Hip Replacement :: A Right Choice? Experience / Tips / Advice?

I've pondered my own need for a hip replacement. I'm sports mad and always have been, playing competitive squash for 20 years (probably the cause of my hip degeneration), followed by many years of rowing and subsequently cycling - which I still do with a passion. I was diagnosed with arthritis about 6 years ago (at 52) and have lived with it since then. Mine's been odd - I've never had the excruciating pain that most people seem to complain of - pain, yes - but bearable. My main issue has been with a gradual loss of range of movement. At this stage, I can barely tie a shoe on my right foot, putting a sock on is a nightmare - and cutting toe nails on that foot is pretty much impossible. But in the absence of severe pain and being still able to cycle with relatively little discomfort, I've never really known what to do about getting it fixed. That being said, I did decide to do something about it this year - and it looks as if I may actually be going in to get it done next week!! As I'm sure most of you did pre-op, I'm feeling pretty apprehensive - and still questioning whether I'm doing the right thing, even though I know I'm having many more 'bad days' and that the constant lack of a full quality of life is getting me down. So I guess I'm curious as to whether anyone has been in a similar position - and whether all you experienced hippies think I'm doing the right thing.

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Hysterectomy Scheduled - Any Advice / Tips / Experience?

Well my date for my hysterectomy is in two days ( Wednesday) I'm absolutely petrified, I'm not sleeping and I feel so nervous.

Any advice from any of you lovely ladies would be so much appreciated right now. Because at this point in time I feel like running in the opposite direction.

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Pre Hip Replacement Advice / Tips?

My LTHR had been scheduled for next week. During my pre op session last week the dr remarked that the pains down my left leg may be due to a spine issue, while the groin pain would almost certainly would be due to my bad left hip. He is suggesting that I see his spine colleague before he definitely goes ahead with the hip op.

My question to you hippies: before your hip op did you have pains down your leg(s) including ankle? And (this is the important bit) did the hip op get rid of the leg pains? I am thinking that if your answer is yes to both questions then maybe I should get a second opinion from another surgeon.

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Colonoscopy :: My Good Experience

Just came home from a colonoscopy this afternoon and with the experience fresh in my mind -

I thought I'd share my thoughts.

Never having had a colonoscopy before, I was really wound up and worried in the days before the procedure.

The question in my mind was, just how painful is this going to be? Would I be able to deal with it ?...

So on the day - after a delicate conversation with a nurse on the day, I decided to go for entonox with sedation as a backup if things proved too much.

To get to the nitty gritty - So how painful is a colonoscopy? Well there is a difference I believe between pain and discomfort.

During a colonosocopy - With all that endoscope piping inside you, your insides will get thoroughly pushed and pulled, and so your body will be stretched.

The best I can describe it, is that feeling when you're carrying very heavy shopping bags for some time and your arms really really ache. Not pain but potentially a lot of discomfort.

So If you are someone who struggles with any discomfort, then maybe sedation is the way to go.

However- if you're someone who is prepared to put up with some stretching pulling discomfort (again not really pain) then confidently go for entonox.

In the examination room for the procedure, I was handed the mouthpiece and not given any instructions at all. So here is my take...Just take what you need. When you feel a bit of pulling and pushing, just take one or two lungfuls of gas and then breathe normally for 30 seconds or so. Don't take any gas if you are not in any discomfort as it was simply make you feel lightheaded and woozy. Again just take what you need. It kicks in with 20-30 seconds. Gas & Air is really quite *powerful* pain/discomfort relief.

Best advice - The most important thing is to try to relax.

Two reasons :-

1 By consciously trying to relax, it makes it easier for the job to get done, there is less pushing and pulling needed to fight your tense muscles and so therefore is less discomfort.

2 if you really think anything is going to be unpleasant and focus intently on it, your mind will create a sensation despite what is actually happening... A self fulfilling prophecy.

Just listen to the radio and take your mind somewhere else...

In my case, with a few lungfuls of entonox here and there, the whole procedure was very manageable. Important - accept you will have some discomfort, but it really is no worse than overstretched shopping arms...The staff at good Hope Hospital Birmingham were brilliant, and looked after me very well.

