Does Michael Abel know what he's doing? Yes. Is he chatty and welcoming? Definitely. Will he babysit you into a 5-min.-everyday-procedure (~3 million cases per year in the US alone)? No.
I came in with a thrombosed external hemorrhoid of "significant size", and I asked him to remove it. Of course, I researched the hemorrhoidectomy specifics beforehand, and I strongly suggest that you do the same. I had no illusions about the procedure and its aftermath, only hopes.
Dr, Abel does his job quickly & painlessly. He gave me the choice of waiting 3-4 weeks to let nature do its thing, with a good chance that the hemorrhoid will secede eventually, or have him cut it out, right away. I told him to cut it out and that's what he did. Nothing more, and nothing less.
He gives you an injection that numbs you well down there and the whole thing is over before you know it. Sure, the bloody needle stings like hell (but that's no doctor's fault, is it), but after that, you won't feel a thing.
THE WORST part is that he doesn't do stitches. Go with a doctor who stitches your wound. It is so much less painful and less bloody. Trust me. Without stitches, you will regret this surgery for 6 weeks. With stitches, only for a day or two.
In terms of aftercare, he doesn't really tell you anything, that much is true.
Here are some real-life aftercare tips:
Wear a pad (you know that thing that looks like a small diaper -PMS supply isle)
Make sure to pump yourself with some painkiller, e.g. 800mg ibuprofen, right after surgery. Once the anesthesia secedes, the pain is breathtaking, have no illusions.
Have someone drive you home. Lie down on the backseats. There is no way on earth you will be able to sit and drive in traffic with that pain.
The pain will not completely go away, even with painkillers. They wound will sting as the tissue is repairing. Lying on your belly, or on the side, watching TV and eating gummy bears will appease you until you fall asleep. This pain will remain for about 4-6 hours.
The first day is a little better, pain-wise, but you will be reluctant to move. Slow steps and little action is possible, but if you are the single mom/dad or 24/7 business type of person... forget it. Make sure somebody takes care of you, I would say, at the very minimum the next 48 hours.
After 36 hours you will feel progress. The frequency of the stinging will have reduced from every second to once in 5-10 min. After two days, it is actually already tolerable (seldom stinging). From now on, it will just feel like a wound and you can probably already stop the ibuprofen.
Bleeding from time to time, but only a few drops. In the mornings, it will look like PMS, that's all. No biggy. Make sure you have enough pads to switch them out.
The toilet. I know it's a big fear. I eat fiber supplements, and it really helps. So, as a suggestion, start eating that stuff a day or so prior to your surgery. You can buy those fiber enriched gummies they make for kids. 2.5g per gummy. Eat two before you go to sleep, that'll do.
Let it come out. It will hurt a little as the wound is stretched, and the water in the bowl will turn red. It will be light red on the surface, but as soon as it sinks down, it will turn dark red. That is no reason for concern. In water, even a few drops look like you are bleeding out. You are not. In the course of it, you will probably lose about 20 drops of blood, and that's it. As soon as you get up, it will stop. Make sure to have some toilet paper ready so it doesn't drop on your floor, etc.
I always took a shower right after, simply because I didn't want to wipe down there, not even with wet toilet paper. Cleaning it with some water and soap is much easier. After the bowl movement, you will feel some pressure. If you really can't handle pain well, take 400mg of ibuprofen prior to your business.
The bleeding stops after a week. I took off work 3 days, plus the weekend, and I can say that was the minimum for me before I could go back to work. So, if you plan on having your surgery on Thursday, and be back to work on Monday, I'd say that is not going to happen. But then again, maybe you are a vampire and heal faster. But three days sounds a little like a stretch. After 10 days I felt almost healthy again. 2 weeks and you're all set.
I had a hemorrhoid removed in Germany about 6 years ago and they used a laser to remove it. My recovery time back then was about two days. Very little pain. I don't know if that's a thing here in the Bay Area, but if you really want to cut it short and experience a lot less discomfort, find a doctor who has a laser. Compared to that, the scalpel feels mid-evil, I know, but it was also only about ~$383 (that's the charge they submit) so I think that's more than fair.
2 stars for being stuck in the 20th century. read more