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Author Topic: Butt Doc And Anal Pap Smears  (Read 7314 times)

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Offline tednlou2

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Butt Doc And Anal Pap Smears
« on: February 05, 2011, 02:50:37 AM »
Well, I had my appointment with the colorectal doc today.  I had been having some issues down there.  I'll get really bad itching and soreness.  I had it seen about before and was told it was Pruritus Ani.  Taking the recommendations to stop using soap and being careful when wiping or using a wash cloth worked.  That was until I began having issues again recently.  I've discussed here before about having really large bowel movements (believe due to Atenolol) that often cause bleeding.  And, I had been having this dull pain under my right rib.  My HIV doc said it couldn't be liver related, since my liver numbers were always good.  So, I thought maybe it was just something going on with my bowels. 

So, I thought I should get it all checked out and also try to get the anal pap smear.  This is what I learned today--  First, colorectal docs don't deal with the bowels.  I thought the term colorectal meant colon and rectal--guess not.  I was told I would have to see someone else about the pain under my rib.  The doc said I'm not going to find many doing anal pap smears, because "they don't think they are all that necessary and don't have many options anyway."  He said when they find precancerous cells in the cervix, it almost always leads to cancer.  He said they can remove them from the cervix without much damage.  He said when they find them in the anus, however, it doesn't necessarily mean it will turn cancerous.  He did acknowledge men who've had anal sex are more likely to have anal cancers than the general population--especially people with HIV.  He said if they did find precancerous cells, that removing them often leaves the anus really scarred and leads to many more problems.  He said many people would be left with a really bad pooper when they very well may not lead to cancer anyway.  These are all his words. 

He did the exam.  He said I had a couple fissures--probably due to the very large bowel movements.  It definitely isn't from anal sex as I haven't done that in forever.  He said he didn't want to put the scope up in me due to the fissures--even though I said they weren't hurting.  He then said he was concerned about a couple bumps he called Condyloma.  I got nervous at first thinking what does that mean--cancer?  He explained that meant warts.  He said he THOUGHT they may be warts.  He said I should have them removed.  He said I would be knocked out to have it done.  He also said my anal tissue was very damaged or something like that.  He asked if I had a lot of anal sex..lol.  When I said No, he said it could be due to the large bowel movements and too much wiping.  He acted like he was in a huge hurry to get to the next patient.  I was left not really knowing what was going on.  I should have been more assertive and said, "Let's talk about this in more detail."  That is my fault.  I need to learn to be more assertive.  I  should have also taken my partner with me to help remember everything said.  I think the whole experience of bending over a table that raises your ass up in the air while the doc and nurse are looking at your hole was just very embarrassing and uncomfortable.  I think I was ready for the visit to just be over.  That is a very stupid and I know I shouldn't be embarrassed. 

So, now I'm going to have to call the office Monday to go over his findings.  I need to find out if he just thinks they may be warts and isn't exactly sure, why a surgery where I'm put out?  I thought people only had warts removed when they were really big and a big problem.  I thought for very small warts, they would use some kind of medication at first to see if that worked.  I've seen pix of anal warts.  I had my partner take pix of my butt.  I just see what looks like a couple pimples--along with the raised area which I guess are the fissures.  We see nothing that looks like the pix of warts we've seen on the internets.  I would post my pix here, but I think they'd probably be seen as x-rated or something. 

Anyway, I was mainly wondering what you guys thought of what he said about anal pap smears.  Did he make any valid points at all?  Or, is he full of it?  Should I even be concerned about anal cancer at my age?  I had an uncle with rectal cancer, but not sure whether that means anything for me.  Today was yet another example of the need to be in full control of our healthcare, not being embarrassed or timid, and getting all questions answered, so you're not left wondering what is going on.  In the future, I'm going to make sure I understand fully what the doc's diagnoses are, treatment plans, etc.  And, why he came to those conclusions.     

Offline surf18

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Re: Butt Doc And Anal Pap Smears
« Reply #1 on: February 05, 2011, 07:30:51 AM »
hey man sorry about your exp.
i had butt wart surgery last thursday. and trust me if it comes to that you want to be out. if the warts are up the ass canal so to speak the cream or easy methods dont work. the after surgery was one of the most pain ive  ever had in my life let me telll you. get a second opinion if they tell you need surgery.