So in summary, I found the experience nowhere near as bad as some of the horror stories you read the forums. I suspect it is only when things go wrong, or people just have a bad experience, that views get shared.

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Hysterectomy :: Any Experiences? Tips / Advice

Having hysterectomy next tuesday. terrified.have no support at all as a bit of a recluse. i keep being told what i can and can't do after op by different medical staff so a bit confused as well. i'm 66.

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Hip Replacement :: Upcoming THR - Advice / Tips?

I am due to have a LTHR on May 11.  Just looking for a support group to join because I'm sure I will have post-op issues that are being or have been discussed here.  

I do struggle with anxiety in certain situations and I am concerned about waking up intubated (hope I don't have to), the compression hose (getting them on and off and just the restrictive nature of them), and the risk of being on blood thinners for a month (although I prefer that risk over not taking blood thinners and having a higher risk for blood clots).

I am 47 and have had hip issues since I was in high school - though never diagnosed until two years ago, I had a femoral acetabular impingement that, with diagnosis, could have been repaired years ago and I wouldn't be in this situation now, more than likely.  So, I'm frustrated that this has to happen now but the impingement has caused arthritis, which is now end stage bone on bone so I need to get this done to lessen my pain and increase my mobility.

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Mirtazapine Withdrawal Tips / Advice?

If anyone could share some of their experiences and perhaps advise on when this nightmare is going to end I'd really appreciate it. 

I’m 34, otherwise healthy, started Mirtazapine (in some sense against my instincts) about two years ago due to severe anxiety (no depression at all) and panic attacks. My Doctor prescribed Mirtazapine 30mg, to be tapered upwards from 7.5mg. 

I remember the first few days I felt a weird sensation when swallowing (simply felt like uncoordinated swallowing, where the food/drink seemed to be going at the wrong velocity towards its target). However, after a while and increasing dosage this symptom vanished more or less. 

Fast forward about a year and a half forward, and (apart from helping my IBS by making me numb) - the drug was totally useless anxiety-wise. I was still feeling very bad. True, I had not gotten many panic attacks, but I found that they were just transposed with a very generalized anxiety which I believe (self-diagnosed) had almost become a phobia: I became afraid of trying new things altogether from fear of having e.g., an allergic reaction (never had any of those ever in my life and never feared them before either). I had quit sports because I could not stand the sensations involving an increase in heart rate or blood flow. Done all of the tests and all is fine with my heart and everything else for that matter. It’s all in the head but the head controls your body and your mind.

The Mirtazapine just made me numb; I could feel less love to my fiancée (now wife!) and cared less about the world in general. Realizing that I had just become more anxious (if less panicky) the Doc upped the dosage to 45mg. What a disaster. More than a month afterwards I was just getting more and more anxious on a daily basis.

Eventually, AMA, I decided that going on Mirtazapine was the biggest mistake of my life. I started tapering, very VERY slowly. I think I went from 45 to 15mg with relative ease, taking more than two weeks at a time to decrease the dosage by 3-4mg at a time. Each time, I would feel great for 2 days, then start developing quite severe cramps and feel lousy for another week or so, then I’d get slightly better. Knowing that I am really ultrasensitive to any change in physiological parameters I tapered from 15mg to 3.75mg in a turtle’s pace: 3.75mg at a time, with more than a month (and even two sometimes) between each taper. I have a PhD in Chemistry so I know what I’m doing. Again, every time, after 2-3 victorious days where I’d feel like I’ve conquered mount Everest, I’d then feel lousy for 4-8 days; but then things would seem to be a bit better. Weirdly, at the lower doses of 7.5mg and 3.75mg I started again experiencing swallowing difficulties; I started choking on water and became very mindful of my swallowing dyscoordination. Still I felt altogether quite alright – and I believed that the remainder would be similar.

