5/31/2018
I want to say in advance that this list is not about instigation advice. This is advice about your health. I’ve given such advice sometimes, and I believe such advice may benefit you. For those who want to skip such advice, after all, the advice in this blog is supposed to be just about instigation advice, you can choose not to read this specific list. I don’t want you to waste your time.
Since I would normally offer music videos to go with the offered advice, for this health related advice, I offer to be used for motivation the music video from song ‘That’s the Way It Is’ by Canadian singer Celine Dion. I found the music video I think it was several months ago from channel ‘MTV Classic’, but I may no longer have a copy of it in the cable tv recorder. It’s not a music video I am choosing to keep right now. I watched the entire music video several minutes ago from youtube. Here is a quote from wikipedia:
” ‘That’s the Way It Is…released on 1 November 1999. ”
” The song became a hit, going to number 1 on the adult contemporary charts in the United States and Canada, reaching the top ten in other countries all over the world. It was Dion’s first airplay-only single that charted on the Billboard Hot 100, peaking at number 6. ”
Wikipedia, as far as I can tell, doesn’t say anything about what the song is about. Here’s a quote from the lyrics:
When you want it the most
There’s no easy way out
When you’re ready to go
And your heart’s left in doubt
Don’t give up on your faith
Love comes to those who believe it
And that’s the way it is
Of course, people can repurpose music videos, but it is my belief that if you choose to watch the music video for song ‘That’s the Way It Is’, there should be no reasonable ambiguity that Celine Dion, as she is singing and performing in the music video, is trying to motivate people. In my opinion, at least most of the people in the video responding to Celine Dion’s singing look like they’re being motivated. It’s an obvious generalistic motivation video.
To watch the music video ‘That’s the Way It Is’ for free, search for phrase ‘that’s the way it is celine dion’ in www.youtube.com, and it should be one of the 1st selections offered, with over 118 million views. It is offered by ‘CelineDionTv’.
The health advice is based on the surgery I had 5/25/2018 in the morning to correct an internal anal fissure that was bothering me for several years. I was only in the hospital for a few hours. After the surgery, since I’m assuming they put a lot of fluids in me during the surgery, I had to go to the bathroom very badly. The 1st time I went using the hospital bathroom. However, let’s say within 10 minutes after leaving the hospital, and someone was driving me home, I had to go very badly again. I never had to go that badly so soon after using the bathroom before in my life. And so, since the drive took over an hour, I had to go again in a public restaurant bathroom.[5/31/2018: I talked about needing to go to the bathroom badly to encourage you to stay in the hospital area a little longer, even if it’s just the waiting room, and urinate twice before you are driven home. I am guessing that they will probably also put a lot of fluids into you during surgery.] Before I got home, I went to the usual pharmacy I would go to. They said they would have the drugs ready in an hour or so. So, I went home and sent someone to pick up the drugs for me. That was when I experienced this throbbing ache, like the throbbing ache I felt for my acute low back pain problem last year. That ache only lasted less than 2 hours. After that, I was taking the medication.
A day before the surgery, I only ate lemon Jello, drank water, drank white cranberry juice, drank chicken broth, and sometime in the afternoon, I drank one bottle of citrate of magnesium. If you choose to do this, keep in mind that you keep the citrate of magnesium in room temperature. Do not put it in your refrigerator. I believe the purpose of the citrate of magnesium is to clean your insides, so to speak. You won’t be able to digest it, so what will happen is that you will continue to excrete it from your anus throughout that day and also after surgery. So, the point is that the main problem you may experience if you choose to do this surgery won’t be from the throbbing ache you may experience. That only lasts for only an hour or so. The main problem, based on my experience, is that you will continue to need to excrete the remaining citrate of magnesium that is still in your body. In fact, I think that the throbbing ache I experienced was probably from the citrate of magnesium my body wanted to excrete out! So, I recommend that you eat something, something that won’t cause any stool problems, so that you can allow yourself to poop, which will help remove the citrate of magnesium in your body. Start eating something soon after your surgery. In my situation, I ate some salmon I cooked in the oven.
There is also some gauze left in your rectum area that you just have to slowly take out on your own. I’m sure that, if the doctor placed it there, they will tell you what to do about it.[5/31/2018: When I took the gauze out, I placed one of my feet on something, I think it was the bed, to allow me to take the gauze out. So, one foot is on the ground, and the other is on the bed. If you’re bed is too high to place your foot on, maybe consider trying your couch, or a place you can reasonably place one of your feet on, to allow yourself to take the gauze slowly out.]
