Aa
The dreaded anal/rectal issues
They have reared their ugly head... Any suggestions?? We are giving him plenty of fat at pill time... I'm thinking he needs to do it 30 mins prior but dr said within 30 mins. There seems to be blood internally, I'm thinking hemmoroids and he's pushing hard stool... Sorry so detailed, but need help!!!
and they are ugly!!!!! are you having burning and or itching, along with your hemmoroids? hemoroids are usually characterised by bright red blood. the burning and itching can be helped somewhat by keeping your stool solid. diarhea or loose stools will cause severe burning. cleaning the area asap will stop the pain. its the residue left from the bm. BABY WIPES!!!!!!.
BARRY
BARRY
Firstly, get some Proctosedyl ointment. Soothes the anus and controls the itch. Helps you to push haemheroids (?) back in as well.. You need to keep that area very clean, so some name brand (generic are useless) baby wipes with aloe vera.
If stools are sloppy, and that can really burn, then take Loperamide to help firm them up. If stools are very hard, then you will need to take something to soften them slightly. Too hard, spitting glass, too soft and it's rrazorblades.
20 gms of fat, or more, needs to be taken 20 minutes to 30 minutes before Incivek, preferably around 20 minutes.
Good luck, and keep in touch.
If stools are sloppy, and that can really burn, then take Loperamide to help firm them up. If stools are very hard, then you will need to take something to soften them slightly. Too hard, spitting glass, too soft and it's rrazorblades.
20 gms of fat, or more, needs to be taken 20 minutes to 30 minutes before Incivek, preferably around 20 minutes.
Good luck, and keep in touch.
Also, get that water into him. At least 4 litres a day. Sounds like a lot, but it is needed to rehydrate the body, as these meds dry you out. Water also helps to flush the meds through your system, especially the Incivek, as it moves very quickly through the body.
Hi I'm just starting to have this problem myself . I use tucks hemorrhoid wipes , this really helps to take away itching and keeps the area clean. I make sure I eat my fat 1/2 hr before and drink lots of water. I'm new to this but I'm learning and burning at the same time .
Hang in there it will get better
Good Luck
Hang in there it will get better
Good Luck
I would make sure He ate the fat right before taking the pills. 20 minutes before works great. Take all the pills with food worked for me. I used Desitin Diaper rash cream every time around my anis. Worked really well too.
You want to keep everything really clean. What is coming out of you is the treatment drugs and the virus....and yes it can hurt. Sorry!
You want to keep everything really clean. What is coming out of you is the treatment drugs and the virus....and yes it can hurt. Sorry!
yes baby wipes help also if stools hard try lactulose it work a treat on hubby. All the best for rest of tx
Balneol cream brought a lot of relief for me. It's cheap and doesn't cause burning like tucks. (for me anyway) Also, remind him not to sit on the throne for too long. There is an end to it! Karen:)
You've got some good advice above, I'll just chime in and say that 15 g of water soluble fiber every night helped my husband immensely, and within a few days. Balneol cream also worked quite well.
High I'd just like you to know I have the same thing,feels like passing glass.hemmerroids bleed all the time,my Dr says it's the luck of the draw.I guess this was'nt ment to be easy and you have to decide if you can cope for te period of time your on Telaprevir,I feel I've got ten weeks to go so here's hoping,
.
.
I just posted in Quayle's thread and I will copy and paste the same post here. It is written to Quayle but just substitute "your husband" every time I said "you.":
It is a common complaint, but that does not mean you should have to tolerate it. Your Hep doctor could help you with this. (And, I have found that they seem to have no clue, which is really a shame considering how common it is.)
Be sure you are eating at least 20 grams of fat with a meal within 30 minutes PRIOR to taking the Incivek.
Drink plenty of water. My doctor said 1 gallon a day.
There are a few different anal/rectal side effects and I found that each one requires a somewhat different approach/treatment.
Diarrhea/loose stools: Diarrhea and/or loose stools will aggravate every other anal/rectal problem you may have so keep the stools firm (not like rocks, but quite firm). This is gross, but they should be firm enough to be able to throw them or to be able to mold them into an object (like clay) (and no, I did not throw them or mold them, just an example). I used Loperimide (Immodium) as needed. I did not take it every day but at the very first inkling of a soft or loose stool (cramping) I took 1 Loperimide tab. A person can take more, but I started with 1 so as to take only what I needed. Some use commercial fiber but I stayed away from commercial fiber (metamucil, fiber pills, etc.) so as not to interfere with the absorption of the Incivek. I read some place that the commercial fiber can interfere with absorption, so I never used it.