How wrong was I. I have come off it completely exactly two weeks ago. Again 2-3 days where I felt fine, then a few more days with cramps. Then, good old panic hit, with terrible anxiety that just keeps getting worse and worse. I feel terrible weakness, zero energy, I have withered due to loss of appetite (since when I eat my stomach just cramps a few hours later; actually not so bad since I had put on some weight during my time on Mirtazapine). I feel completely overwhelmed by the symptoms: every time there is something new. I feel weird tingling sensations and I have strange feelings of pressure in my stomach. I get dizzy a lot and then just feel weak. My muscles are sore without any reason. I was certain that these issues would resolve in a few days; Mirtazapine’s half-life is quite long and I know that receptors can take 2-3 weeks to get re-modulated (actually that’s why they always say that the beneficial effects of Mirtazapine will take around 2-3 weeks to become effective when you go on it). But I did not expect this gradual and horrible worsening of symptoms over the last 14 days. I have had to start treatment with Benzo’s (as needed, I try to avoid them but sometimes there’s just no way around it) and they seem to help in some instances, whereas in others they only seem to do a moderate/poor job at managing the symptoms. For the first time in my life yesterday I suffered from ED. Never happened to me before and despite a very supporting and loving wife, I felt that was yet another crushing blow. The weird thing is that all these things are not getting me depressed – just really anxious.

I can only hope that things will start to get better. I have no idea when these things would begin to get back on track. Doctors seem to be quite oblivious to my suffering, not really believing that withdrawal could be so powerful yet not finding ANYTHING else wrong. The situation is really frustrating.

One thing is clear to me: I’m never, EVER going back on this horrendous drug. It was a huge mistake beginning with it, and for all of you who need these kind of drugs: ask your GP or Psychiatrist what are the withdrawal difficulties expected for the medication. I know I sure wish I had asked it.

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Omeprazole :: Weaning Off Tips And Advice?

I need help in weaning of Omeprazole. I have been a 20Mg a day user since 2002 and the last 5 years have been hell. I am now at the point that I really need to get off this drug, whatever my GP is saying. Does anyone have any tips and suggestions on how they got off the pills. The daily symptoms I'm having is terrible.

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Penis Circumcision Booked - Any Before/after Tips Or Advice?

I'm getting circumcised in 2 weeks time. Spare the 'don't do it' because I won't change my mind - sorry! haha. I'm 33 so have thought long and hard enough about it. Unless your in the same position, it's rather hard to understand but I have always felt like I should have been circumcised at birth.

What I was hoping for was to gain some before and after tips from those who have also had it done.

BEFORE

My doc said to not take any fish oil for a few days beforehand because this will increase the blood flow.

Can anyone comment of things which also should not or even should be taken which can decrease the blood flow? I regularly take vitamins, would it be best to cut these out also?

AFTER

Self dissolving stitches are used but I have read to take these out after 10 days to limit 'train track' scarring from appearing.
If there is any excess bleeding, cold compression should be used for 10 minutes every hour to stop.
Wear jocks to have the penis position upwards towards your heart to promote recovery.

Can anyone comment if it's a good idea to use anti scaring creams afterwards? I read Mederma and Vit-E Serum is quite good. Would you use anything directly after surgery, or only when the stitches are out?

So for those who have had it done, any tips or advice to help with a more successful recovery would AWESOME!

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Mirtazapine Withdrawal - Tapering Off Tips / Advice?

I started withdrawing from Mirtazapine back in Jan of this year, from 7.5mg. I got the liquid version and tapered down by 0.5ml (.75mg) initially every week, but had to stop that and start by dropping a day a week as I got withdrawals etc. I have been doing very well and was able to drop back to dropping it over 4-5 weeks. I got down to 0.1.5ml and the withdrawals kicked in, nausea, anxiety, sleep problems, cramps, etc etc. I stayed where I was for a few weeks but as things didn't really improve I continued to drop down to 0.1ml. During this time I have had some ok days and some awful days. Yesterday and today have been awful, dreadful low mood, very tired, anxiety and horrid nausea again.