The 2 references I recommend are from www.wikipedia.org, and the pages are about ‘anal fissure’ and ‘hemorrhoid’. You can just search for those 2 phrases in wikipedia. Here are the links:
https://en.wikipedia.org/wiki/Anal_fissure
https://en.wikipedia.org/wiki/Hemorrhoid
Here’s a quote from the ‘Hemorrhoid’ link:
” Approximately 50% to 66% of people have problems with hemorrhoids at some point in their lives. ”
So, if the quote is accurate, I’m assuming that the article is talking about Americans having problems with hemorrhoids in their lives. In other countries, I’m assuming that the percentage is probably bigger.
Here are quotes from the ‘anal fissure’ link:
” Superficial or shallow anal fissures look much like a paper cut, and may be hard to detect upon visual inspection, they will generally self-heal within a couple of weeks. However, some anal fissures become chronic and deep and will not heal. The most common cause of non-healing is spasming of the internal anal sphincter muscle which results in impaired blood supply to the anal mucosa. The result is a non-healing ulcer, which may become infected by fecal bacteria. In adults, fissures may be caused by constipation, the passing of large, hard stools, or by prolonged diarrhea. In older adults, anal fissures may be caused by decreased blood flow to the area. ”
” Local application of medication to relax the sphincter muscle, thus allowing the healing to proceed…Branded preparations are now available of topical nitroglycerine ointment (Rectogesic (Rectiv) as 0.2% in Australia and 0.4% in UK and US) “
” Surgical procedures are generally reserved for people with anal fissure who have tried medical therapy for at least one to three months and have not healed. It is not the first option in treatment. ”
I’m not sure, but I think the procedure I went through was called ‘lateral internal sphincterotomy’. Here’s the description from the wikipedia link:
” Lateral internal sphincterotomy (LIS) is the surgical procedure of choice for anal fissures due to its simplicity and its high success rate (~95%). In this procedure the internal anal sphincter is partially divided in order to reduce spasming and thus improve the blood supply to the perianal area. This improvement in the blood supply helps to heal the fissure, and the weakening of the sphincter is also believed to reduce the potential for recurrence. The procedure is generally performed as a day surgery after the patient is given general anesthesia. The pain from the sphincterotomy is usually mild and is often less than the pain of the fissure itself. Patients often return to normal activity within one week. ”
It partly sounds like what I went through. When it’s important, of course, the doctor that performed the surgery knows what he did. Among other things, I was told that the internal anal fissure was fixed, and the area was cleaned. Also, it did feel like I was able to go back to work 2 days after the surgery, and the pain that I would usually experience after pooping was no longer there. Since surgery was involved, even though there was no longer any of the usual pain, I didn’t consider the 1st day as a ‘feeling well enough to go to work’ day.
So, here’s the point I am getting at: According to the wikipedia article, more than half the people in America will have problems with hemorrhoids at some point in their lives. Out of that number, some of them may also get internal anal fissures. Based on my experience, if you have to apply some sort of pain cream rectally(let’s say using one of your fingers to insert into your anus) many times after you would poop, then you may have an internal anal fissure. Since the internal anal fissure may not go away, what you are doing is just treating it’s adverse symptoms, the ‘pain’ of it. So, instead of continually just treating the pain that it creates, maybe even for years, I recommend that you see a colon and rectal surgeon to examine the area. Here’s a quote again from the ‘anal fissure’ article:
” Surgical procedures are generally reserved for people with anal fissure who have tried medical therapy for at least one to three months and have not healed. It is not the first option in treatment. ”
So, you see, you’re not just going to see the colon and rectal surgeon for surgery. After the determination of the doctor, medical therapy will be prescribed 1st. I was given Rectiv, which relaxed my sphincter muscles, which improved my internal anal fissure situation, and after applying it for a few weeks, I stopped using it because I thought I was cured. However, in my situation, the internal anal fissure problem came back, and this time, I used my usual pain medication and the Rectiv rectally simultaneously just to treat the pain symptoms. Eventually, I chose to get the surgery, like I said before, I got the surgery 5/25/2018, less than a week ago, and I am now able to return to work, not needing to add any medication rectally after I would poop. As I am at work, I may choose to add some of the cream prescribed specifically for the external area, not the internal rectal area, but I am just speculating that may be needed. I’m not sure yet. I mean, I don’t feel like I need the external cream now, but then again I’m just at home. The point is that my internal anal fissure problem seems to be cured, and it’s only been less than one week from the surgery, and I am now able to go back to work.
So, if you plan on going to a colon and rectal surgeon, here’s what I imagine you may go through, since how I managed to see a colon and rectal surgeon wasn’t exactly like a straight line of causality. I went about it using a different sequence. Anyway, 1st you would check your health insurance web site and search for phrase ‘colon and rectal surgeon’, to make sure that your insurance will cover the procedure, and that you will have a doctor that will specifically examine your problem.
