Pain during bowel movements- hemorroid or fissure?

During my 36th wk of pregnancy, I was diagnosed w/ painful thrombosed external hemorroid. It's been 3 months since I had my baby %26 the hemorroid is still there (no longer thrombosed). I've been taking fiber supplements like metamucil to prevent constipation but I've noticed every month (since giving birth) I will have painful bowel movements that range from a couple of dys to 1 week. The pain is like a sharp razor or twinge and it happens during actual bowel movement. There is no blood (at least none I can see). Afterwards, there is typically pain that lasts for 1 hr or so; sometimes itching. These symptoms go away until the next time I go. Again, it doesn't happen every day but at least a couple of dys per month. Is this normal (the fact that this does not happen every time??) %26 how can I tell if the pain is the result of my existing hemorroid or a fissure that may have developed post-birth? Any advice on how to prevent these painful occurences would be great. Thank you!
Answer:
The hemorrhoids were part of ur pregnancy. The enlarging uterus often times impinges on the bld vessels and so causes the vessels to engorge. However, ur pregnancy is now over but U still got them.

My advice is: The body, when short of water will always find ways to get water within. The only source will be thru the foods that U take. The intestine will try to suck every drop of water to hydrate the body. This results in a dry, hard feces that will cause strain in ur rectum causing pain and even wounds. So the best way to correct ur problem is by drinking lots of water, not any fluid. Water is what the body needs and U must meet the demands to be well all the time. So how much water shld U take? Upon waking up in the morning, take 16 oz of water immediately. Then take 8 ounces every time U urinate. This will replace the lost water. Then take another 16 ounces at bedtime. This will hydrate U while U are asleep and will be good till U wake up the following morning. This will prevent the intestines to forcibly get every drop of water in ur feces and so wld help U keep ur stools soft and have a more comfortable, easier evacuation the following morning.

Pls avoid caffeine containing beverages like coffee, tea, sodas, chocolates and alcoholic beverages. They are diuretics and will cause U to dry up and bring back ur constipation.

---

too much information! please ask your dr. good grief!

---

Usually your bowel movements are painful when they are hard. Try adding a stool softener along with your fiber, so your stools are softer. If it is still painful, it is probably your hemmorhoids. If they don't improve with time, you may need them removed. Also try some Preparation H, that helps shrink the swelling, allowing for the stool to come out easier. It's kind of scarey thinking I know so much about this stuff : )

---

Try stool softeners. My doctor told me they're harmless, so don't be afraid to take a couple till you get relief (maybe a couple days tops.) And I use Miralax. It's finally sold over the counter, but it's much cheaper to get a script from your doctor for the generic. Try it first , and see if it works. Put a tablespoon in water every morning. Stir and drink. Give it a couple days to work too. I really feel for you. That pain sucks. I always keep a couple of Fleet disposable enemas in the house for emergencies! Good luck to you. :)

---

It sounds like you need something to make your stools softer, eat more fiber and if you have hemroids sit in a bathtub with warm water and epsum salt.

The epsum salt will shrink the hemroids, then put vacaline on them. It will help them slide back where they belong and stay small.

---