My question is, initially I was going to go down to 0.5ml then taper off that to nothing, but the thought of another 3 months before being off it completely terrifies me. I am thinking about starting to taper off 1 night a week, over the next 7 weeks at the 0.1ml, but wonder if the withdrawals will be worse than ever!

id appreciate some advice. I have done the taper so ridiculously slowly, that I am now just fed up with the whole thing, and want to get back to normal again.

i was initially put on it as in Feb last year I had the flu, and was left with anxiety, my GP then prescribed Propranolol which gave me insomnia, and so it went on from there! The Mirt only made me sleep in the first week on being on it. I started it in June 2013, so been on it just over a year and have been withdrawing from it since Jan this year.

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Rectocele And Cystocele Repair - Advice / Tips?

I'm due to have Rectocele and cystocele repair. I had my last consultation with my surgeon back in August 2015 had my pre op assessment in September. I was told I would be in for surgery around December and I'm still waiting, I spoke to someone at the gynae waiting list team today and they said I'm not even on the list yet as they are so far behind. I completely understand that they are busy and their are woman out there a lot worse then me it's just that walking and lifting is becoming a real pain and I'm sick of taking co dydramol which blocks me up when I already struggle to go to the toilet for a bm.

Sorry for ranting I just wondered if anybody had any advice as I'm starting feel like I'm moaning all the time to my husband.

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Hallux Valgus (Bunions) Scheduled - Tips / Advice?

So, I have my date! June! Excited and nervous all at the same time, I'm reading lots lately about swelling, pain and being off your feet longer than you thought. This IS a difficult surgery, and I know it's not going to be easy. Trying to put some positive vibes out, and remembering why you did this, is anyone brave enough to show off their tootsies? Maybe before and after? A lot to ask I know.

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Psoriasis :: Diagnosed With Psoriatic Arthritis - Tips / Advice?

I'm 40 years old, mum to 2 girls 16 & 11. I just been diagnosed with psoriatic arthritis and I'm so scared and confused, I'm looking for people in the same boat to help me understand what I'm going through. I have suffered with scalp psoriasis for about 10 years. For about a year I had the odd pain here and there, but nothing I thought was worth going to the doctors about, but 6 months ago my knee started to hurt more regularly but I still put it down to getting old. One night I woke up in excruciating pain on my knee, could not move it at all, took a couple of hours with a bag of frozen peas to ease the pain and after taking painkillers the pain went and I carried on with my life. Just under 2 months ago that same pain came back but not just my knee, my shoulder, my elbow and my neck were affected too. I felt like I was paralysed by pain and had to be practically carried to the GP. That was the first time I ever heard of PA...I didn't even know it existed. My GP suspected it and sent me to loads of blood tests, and prescribed a load of tablets. A week later the pain was not easing so back to the GP and this time he gave me stronger co codamol and the pain started to get better. Another week and the blood tests results came back and showed inflammation, very low vit D and folic acid, so GP gave me supplements and decided to give me a 3 vial steroid injection, which he was hopeful could relieve me of pain for a month, while I was being referred to the rheumatologist. I was pain free for 3 days and then it came back with a vengeance. Back on the co codamol and naproxen but the pain was easing just a bit, I couldn't sleep as I any position made something hurt. GP asked for an urgent referral, but that got lost and despite me trying to get things moving, nothing was happening fast enough so I went private, got an appointment within 2 days and a diagnosis. I started methotrexate 2 weeks ago, which makes me very sick and  diarrhoea for 3 days, then it settles. Still on co codamol for pain as I refused the steroids the rheumy wanted to prescribe. My life has been turned upside down, almost every day I wake up with different joints hurting. I feel like the pain is eating me away, it's so disheartening when I can't even prepare my child's lunch box because my hands won't allow it. I work through an agency and they are on the verge of getting rid of me because I have taken the odd day off when the pain is just too much. I have been on anti depressants for years and I feel my depression getting worse, I don't want to leave the house or see anyone because I feel so so low. Will it ever get better?

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Cyst /fibroid Removal Scheduled - Advice / Tips?

I am going in tomorrow to have my cyst and fibroid removed.could anyone tell me what happens once you get there.i have to go for 11 am an have been told I should go down by 2pm.

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Tips / Experience After A Laparotomy Ovarian Cyst Removal

1. You will feel tired, bloated and in pain after the operation. I felt very nauseous for a few days and unable to eat. This is normal and is the effect of the anaesthetic used during the operation combined with strong painkillers. It will pass after a few days, try to sip water frequently to flush out the toxins.