Now, in my opinion, this part is probably the most difficult part of the procedure that you have chosen to go through. You see, the doctor will check in an area that you have been constantly applying pain medication in. And even though the doctor will apply some sort of pain cream to the affected area, what will also happen is that the doctor will insert one at at time I think a tube, and one of those tubes is meant to allow the doctor to ‘see’ the area. To be blunt, even with the pain cream added, it’s probably going to be a painful experience for you. Of course the doctor will prescribe to you probably the ‘Rectiv’ drug, to allow your sphincter muscles to relax, but that painful experience will probably motivate you into depending upon the ‘Rectiv’ to work, and it will probably motivate you into not getting the surgery. Let’s say that the ‘Rectiv’ works, and your internal anal fissure is gone. Now, let’s say that you’re like my situation: The Rectiv works in the beginning, but when it comes back, you have to now use 2 creams, the Rectiv, and your normal pain cream, to add rectally after you would poop most of the time. If you are in that category, I recommend that you get the surgery.
So, to help you with your bad experience, this is what happened to me when I went to the hospital: To make a long story short, here’s a quote from the ‘anal fissure’ article:
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” The procedure is generally performed as a day surgery after the patient is given general anesthesia. ”
Based on my experience, before the surgery, you will be given general anesthesia. You will NOT feel any pain. Based on my experience, the general anesthesia will cause you to fall asleep, so to speak, and when you wake up, the surgery will be over. Of course, to clarify in your mind that general anesthesia will be given to you before the surgery, talk to your doctor about it. I am saying this to you to help you ‘snap out’ of that bad experience that you had in the beginning, so that you can make a more informed decision as to what to do about your internal anal fissure problem.
So, after the medical therapy, if you still have the internal anal fissure problem, I hope that this advice will allow you to consider having the surgery to fix it. You may still have to also get a colonoscopy, but both the colonoscopy and the surgery should be covered by your health insurance. Check your health insurance to make sure. Since you may choose the doctor found in your health insurance web site, that chosen doctor will probably also check to see if the hospital you’re getting the surgery in is also covered by your insurance. I recommend that you talk to your doctor about your health insurance, to make sure that your health insurance covers both the colonoscopy and the surgery.
For those of you who have an internal anal fissure problem, I hope this advice was useful to you. For those of you who don’t have an internal anal fissure problem, keep in mind that, according to wikipedia, more than half of Americans will have problems with hemorrhoids at some point in their lives. This advice may be useful to you as a reference in case you have hemorrhoid problems in your future.
6/9/2018
[6/9/2018: Greetings. It is now 8:34 AM EST for me. I’m just adding information about this ‘anal fissure’ advice, information I did not add the 1st time. 1st, here’s 2 illustrations I think is relevant enough, even though it’s in a context of a comedy. The 1st illustration is from episode 1.1 ‘Disrupt’ from sci-fi tv show ‘Almost Human(2014)’, starring Karl Urban as Detective John Kennex, and Michael Ealy as Dorian, the android. The show is basically about a cop working with an android in the near future. The episode is available to be purchased streaming from Amazon.com Standard Definition for about 2 dollars, and according to Amazon Video, the scene starts 7 minutes and 30 seconds into the episode, a police officer is talking to Detective Kennex. I typed in phrase ‘Daniel Mallison photos’ in www.google.com to verify that the police officer is portrayed by actor Daniel Mallison, and that his last name in the tv show may be Halverson, since that is the name on his uniform. Here is a quote:
Officer Halverson: ‘Hey, listen, I thought Detective Paul was gonna be taking this one. Isn’t this his shift?’
Kennex: ‘He’s out. Surgery.’
Halverson: ‘Is he okay?’
Kennex: ‘Hemorrhoids. Internal… and external.’
Halverson: ‘Oh, that’s rough.’
Kennex: ‘We’re taking up a collection for him. We’re gonna buy him one of those nice little donut pillows, you know? You might want to chip in.’
Halverson: ‘Yeah, that’s a good idea.’
9 minutes and 50 seconds into the episode, Dorian talks to Kennex about what what he said about Detective Paul. Here is a quote:
Dorian: ‘You shouldn’t have lied about Detective Paul’s health. I heard what you said about his surgery.’
Kennex: ‘How do you know I’m lying?’
Dorian: ‘I looked at the roll call. It only says ‘personal day’. ‘
Kennex: ‘Yeah, but doesn’t that make you curious?’
