Reply to "5 mos post take down surgery and have severe anal pain"

Hi, Caligirl. You might have a fissure inside due to your constant BMs. Fissures will feel like burning sharp razor blades trying to come out. I had them a few weeks after takedown because of frequency, and luckily have never had them since. I used a travel bidet filled with very warm tap water to rinse the area every time. . The hotter the water, whatever you can tolerate, the better, because that will encourage blood circulation to the area to help heal you inside. You can find a travel bidet for $10 or so on Amazon or at a health / medical supply store. Some people use an ordinary plastic water bottle, but it doesn't have the proper angled nozzle to really reach that small area. Or buy a sitz basin and use that with warm water once or twice a day.

Do you get enough soft protein in your diet?  Your damaged and injured tissues need protein to heal. If you like eggs, try to have one per day. I ate one egg every day after my first surgery and after takedown, and continued for many weeks. Fish is easy to digest and full of protein. I don't mean fish and chips because that is very greasy and your pouch might react in a messy way. Avoid greasy or deep fried; not good for you now. Tofu is good. If you like cheese, try hard, aged cheddar. Avoid the bright orange slices that are individually wrapped and highly processed. Anything processed will be hard on your body, loaded with chemicals. Try steamed zucchini or spinach. Soluable vegetables that are well cooked will supply good fiber to help move things along smoothly without bulking up or causing constipation. Look up soluable and insoluble food to see what is good for you at this point. Avoid raw anything for now. Food IS very important to your pouch and can determine how your BMs are formed.

Always stay hydrated. Drink clear broth for salt and electrolytes, as well as drinking water. Make your own vegetable or meat broth, or buy canned broth. Add some chicken, brown rice, and wilted spinach for a light, nutritious soup of protein, carb, and soluable fiber. 

Frequency, leakage and the resulting burning pain is "normal" for many months after takedown. I was at 8 or 10 months before I gained control over frequency and the resulting fire bum. I also was in tears, pain, fear and frustration. But now I am fine, no issues except when I overindulge and I can control that. I used Imodium for a few weeks after takedown, and stopped because I wanted to let my body find its own way if possible. It was very tough at first, lots of burning frequency, but I helped it along with food choices. Eat "clean" whenever possible. Whole, unprocessed food. Chew everything very, very well.  

Try not to allow stress or tears overwhelm you or control your whole life. Your gut does not like stress. The stress hormones you're producing are bad for your gut and pouch; it makes everything seize up, churn, and nothing can heal. A vicious cycle. Find something to take your mind off your pouch. Go when you need to go, rinse, apply ointment, then try your best to forget it. Your pouch is still new, it still thinks it's a small intestine. Your new pouch needs time and patience to learn its new life. I hope you will overcome this early stage. Best wishes to you.

 

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