Offline seriously

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Re: Butt Doc And Anal Pap Smears
« Reply #2 on: February 05, 2011, 09:14:33 PM »
I had my ID give me a referral to get an anal pap smear, she says many of her patients have them done on a yearly basis-- your 2nd paragraph is nearly a quote of what the colorectal doc said to me too... basically, they aren't necessary, they aren't very effective, and even if there is something, we usually don't do anything until it starts to progress...  His opinion was that looking up there for anything abnormal looking is just, if not more, effective than the pap smear. I said, fine, if that's your recommendation, then just have a look... Strangely, once he was up there he took the pap smear anyway.  We'll see if the path. report shows anything, but its an easy procedure and gives me some peace of mind.
Infected 7/25/03
In denial until 12/1/10
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...
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Offline edfu

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Re: Butt Doc And Anal Pap Smears
« Reply #3 on: February 06, 2011, 02:19:29 AM »
I'm sorry you're experiencing all these problems, including the doctor you're seeing.  As I've indicated before on this site, there is tragically no universal-practice regimen that has been established in the medical community for dealing with these issues (HPV, anal warts, diagnosis and treatment, anal cancer--and how these affect HIV-positive gay men). 

In your case the issue of the fissures is definitely a further complication.

Colorectal docs (formerly known as proctologists) definitely deal with the bowels (large and small intestines).  Of course "colorectal" means "colon" and "rectum" (the last 4 or 5 inches of the digestive tract).  They deal with the colon, rectum, and anus.  I don't know what he said to have caused this confusion.  The only thing I can think of is that he might have inferred that your large bowel movements were not in his purview, in which case a gastroenterologist might be best involved. 

Anal pap smears are not universally recommended, unfortunately, EXCEPT with those doctors that specialize in treating anal problems in HIV-positive gay men.  This is a major problem that will require activism from the HIV community. Most doctors don't even know how to administer one, even though you can find a pictorial instruction right on the Internet.  It is true that the smear can miss some problems and is not 100% accurate, but it is an extremely useful tool for determining whether further action (high-resolution anoscopy) is necessary. 

Precancerous lesions do not indeed always become cancerous.  But they need to be tracked very carefully and often.  They can turn cancerous extremely fast in HIV-positive men.  Before HIV, it would most often take years for them to turn cancerous; now they can do so in some cases in just months.  This is one of many indications of the cellular acceleration of the aging process in HIV-positives which is receiving so much needed recent attention.  However, precancerous lesions are classified as mild, moderate, and severe upon biopsy.  It is logical that at least severe lesions should be removed; some specialists would say that even the less-severe type ought to be removed. 

I have never heard that removing precancerous lesions has led to "a really bad pooper."  There are several methods for removal that are more or less painful, and recovery may take a few weeks, but there should not be any long-time damage.  (Surgical correction of a fissure, however, can cause loss of bowel control and incontinence, because a portion of the anal sphincter muscle is cut to reduce tension, but the sphincter is not cut in removal of precancerous lesions.)   

Condyloma are warts.  If he said you had condyloma, he said you had warts.  I can't understand his saying he THOUGHT you had warts if he did not also say he THOUGHT you had condyloma.  It's a direct contradiction.

All anal warts need to be removed.  It doesn't matter if they are small or if they are not causing "a big problem."  Most often people don't even know they have them if they are in the anal canal.  Did he discover them on the exterior anal surface or in the interior?  Anesthesia might indeed be required because of your fissures.  Some colorectal docs won't even perform high-resolution anoscopy without anesthesia.  Also, if he described them as "bumps," it may be that you have warts that are more like cauliflower than pimples, and those are more difficult to surgically remove completely.

I'm not an M.D., but I do recommend that you have the warts removed. I'd also recommend that they be biopsied if they are interior. And if you're going under, I'd also recommend that you have a high-resolution anoscopy performed, including the vinegar solution to highlight problematic areas.  Does this doc do HRA's? (That's another problem, in that it can be exceedingly difficult to find colorectal guys who are trained to perform HRA's.)  It seems clear to me that you definitely have some anal issues that need clarification.  In your case, IMHO, I don't think that an anal Pap smear would be particularly useful at this stage.