Dorian: ‘No, it makes me think it’s personal. And we should respect that, John.’
Kennex makes several more jokes about Detective Paul’s absence throughout the episode. At the end of the episode, the collection he mentioned to Halverson for the donut pillow actually occurred.
The 2nd illustration is from episode 2.2 ‘If It Comes in a Plastic Bag, Don’t Eat It’ from comedy tv show ‘Blunt Talk(2016)’ starring Patrick Stewart as Walter Blunt. This episode is also available streaming from Amazon.com for about 2 dollars Standard Definition, and according to Amazon Video, the scene starts 18 minutes and 33 seconds into the episode, with an illustration from Walter Blunt’s tv show. The illustration is called ‘Walter Blunt Medicine Cabinet’. Walter Blunt then introduces one of his employees having a colonoscopy done. Here is a quote:
Walter Blunt: ‘Welcome back. Tonight in ‘The Medicine Cabinet’, we will be looking at colorectal cancer, which is the 3rd most common cancer in The United States. To help raise awareness about this cancer and what can be done, our very own James Stone is about to have a colonoscopy live on air. ‘
Well anyway, it is my belief that, if you have a few hundred employees or more where you work, I believe that some of them had a colonoscopy done, and a few of them had some sort of surgery involving their colons. So, the colonoscopy revealed a problem, and surgery was the chosen preventive solution. So, based on that information, even though it is just a belief, and not fact, it is my belief that having a colonoscopy done does save lives. The point of these 2 illustrations is to talk about the colonoscopy that I had done, since if you’re going to have anal fissure surgery done by a colon and rectal doctor, that doctor will probably want you to have a colonoscopy done. Let’s say that you believe that you only have a problem with your rectum, such as hemorrhoids and maybe also an anal fissure. So, the question is: ‘How do you know for sure?’ If you have the colonoscopy done, and the results show that you have a healthy colon, then based on my interpretation of what the doctor said to me, and of course your situation may be different, this is just advice, you won’t be required to have another colonoscopy done for at least another 10 years. Also, even though I am not a doctor, it is my belief that, if you have an anal fissure problem, you probably also have a hemorrhoids problem. One is usually associated with another, in my opinion.
So, this is what happened when I had my colonoscopy: I was given local anesthesia, since I was going to be awake during the procedure. I think the local anesthesia involved some sort of muscle relaxant. I asked the doctor if I can have some sort of medication placed on my nose, since I believed my nose may get itchy during the procedure. The doctor said that I can just use one of my hands(I wasn’t sure how mobile I was allowed to be during the procedure). Of course, I still avoided making any unnecessary sudden movements. So, I am laying on my side on some sort of table, and even though I didn’t see what was going on, I am guessing that some sort separate local anesthesia was placed in the area. I am guessing that the camera used was part of some sort of thin wire, and that wire was inserted near the rectum. I don’t remember feeling any pain during the procedure. In fact, I was laying on my side for a while, and I believe the procedure was long over before I realized that I was able to move again.
So, based on my experience, and with this information, it should be very easy for you to actually experience the colonoscopy. To reiterate, you will be awake during the procedure, but there’s nothing to it, so to speak. I’d say that, after I recall the experience ‘after the fact’, that the most difficult part of the colonoscopy experience is preparing for it. Your doctor will give you a prescription to buy some sort of medication that you would have to take a day before the surgery. When I got the medication from the pharmacy, it was a big jug with the medication in it. The medication was originally in powder form, and you would have to add water to it. I was supposed to drink the entire contents of that jug during the course of the day before the surgery, and even though I tried to, I wasn’t able to drink all of it. I drank most of it, but not all of it. I told that to the hospital staff when I arrived, that I was able to drink most of it, but not all of it. I think that the medication was supposed to allow the camera to photograph/film the colon without the other stuff getting in the way. And of course, during that day before the surgery, you are supposed to excrete the medication from your rectum. Keep in mind that a camera is supposed to be filming your colon during the colonoscopy. Therefore, you are not supposed to eat anything the day before and the day of the surgery.