2. The nursing staff are very helpful and concerned with your wellbeing. If you don't feel ready to go home, say so, you know your body better than anyone. I stayed in for 7 days in the end as I was in a lot of pain and had severe swelling. Don't be afraid to ask!

3 The nursing staff will remove the dressings after 3 days and if like me you have ster-strips underneath these will come off on day 5 or 6. When I removed mine the wound bled a little, but it was nothing serious and the nurse put a temporary bandage on for 2 days until it stopped. You will be shocked at the size of the wound. Mine reached from my pubic bone to above my belly button. It does start to look better after a few weeks and once healed, I will be using lots of bio oil to help it fade.

4. You will have trouble having a bowel movement. Constipation is normal following a major operation, a combination of painkillers and lack of movement. Drink plenty of fluids combined with a healthy diet (lots of fruit & vegetables). Try to move around as much as possible. Go for short walks once you feel stronger at least once a day. If like me you still haven't been after several days you could try LAXIDO and or LACTULOSE, both effective at clearing any blockage. It worked for me

5. Take the painkillers they give you, they will help. Try to take them at the start of the pain, not when it has you in its grip (not so effective). Only stop them when you feel you can cope without them, don't try and be brave.

6. If you have had your ovaries removed you will suddenly go into the menopause. I am having terrible night sweats now, which keep waking me up I bought a summer quilt 4.5 tog and am using a fan, to keep cool, it helps. I am trying to cope without HRT due to a family history of female cancer and will be trying natural herbal supplements instead. Hope they help

7. Lets be honest it will hurt and I am only starting to feel better after 3 weeks. I expect to be off work for at least another month, as my job is quite physical, and my muscles/wound are far from healed, but every day I feel stronger and I am off the painkillers now. I go for a short walk every day and potter around the house. My wound is healing nicely (its not pretty) but at least my alien is gone!

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First Colonoscopy :: How Painful It Will Be?

I am 20 years old and am due to have a colonoscopy. I cancelled my first appointment as i was so scared and was having night tremors and panic attacks at the thought of it!

Have read so many horrible stories and want to know actually how painful they are?

Would also like to know whether the painkillers and sedation is recommended as i hate needles and don't like the idea of not being aware of whats going on, dont want to feel like i'm not in control.

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Anaesthetic Really Works For Colonoscopy?

I'm having a first colonoscopy soon, and am concerned at the pain aspect, Doctors tell me it is virtually pain free, and I have a history of poor reactions to anaesthetics with previous hospital procedures and Dentists, where they just don't work, anybody else have this problem and how do you overcome it.

I have always told the Doctors who tend to just ignore what I say, I have to assume that any pain relief I get will not work until much later in the day, is this manageable?

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Hemorrhoids :: Colonoscopy Before Ligation

My husband was referred to a specialist to undergo ligation for internal hemorrhoids using the CRH O'Regan System. They told him they will need to rule out colon cancer before the ligation procedure. He is 39 and has dealt with hemorrhoids since his 20s, no familial history of colon cancer, no anemia or other red flags that he is at risk for cancer. I am more concerned about the colonoscopy than the ligation. Do all physicians require that testing?

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Colonoscopy :: Worried About The Procedure

I too am terrified of having a colonoscopy scheduled for this Friday. I have read the different experiences and don't know what to think as the experiences are so varied. Last year I had a flexi sigmoidoscopy without sedation, or pain relief, which was okay - just a bit uncomfortable. A polyps was found and therefore the doctor wants to check for more higher up. But the colonoscopy seems to be more undignified and painful. I do not want to be sedated as (a) I need to keep my memory for work; (b) I do not like being out of control; and (c) I have read some awful experiences of people being sedated. Therefore I am just going to have the pain relief. During the flexi I was embarrassed at the sensation of wind needing to be released and regardless of being told it is part of everyday work for the medics - it is not for me. This adds to the undignified process. So, although intellectually I know that having a colonoscopy will save my life, I am still very worried about the prep, the procedure and of course the results.

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