30 Wks +++

All these happened last week.. Because I was in so much pain I only managed to write about it now.

Long story short.. On Thursday, my piles came back, with a VENGEANCE! IT WAS HORRIBLE!!

Thursday (27 Apr)
- Morning passed motion. Piles came out as usual, I pushed it back in. Some came out and I just brushed it aside. Went to NTU, went to have lunch, went to NUH. I notice it had become more painful. When I saw my gynae she said it really looked bad and when I went to the toilet, touched it, the ones that came out were big!! My gynae gave me Daflon and lactulose since I still had the cream. I couldn't push it back in, it was hardened and painful.

Friday
I couldn't move! Sitting down irritates it, walking irritates it. All I could do was lay down. I was in so much pain otherwise. Going to pee was also painful. I didn't even have any desire to pass motion. I was hoping it would shrink soon.

Saturday
It was still painful. Some part shrunk but most of it were still bulging. I tried soaking my butt in warm water which relieved it for a moment. Then to avoid friction I wrapped the piles in gauze. Which HURT when I took them off.

Sunday
No progress. The piles started to bleed for no reason at all. I had to wear my menses pad on my back side to absorb the blood. I thought the piles popped. It kept on bleeding and I kept on sleeping on my sides. Some piles have shrunk but the front piles was as hard as ever without any signs of getting smaller.

Monday
Felt like the piles were smaller because I could sit! Then I went to Gardens by the bay with some friends having picnic. Reached home, soaked my butt in the basin and the blood was dripping and the piles skin was hanging down my butt! OMG! I was horrified and it stung. So I slept and let it rest.

Tuesday.
I couldn't go to work again. The piles were still bloody and I wondered whether it was time for me to go to A&E and had it checked out. Since the bleeding kept on going. SO I WENT. I got there, saw the doctor, she took a look and said, "OK. I'm gonna try to push it back in" AND TO MY HORROR SHE DID!!! I CRIED AND SCREAMED. Halfway she stopped and told the nurse, "we'll stop first, give her some lidocaine gel and leave it on for a while then we'll try again " (I was still sobbing). So I waited about 30 minutes and I was pessimistic the numbing gel would work. And so she came back in again, and NO, the numbing gel DIDN'T HELP. She pushed it in all the way telling me to relax (WTH!?).
After that, the piles stayed in. I felt a slight relief but it was still a bit painful and stung.
She said the piles which stayed outside don't get the blood flow moving. Which makes it trapped there. And the bleeding was due to constant friction. I've had external piles before, they also bled, but resolved by itself in a few days. I suspected due to my ever growing belly the blood flow to my butt was not as it has always been, which caused it to delay the healing process. Piles were in but it still hurt to sit. So I lay sideways in the car on the way home.


Wednesday
I was on sick leave. I was feeling better. Tried to pass motion and managed to without irritating my existing piles. It did came out but soft enough to push back in. I was having second thoughts about going to colorectal specialist. I knew I needed to get moving to get my blood flowing to my butt. I am trying to keep my diet as fibrous as possible. I am going to eliminate chilli and spicy food from my diet, meat for a while, chips, heaty food, minimize carbs. I'm only taking DHA supplements, stopping iron and calcium for the moment. I'm taking garlic pills, vitamin C. I expect to do this all the way to my delivery date. For the sake of not suffering the same fate ever again. At least I want to prevent it from flaring up in this pregnancy.

So, lessons learned, whatever happens, keep that piles in, If you can't keep it in. DO NOT MOVE until it's back in. If it doesn't, just apply creams and limit movement. On every onset of piles, STOP spicy food for a time period. It's better than the pain over external bleeding hard piles.