Crapping shards of glass or crapping razor blades: (This is probably caused from internal fissures created inside the rectum by the burning diarrhea.) Not everyone gets this problem. In fact, most do not. However, if you get it, you will know. It is literally like crapping shards of glass. The pain is excruciating, grit your teeth, scream and swear, hang onto the vanity type of pain, break out into a cold sweat type of pain. So you will know if you get it. The solution, though, is very simple ..... keep the stools quite firm. I know that sounds too simple, but I can tell you it works. I thought I was going to die until I figured this out. (And my Hep team was absolutely no help.) I had it 3 times, the first time was horrible because I did not know what to do. Consequently, it lasted about 2-3 days. Not constant pain, but sheer agony every time I had to have a bowel movement. Then I discovered that if the stools were firm, I had no pain, absolutely no pain. Two other times it started but I firmed up those stools and it went completely away. So, the key here, is keep those stools firm.
Burning butt: Keep the stools firm because if the stools are loose they will irritate the anal opening as well as the skin it touches on the outside. In addition, use Huggies baby wipes with aloe to clean the area. (Do not use a generic, they will sting.) You have to clean the area so it is spotless. One tiny little piece of stool will irritate the skin and cause you major grief. You can also shower after every stool but if you are going a lot, that can turn into a lot of showers per day. Also, you can use A&D ointment, Baneal cream and wash, Butt Balm, Desitin or some other soothing agent to coat the area and protect it if the area is excoriated or raw. Sitz baths help.
Hemorrhoids: You can try Prep. H cream and suppositories. They may help. I used them every night before bed. I think they might have helped a little, but not a lot. I think Annusol HC Supp. would work better because they contain hydrocortisone. Several people on the forum used Annusol HC supp. and they helped a lot. If I had it to do over, I would demand the Annusol HC supp. They are prescription. Here is what drugs.com says about them: "Anusol-HC suppositories is a topical corticosteroid. It works by depressing the formation, release, and activity of different cells and chemicals that cause swelling, redness, and itching."
I also tried Prep. cream but it stung and seemed to do no good and it irritated the flaming red butt I had. I did not use it.
I never got rid of the hemorrhoids until I was off Incivek so it is a matter of managing them during that time.
I hope I did not forget something. If I did, I will think of it or someone else will.
If the hemorrhoids are the main problem, then, if I was you, I would ask for a prescription for the Annusol supp. I think they will work the best for the hemorrhoids. If you cannot get a hold of your hep doc then you could ask your primary doc.
Best of luck.
It is a common complaint, but that does not mean you should have to tolerate it. Your Hep doctor could help you with this. (And, I have found that they seem to have no clue, which is really a shame considering how common it is.)
Be sure you are eating at least 20 grams of fat with a meal within 30 minutes PRIOR to taking the Incivek.
Drink plenty of water. My doctor said 1 gallon a day.
There are a few different anal/rectal side effects and I found that each one requires a somewhat different approach/treatment.
Diarrhea/loose stools: Diarrhea and/or loose stools will aggravate every other anal/rectal problem you may have so keep the stools firm (not like rocks, but quite firm). This is gross, but they should be firm enough to be able to throw them or to be able to mold them into an object (like clay) (and no, I did not throw them or mold them, just an example). I used Loperimide (Immodium) as needed. I did not take it every day but at the very first inkling of a soft or loose stool (cramping) I took 1 Loperimide tab. A person can take more, but I started with 1 so as to take only what I needed. Some use commercial fiber but I stayed away from commercial fiber (metamucil, fiber pills, etc.) so as not to interfere with the absorption of the Incivek. I read some place that the commercial fiber can interfere with absorption, so I never used it.
Crapping shards of glass or crapping razor blades: (This is probably caused from internal fissures created inside the rectum by the burning diarrhea.) Not everyone gets this problem. In fact, most do not. However, if you get it, you will know. It is literally like crapping shards of glass. The pain is excruciating, grit your teeth, scream and swear, hang onto the vanity type of pain, break out into a cold sweat type of pain. So you will know if you get it. The solution, though, is very simple ..... keep the stools quite firm. I know that sounds too simple, but I can tell you it works. I thought I was going to die until I figured this out. (And my Hep team was absolutely no help.) I had it 3 times, the first time was horrible because I did not know what to do. Consequently, it lasted about 2-3 days. Not constant pain, but sheer agony every time I had to have a bowel movement. Then I discovered that if the stools were firm, I had no pain, absolutely no pain. Two other times it started but I firmed up those stools and it went completely away. So, the key here, is keep those stools firm.
Burning butt: Keep the stools firm because if the stools are loose they will irritate the anal opening as well as the skin it touches on the outside. In addition, use Huggies baby wipes with aloe to clean the area. (Do not use a generic, they will sting.) You have to clean the area so it is spotless. One tiny little piece of stool will irritate the skin and cause you major grief. You can also shower after every stool but if you are going a lot, that can turn into a lot of showers per day. Also, you can use A&D ointment, Baneal cream and wash, Butt Balm, Desitin or some other soothing agent to coat the area and protect it if the area is excoriated or raw. Sitz baths help.
