Please forward this error screen to 69. What is a thrombosed external hemorrhoid? A thrombosed external hemorrhoid is a hemorrhoid with multiple blood clots that can be seen and felt under the skin around your anus. It is usually moderately to severely painful. These hemorrhoids often occur with chronic constipation, diarrhea, or pregnancy, but they can also appear on their own. How is a thrombosed external hemorrhoid treated?
Today the doctor cut off the skin over the clot and removed the clotted hemorrhoid. You have had a partial hemorrhoidectomy. The wound was either left open or closed with absorbable suture. If absorbable suture was used, this stitch will fall out on its own. The doctor put a dressing over the wound to soak up any blood or discharge. What can I expect after treatment? Symptoms and Care You will have pain after the local anesthetic wears off. Do not take aspirin or products containing aspirin for at least seven days as they promote bleeding.
Occasionally, your doctor may need to prescribe something else in addition to relieve the pain. Diet It is important to keep your bowel movements soft and regular. Prune juice or small doses of milk of magnesia may also be used. Activity Avoid strenuous activity for the rest of the day. Tomorrow you can go back to your normal activities. What if I need a refill on pain medication? If you need a refill for a pain medication, you must call your doctor during normal business hours. Our policy is that we do not refill pain medication prescriptions after hours or on weekends because your chart is not available.
The doctor on call is not allowed to refill your prescription. What should I be concerned about after my treatment? If any of the following problems occur, please call our office and speak with a nurse who will help you with your problem or have the doctor call you. If your doctor is unavailable, the on-call doctor is available 24 hours a day, every day of the year. After hours, call any of our offices and the answering service will locate one of our doctors on call. In an emergency try to contact us for advice before you go to the hospital. A telephone call may save you a lot of time, discomfort, and expense.
Patient Feedback Making awkward issues comfortable. Bill has been a long-standing member of this blog community and he has contributed his leadership and knowledge to the SMART Recovery movement. Thanks, Bill, for taking the time to share your thoughts here. The first is Marc Lewis’s recent one and it is a winner. We have failed to learn from our mistakes. Much of what we really need to know to understand addiction has been known for a long time, but we haven’t paid attention. We know enough about the problem to effectively deal with it.
Marc suggests that the disease model is harmful to a certain extent, but my purpose here is to expand on that idea. I feel justified perhaps because I am a medical doctor — and in long term recovery from alcohol misuse. The first is a practical issue. Let me expand on that a little. A related idea is the concept of locus of control. This concept has been around for a number of years and has been described a number of ways.
So if addiction is a formerly useful coping strategy, now gone amiss, then one needs to look for other coping strategies that work better and be motivated to put them to use. And these work better if they are self-empowered. They don’t work if you rely on someone or something else. Marc is talking about that makes recovery work. What is needed is a shift toward an internal locus of control. Something which the disease model tends to undermine because it fosters dependence on another power. Surely you can and ought to seek help, advice, support, or what have you, if that can help.
This is why the disease model is so insidious and counterproductive to successful recovery in many people. Although your doctor will encourage your participation, basically he is telling you what to do. This is prescription — be it medication or behavior. I went home and poured a drink to think about that. The evidence supporting the self-management approach is all over the place. DSM-5 recover with no intervention or support whatsoever. This is the epitome of self-management and empowerment. I am skeptical that it will ever be learned in a doctor’s office, where you wait next to people with medical illnesses like hypertension and hemorrhoids.
What those of us who solved the problem of addiction share is self-empowerment and then learning the skills to manage life’s many stresses in a different and ultimately less destructive manner. I only hope people start paying attention, because the problem is getting worse and we gotta do better. The people who suffer deserve that much, and if we help them to see what they can do for themselves, they may in fact do it — and feel good about the fact that they did. Hi Bill thanks for this wonderful insight. You have hit on the serious concerns I have right now for the way we treat, and I use that word very loosely, addiction. For many years it was seen as, mainly, an issue of moral failing and was subsequently criminalised.
We just feel so uncomfortable when confronted with something like addiction, psychoses or suicide, that we need to do something, anything to make it certain. It doesn’t really come from a position of helping someone it comes really from a very selfish perspective. Whole systems have been created on this basis, charities have been formed and grown out of all proportion, fortunes have been made but people continue to die in increasing numbers, more and more people succumb and more and more families are destroyed. I don’t pretend to have any easy answers, I just know that what we’re doing right now is probably causing more harm than good. I do know that addiction isn’t a disease, nor is it a moral issue. It’s a cultural phenomena and needs a cultural solution. Much of the disease model is based on so called evidence from neuro- imaging. Imaging is still a pretty crude technology.
After there is raw data collected, there is data manipulation so much room for varying interpretation . Dial in your cocaine abuse center so to speak . Not that Im implying fraud here but its not entirely objective either . We medical types are not immune from enthusiastic reporting of our findings or opinions. Early in my career I published early findings on a treatment trial that enthusiastically pointed to improve outcomes. After further data collection I felt obligated to publish another paper said that although it was not harmful . Both of you have brought some excellent points to the table.
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