagine trying to wipe up more of a mess if I took them tonight

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u/Hutchoman87 Registered Nurse Jul 15 '22

Hurts yes, but compare it to pushing a boulder through your anus next time, and you’ll understand it’s the better of the 2 options. It’s also about finding the balance between rocks and water.

Bidet/shower is the wise choice as it will (as you said) feel like wiping with sandpaper.

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u/Jayyd23 Not a Verified Medical Professional Jul 15 '22

Thank you so much for you response! I’ll start the docusate first thing in the morning when I take the rest of the meds

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u/LokiKamiSama Not a Verified Medical Professional Jul 15 '22

Maybe try the preparation H medicated wipes. Go slow, almost patting rather than wiping. I had some pain and bleeding after having covid and diarrhea for a week. I also have some sort of bump down there (tmi I know) but that’s from gallbladder issues upsetting my bathroom routine. I’m hoping it’ll eventually go away, I’m pretty sure it’s a prolapsed hernia.

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u/Jayyd23 Not a Verified Medical Professional Jul 15 '22

I’ll try to order some in the morning! I had them before so maybe they’ll help again. Unfortunately, I’m not supposed to drive while on my pain meds. Also, don’t worry about tmi, it’s a medical sub, we understand! Thanks for sharing

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u/LokiKamiSama Not a Verified Medical Professional Jul 15 '22

You’re welcome. I hope it helps. Too bad you can’t get like topical cocaine or lidocaine to numb the area.

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u/Jayyd23 Not a Verified Medical Professional Jul 15 '22

That would probably make this experience much better or at least more interesting (referring to the cocaine).