Hemorrhoids: You can try Prep. H cream and suppositories. They may help. I used them every night before bed. I think they might have helped a little, but not a lot. I think Annusol HC Supp. would work better because they contain hydrocortisone. Several people on the forum used Annusol HC supp. and they helped a lot. If I had it to do over, I would demand the Annusol HC supp. They are prescription. Here is what drugs.com says about them: "Anusol-HC suppositories is a topical corticosteroid. It works by depressing the formation, release, and activity of different cells and chemicals that cause swelling, redness, and itching."
I also tried Prep. cream but it stung and seemed to do no good and it irritated the flaming red butt I had. I did not use it.
I never got rid of the hemorrhoids until I was off Incivek so it is a matter of managing them during that time.
I hope I did not forget something. If I did, I will think of it or someone else will.
If the hemorrhoids are the main problem, then, if I was you, I would ask for a prescription for the Annusol supp. I think they will work the best for the hemorrhoids. If you cannot get a hold of your hep doc then you could ask your primary doc.
Best of luck.
A guy who works with me was complaining constantly about his hemorrhoids. I believe that he may also have had an anal fissure.
Anyway he tried everything from over the counter meds to prescription meds and nothing helped. I researched this issue and stumbled on a discussion of sufferers and the one thing everyone who tried it agreed that it worked was;
DESITIN!!!!!!!!!!!!!!!!!!!! Yeah, the stuff for diaper rash.
I know it sounds crazy but it really worked for him.
Google "Desitin Hemorrhoids" and you'll be surprised.
Good luck,
Mike
Anyway he tried everything from over the counter meds to prescription meds and nothing helped. I researched this issue and stumbled on a discussion of sufferers and the one thing everyone who tried it agreed that it worked was;
DESITIN!!!!!!!!!!!!!!!!!!!! Yeah, the stuff for diaper rash.
I know it sounds crazy but it really worked for him.
Google "Desitin Hemorrhoids" and you'll be surprised.
Good luck,
Mike
This is a very difficult side effect that many have had with Incivek. I am posting a link to my journals where I listed some of the ideas that many on this forum suggested for this side effect.
http://www.medhelp.org/user_journals/show/333064/Incivek--Ideas-for-dealing-with-anal-rectal-pain-or-bleeding
Advocate1955
http://www.medhelp.org/user_journals/show/333064/Incivek--Ideas-for-dealing-with-anal-rectal-pain-or-bleeding
Advocate1955
I still say try the Desitin. It really works nd a nice bonus is you're not telling the whole store that you're suffering from hemorrhoids...not that there's anything wrong with that - mind you.
"There seems to be blood internally, I'm thinking hemmoroids and he's pushing hard stool."
---------------------------------
If he is pushing hard stools, then a glycerine supp. would work. Ask the doc first, but they should be okay. That would get the stool to slip out easily.
If the discomfort is external, the Desitin would help, (I used Desitin on my raw skin),but if the bleeding and discomfort is internal, then he needs something to insert internally to soothe and heal that internal irritation/problem/bleeding. You should not try to insert Desitin internally. It is for external use. Annusol Supp. would probably work the best for the internal problem.
---------------------------------
If he is pushing hard stools, then a glycerine supp. would work. Ask the doc first, but they should be okay. That would get the stool to slip out easily.
If the discomfort is external, the Desitin would help, (I used Desitin on my raw skin),but if the bleeding and discomfort is internal, then he needs something to insert internally to soothe and heal that internal irritation/problem/bleeding. You should not try to insert Desitin internally. It is for external use. Annusol Supp. would probably work the best for the internal problem.
i developed a bright red rash around anus after a week of diarrhea. my NP called it a chemical burn, and recommended desitin or a heavy barrier paste. i used it thru the inc. phase and helped a lot barry
Something else I used for the external irritation and itching was Xylocaine with Hydrocortisone cream (prescription). It did work because it numbs the area. The problem can be that whatever is going on changes with these Hep C meds so what works one time may not work the next. I had quite an arsenal of creams and stuff and just used whatever worked for that particular time. But keep in mind, if it is internal, then you need to use something that can be placed internally. A cream will not cut it for an internal problem.
I never said I knew everything about poo or pooh. However, I had just about every side effect from Incivek that you can imagine related to the anus, rectum, butt, butt cheeks, perineum ... you get the picture. I am relaying what worked for me. And one thing I do know is that you cannot (are not supposed to) push Desitin up into the rectum, and that is where the fissures are that cause the shards of glass/razor blades. I am glad Desitin worked for your friend, but you just cannot push it up to where the shards of glass causing fissures are. They are higher up and, anyway, Desitin is not supposed to be used internally. Even if it was, your finger is not long enough to reach those fissures.