And now, back to the post operative results of the anal fissure surgery. As I said before in this list, I had the surgery 5/25/2018, just a few weeks ago. So, to be blunt, after I would poop, the anal fissure I believed was there is no longer a problem. I no longer need to insert one of my fingers to apply any more medication rectally. A week after the surgery, I went to the doctor to get a note so that I can go back to work. To prepare for a possible probing of the area, I tried to add petroleum jelly into my rectum with one of my fingers, but to my surprise, I wasn’t able to go too far into the rectum. So, even though I felt no more pain due to the anal fissure that was there, it seemed like it was unusually tight in that rectal area. I did not feel any tightness. It just felt unusually tight when I tried to place my finger in my rectum to add petroleum jelly to the rectum. I believed that was because the surgery was just a week ago. When I saw the doctor, I told him that I tried to prepare the area with petroleum jelly for the probing I thought I was going to get, and the doctor said something like ‘Why did you do that?’ The doctor told me that he already knows what the area looks like. He just wants to look at the external area. So, my advice to you is, if you are going to have the surgery, ask your doctor if the area needs to be prepared for your next doctor’s visit. Based on my experience, since you probably will want to go back to work within a week after your surgery, the rectum area is probably not ready to be probed that soon, since it’s just a week since you had your anal fissure surgery.
Here’s what happened to me today and yesterday. Today, after I would poop, for example, I just recently used the toilet, pretty much there were no issues after I pooped. If you go to the ‘Anal fissure’ article in www.wikipedia.org, in category ‘Treatment’, there is sub-category ‘Medication’. it says quote ‘topical nifedipine 0.3% with lidocaine 1.5% ointment’. I was prescribed for external use of the area, NOT to be applied rectally/internally, Lidocaine 4%. I didn’t feel any need today to use the Lidocaine today. However, yesterday, there was one instance that, after I pooped, of course there was no more pain associated with the anal fissure I believed was there, but there was another area, it felt like it was near the outside of the rectum, that felt dry. I had the experience before several times earlier, and the feeling would subside within a few minutes or less. Basically, after a few weeks, I was depending upon a recovery leaned upon the fact that I no longer had anal fissure pain. However, that temporary ‘dry’ feeling started to make me feel somewhat drained, based on my recent expectations of recovery. So, what I did was use the Lidocaine 4% externally. At first, the cream felt like a mild, burning and cool sensation on the external rectum area. Soon afterwards, that dry feeling was gone, and the rectum area felt like a ‘York Peppermint Pattie’ effect for the rectum(There are York Peppermint Pattie commercials in www.youtube.com). Wikipedia has an article for ‘York Peppermint Pattie’. I then chose to lie down on my bed for a while. As I was on my bed, it felt like my body and bed were made out of pure contemplation(I invented idea ‘Reserve’ to regulate excessive contemplation inducements by instigation. I’ll talk about that later). That moment yesterday was when I made a certain logical conclusion: If you believed you had an anal fissure, and you went to a colon and rectal surgeon, according to the ‘Anal fissure’ article in wikipedia and my own experience, that doctor may prescribe to you ointment ‘Rectiv’. Here is a quote from wikipedia:
” Local application of medication to relax the sphincter muscle, thus allowing the healing to proceed… ”
That is what the Rectiv does, it relaxes your sphincter muscles, which helps your anal fissure to heal. The surgery I had done I believe, in order to discourage future anal fissures from forming, involves the manipulation of certain sphincter muscles, to surgically cause the sphincter muscles to relax. Of course, I believed the doctor did something to certain sphincter muscles, as well as surgically ‘fix’ the anal fissure, as well as surgically clean the internal area in general. Anyway, when I was on my bed yesterday with the Lidocaine 4% on the external area of my rectum, that’s when I was actively able to imagine identifying the positive effects of having surgically relaxed sphincter muscles. The best illustration I can think of right now of that effect is in the movie ‘Passengers(2016)’, starring Laurence Fishburne as Gus Mancuso. The movie is available streaming from Amazon Video, but only for purchase Standard Definition for about 10 dollars. If you have cable tv, the movie should be popular enough to program your cable box to watch for later, so you don’t have to purchase it streaming. According to Amazon Video, the illustration starts 1 hour, 21 minutes, and 2 seconds into the movie. Gus Mancuso is explaining what happened to the ship. Here is the quote:
Gus Mancuso: ‘Everything else on board is trying to pick up the load, but the load’s too heavy.’
Of course, the illustration from the movie ‘Passengers’ is refurbished with inapropprieities removed for this advice.
So, while I was on my bed feeling like my body and bed was made of pure contemplation, with the Lidocaine 4% on the external area of my rectum, that feeling made me believe that, before the surgery, like the movie ‘Passengers’ said, ‘Everything else on board is trying to pick up the load’, meaning that other aspects of my body was trying to compensate for the anal fissure pain that I experienced for the past several years. When the anal fissure problem was fixed, I felt the relief of certain aspects of my body no longer needing to ‘pick up the load’, so to speak. I didn’t have to use any Lidocaine today, since I did not experience that dry irritation, at least not in a context that warranted the use of Lidocaine.
And that’s all I have to say right now regarding the anal fissure surgery.