Is it better to take a break from enemas if you have a hemorrhoid ?

For all you enema experts out there (quincy this is you for sure!)....

I clearly have a hemorrhoid, or perhaps a few, that I got after my colonoscopy last week. Not unusual, I usually get them although this one (ones) seem particularly bad.  I started my meslamine enemas back up on Saturday night (my scope was Friday). Since then the hemmies seem worse!  I know they get worse before they are better but just wondering if the enema can irritate them at all?  I also have a swollen lymph node on my right groin (and a very slightly swollen left one) but those seem to get swollen at the tiniest things. Not surprising with the biopsies I suppose and the massive bleeding I had after the test.

My UC is in remission, by the way, confirmed by the scope.  So I'm must trying to deal with all the issues from the scope plus the havoc it wreaked on my IBS.

The enema tip can exacerbate hemmies to become inflamed. It doesn't cause them. However, the enema tips can cause scraping and possibly fissures.

But, using the enemas with good lubricant should help them slide on my.

You cannot go cold turkey from using the enemas twice a day and then not.

If you've seen all hell breaking loose before...just wait for it to hit, especially since you're tapering pred..

So, my question is....do you have any hemmie topical medication?

And I'd suggest you do the enemas nightly only when you're quiet and nicely resting with your body prone instead of upright.
Before you put in the enema, lubricate it with a hemmie topical. Insert it slowly while you're on your left side, and insert it VERY slowly. Once it's in a bit, start squirting in the Rowasa slowly...that will cover part of the anus/and the beginning of the rectum. Hopefully that will help treat the hemmie as well.

The lymph node thingie sounds familiar...when has it happened before?

ARe you still having cramping or just the pain in the rectum?

q

Forgot to say that you could ask the doc for a prescription that's compounded, however. They're called rectal rockets...lol.

http://www.thecompounder.com/alternative-treatments/specialty-compounds/rectal-rockets-for-hemorrhoids

q

Have you taken a look-see at the outside of the anus? You should be able to see if you do have an external hemmie at the very least.

Light work-out is better...just don't do anything that will push, because that will surely exacerbate the hemmie. Which reminds me...if you were pushing out the gas, that's another indicator of exacerbation.

The constipation...could be mild inflammation rectally, or the hemmie...both can skew the messages.

Anything you do to add food and get the colon moving is a good thing.

Take the fibre with food...drink enough fluids and hopefully you'll get back on track.

When do you get the results?

Yes, I remember now about the surgery. Your lymph nodes are certainly your barometer of when things in there aren't happy...

feel better soon,
q

quincy - I can feel something on the outside, feels like a hemmie to me from past experience.  I should get biopsy results sometime this week. I assume my GI will call me.  At least I already know the scope itself showed no inflamation - at least that is what the GI in the hospital told me (or both GIs I saw there anyway, they had quite the team as I was on the GI floor of the hospital).  I am still having some stomach cramping however, taking  hycosamine but it isn't helping much. It mostly seems like IBS symptoms.  I may try yoga tonight as I did some stretching yoga poses the past two nights and it really seemed to help.

pb4 - pretty sure it isn't an abcess or anything else as I just had a scope Friday and was in the hospital till Saturday late afternoon.  It's itchy too which to me always means a hemmie, usually means it starting to heal a bit. 

Yep, I'm back on my enema schedule.  Twice a day right now till I get off the Prednisone.  I guess I don't know if I still have rectal inflammation since the hospital GI's were vague. They just kept saying the scope was 'clean' and showed no inflammation.  When I asked if that meant my UC was in remission, they said yes.

My GI always sends copies of test results - even blood tests - along with anything we discussed in our appt.  That is one thing Mayo is really good about. They actually dictate a letter from any appt or tests you have done and send along a copy of the results as well.  I am hoping he also calls me since I didn't get to have an appt with him after the scope this time as he was out of town. Funny if I was at an appt with him it would have been right around the time I started having the horrible pain and bleeding. Not sure what he would have done!

Thanks quincy, I am actually feeling better today!  I think that hemmie is starting to heal. I took a look and couldn't see anything but it could be on the inside I suppose.  But it feels much better today. The only thing I seem to still be dealing with is random stomach cramps which I think is from my IBS. I suppose it will be a bit before that gets back to normal.

Hoping I can do my next Pred taper soon. I'm ready to just get off of it already!

 

I just take the hycosamine when needed. I don't like to take it constantly as it can be constipating.

I'm feeling even better today and am back to my regular gym routine. I even feel better after I go to the gym. But I am one of those people that feels keeping myself physicially strong helps keep me strong inside and that a hard workout is good for me. But I definitely don't believe that is the case if you are in the middle of a bad flare-up. Hopefully by next week things will be completely back to normal as my BMs are still formed but really, really small.