I would also recommend that you carefully read the UCSF Anal Cancer website to learn the optimal diagnostic and treatment modalities for HPV, warts, etc., in HIV-positive men.

http://id.medicine.ucsf.edu/analcancerinfo/

My very best wishes.  I know you'll keep us posted. ;)
"No one will ever be free so long as there are pestilences."--Albert Camus, "The Plague"

"Mankind can never be free until the last brick in the last church falls on the head of the last priest."--Voltaire

Offline Oceanbeach

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Re: Butt Doc And Anal Pap Smears
« Reply #4 on: March 30, 2012, 03:00:08 PM »
I had an anal pap smear last summer at the UCSF Positive 360 Clinic by my ID doc.  He recommended I have an exam at the UCSF Anal Neoplasia Clinic.  I called to set the appointment and there didn't appear to be any urgency as they set the exam appointment 3 months later.  A Nurse sent me a lot of information, I had the exam and they wanted to schedule another appointment for Infrared Coagulation IRC in 3 months.  Having not received any information on the biopsies taken, I called the Nurse for more information.

The Phone Center said there was no Nurse at the clinic with that name.  I met with her at the clinic with questions:
1.  Do I have low-grade Anal Intraepithelil- Yes, some
2.  Do I have high-grade Anal Intraepithelil- Yes, some
3.  Do I have Anal Cancer- No

I asked to be knocked out like I was for the Colonoscopy, they want me awake and prescribed (5) 1 mg. Lorazepan tablets.  Take 1 an hour before the procedure and another at the start, leaving 3 pills.  Being a teen of the 60's, I do not believe a 1mg. sedative will have the effect on me that they expect.  My doc wants me conscious as does my appointed care giver.  I am quietly terrified even though I have read everything and talked and received email w/ staff.  I set the appointment 3 months ago for next week.

I don't understand how much care at home will be required... Can someone just pull up their pants and have a normal day?  I believe anal bleeding can occur, for a longer period of time than the initial exam at the Anal Neoplasia Clinic.  Will this bleeding be dripping out of my ass and into my bedding and clothing?  Most importantly, having an HIV history which included many unstoppable bowel movements in public places, will IRC increase my "3 minute warnings" for bowel movements which will cause me to go deeper into isolation?  I went a couple of years in L.A. never leaving the house or never going any further than I could walk home, using the service alleys.  I don't want to live like that again.  8)  Have the best day
Michael

 

Online buginme2

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Re: Butt Doc And Anal Pap Smears
« Reply #5 on: March 30, 2012, 03:57:55 PM »
There was just an article about how electrocauterization of high grade AIN was well tolerated and more effective than treatment with creams.

http://www.aidsmeds.com/articles/hiv_anal_neoplasia_1667_22127.shtml

I assume IRC would be similar to elctrocauterization. Ya think?

PS.  I am going through this also.  Let us know how it goes.
Don't be fancy, just get dancey

Online Miss Philicia

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Re: Butt Doc And Anal Pap Smears
« Reply #6 on: March 30, 2012, 04:15:47 PM »
He said if they did find precancerous cells, that removing them often leaves the anus really scarred and leads to many more problems.  He said many people would be left with a really bad pooper when they very well may not lead to cancer anyway. 

Wow, how did I miss this? What a joke of a doctor. Did your HIV specialist actually refer to you this cretin?
"Iíve slept with enough men to know that Iím not gay"

Online buginme2

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Re: Butt Doc And Anal Pap Smears
« Reply #7 on: March 30, 2012, 06:06:13 PM »
Ted I would try and find a new doctor who has experience in treating anal dysplasia in HIV positive men.  UCSF maintains a registry of doctors nationwide that perform High Resolution Anoscopy's and specialize in anal dysplasia.

http://id.medicine.ucsf.edu/analcancerinfo/providers.html

Don't be fancy, just get dancey

Offline tednlou2

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Re: Butt Doc And Anal Pap Smears
« Reply #8 on: March 30, 2012, 10:19:27 PM »
I posted this a year ago, and just noticed it was brought back up.  But, I appreciate the info.  Yes, my HIV doc referred me to the butt doc who said this--a colorrectal doc at the university.  I eventually got an appointment with another doc.  He said the "wart" was actually just a skin tag and nothing to worry about.  When I asked him about anal paps, he said I probably couldn't find a doc here doing them.  I guess this has been about 9 months ago.  So, I don't know what to do.  I keep reading how we should be checked, but don't know how and where to get that done. 