I say try everything until one finds what works for them. But I can also say, no one wants to take too long to try to find what works for shards of glass. Shards of glass is a potential game changer. I never could have tolerated that membrane/tissue ripping shards of glass pain for 12 weeks and I am a very, very tough person with an exceptionally high pain tolerance.
On the other hand, I did use Desitin for the external rawness, pain, itching, etc. It was effective for the external problems most of the time, depending on the root problem.
What a topic, LOL. Anyone read a good book lately?
I say try everything until one finds what works for them. But I can also say, no one wants to take too long to try to find what works for shards of glass. Shards of glass is a potential game changer. I never could have tolerated that membrane/tissue ripping shards of glass pain for 12 weeks and I am a very, very tough person with an exceptionally high pain tolerance.
On the other hand, I did use Desitin for the external rawness, pain, itching, etc. It was effective for the external problems most of the time, depending on the root problem.
What a topic, LOL. Anyone read a good book lately?
....and first prizes goessss to DESITIN!!!!! ... the most effective for external
incivek anal issues.
: ) Happy
incivek anal issues.
: ) Happy
Well, actually, for me, I would give the first prize to the Xylocaine with Hydrocortisone for the external Incivek issues. It numbed everything so nothing hurt and nothing itched (at least on the outside). Plus the Hydrocortisone healed the area. Of course, it did nothing for the shards of glass, LOL.
It's my understanding that Hydrocortisone shouldn't be used for extended
periods of time. Desitin worked great on my children. Cleared that rash
right up and provided comfort. My vote goes to Desitin. Remember the
Rx Anal Rockets? I think it's for extreme interior anal issues. Its been
talked about on the forum. Extreme pain from interior anal issues - are not common. Exterior pain is very common. The reason I say this is because "shards of glass" would scare off even the most motivated person thinking
of starting treatment. As you know, some people don't have the choice to wait for treatment. Heck "shards of glass" will scare me off. : )
periods of time. Desitin worked great on my children. Cleared that rash
right up and provided comfort. My vote goes to Desitin. Remember the
Rx Anal Rockets? I think it's for extreme interior anal issues. Its been
talked about on the forum. Extreme pain from interior anal issues - are not common. Exterior pain is very common. The reason I say this is because "shards of glass" would scare off even the most motivated person thinking
of starting treatment. As you know, some people don't have the choice to wait for treatment. Heck "shards of glass" will scare me off. : )
RX Anal Rockets?!!
Oh my gosh, I had not read that word since I started tx back in 2011. You had me laughing so hard my husband wanted to know what was so funny
I told him, you had to be there.
Thanks for the chuckle
I still like Pooh's idea of not letting it get to that point by taking a small dose of imodium, the diarrhea does seem to make it worse.
I also used yogurt as a preventative measure as well as fiber.
My best to all of you
Oh my gosh, I had not read that word since I started tx back in 2011. You had me laughing so hard my husband wanted to know what was so funny
I told him, you had to be there.
Thanks for the chuckle
I still like Pooh's idea of not letting it get to that point by taking a small dose of imodium, the diarrhea does seem to make it worse.
I also used yogurt as a preventative measure as well as fiber.
My best to all of you
I think what is important is to have a good arsenal of supplies and find what works for the individual. What works for one individual may or may not work for another. We all have to find what works best for each of us who has had or who gets these problems. That is why a list of various remedies is good to have. Then one can pick which one works for himself or herself. Then it is a matter of trial and error to see what works best. Plus, I found that one thing would work for awhile and then would no longer work, usually because the problem has changed some.
There is something else for which to be on alert. Some of the external anal problems may not be hemorrhoid or feces induced. Some may be the drug rash itself and may be totally unrelated to the other butt/anal problems. And, yes, I know that because I had the rash there. So it is important to figure out the exact problem too, is it anal related or is it drug rash related. The treatment of the problem will vary depending on which is the cause.
Yes, Dee, I recall those Rectal Rockets too. I never used then, but a couple who did, swore by them. LOL.
There is something else for which to be on alert. Some of the external anal problems may not be hemorrhoid or feces induced. Some may be the drug rash itself and may be totally unrelated to the other butt/anal problems. And, yes, I know that because I had the rash there. So it is important to figure out the exact problem too, is it anal related or is it drug rash related. The treatment of the problem will vary depending on which is the cause.
Yes, Dee, I recall those Rectal Rockets too. I never used then, but a couple who did, swore by them. LOL.
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