But, it's a good reminder to keep looking into it and possibly find someone who can do it. 

Offline surf18

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Re: Butt Doc And Anal Pap Smears
« Reply #9 on: March 31, 2012, 07:55:01 AM »
ugh i had a skin tag too after butt surgery. had them remove the damn thing.

Offline Joe K

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Re: Butt Doc And Anal Pap Smears
« Reply #10 on: March 31, 2012, 05:23:41 PM »
Ted,

Have you ever used baby wipes?  I switched years ago and use the unscented type.  They are much kinder on your skin and more effective, especially if you have rectal issues.  Might I also suggest that you may feel a little more adult during these procedures if you stopped referring to your doc as a butt doctor.   :D

Joe

Offline Ann

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Re: Butt Doc And Anal Pap Smears
« Reply #11 on: April 01, 2012, 07:01:43 AM »
I've been advocating the use of baby wipes here for years. Recently I switched to a brand of "moist toilet tissue" - essentially baby wipes for adults. I switched for several reasons.

They come in a discrete little white reusable box that you can subsequently buy refills for. They work out to pretty much the same price as baby wipes. They're thicker, which is nice. Another big reason is I switched is that they, unlike most baby wipes, are flushable. So much more convenient.

I don't know if they're available in the US or not, but for those of us in the UK, here's the details.

They're put out by Waitrose and you'll find them in the toilet paper aisle, not the baby food/nappies aisle. They're in blue and white packaging and called "Moist toilet tissue, enriched with chamomile & aloe vera - fragrance free" (dermatologically tested).

The refill packs have 51 wipes for about a quid. If I remember correctly, the box (with wipes) costs about two quid, maybe two-fifty. (those are the prices where I shop, anyway) As they're quite a bit thicker than baby wipes, the cost is very comparable as you don't go through so many in a single session. (one usually does me now, instead of three or four) I also find they're wetter (and retain their moisture during storage more) than most baby wipe brands I've tried.

In fact, I think they're so much better than baby wipes that if I still had a littl'un in nappies, I'd be buying these for nappy changes rather than baby wipes.

You can probably find them online at www.waitrose.com

I think Andrex also puts out a line of moist toilet tissue, but I'm not sure if they have the discrete reusable box.
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline denb45

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Re: Butt Doc And Anal Pap Smears
« Reply #12 on: April 01, 2012, 10:45:45 AM »

But, it's a good reminder to keep looking into it and possibly find someone who can do it.

@ Ted.lol yeah we have some very dumb doctors here in New Mexico when it comes to anything on or in the ass, I just found out my doctor only refered me to the surgery dept. (and get this, I don't need surgery)


 all I wanted was a High Resolution Anoscopy  to see if there is any anal dysplasia  :D

 I doubt they even know what ANY of that even is, ( when my ID doctor referred me she kinda give me a real funny look when I even mentioned this to her)  she looked @ me like I was outta my mind  :o

so when I go to this appointemet this coming MAY 2012 this is gonna be very interesting, I'll keep you all posted as to just how backward NM really is about any of this stuff, if they they even have Anoscopy
I kinda doubt they do :-[
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline J.R.E.

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Re: Butt Doc And Anal Pap Smears
« Reply #13 on: April 01, 2012, 10:46:09 AM »
I've been advocating the use of baby wipes here for years. Recently I switched to a brand of "moist toilet tissue" - essentially baby wipes for adults. I switched for several reasons.

They come in a discrete little white reusable box that you can subsequently buy refills for.
I don't know if they're available in the US or not, but for those of us in the UK, here's the details.




We have them. That's what I used, a few years back when I had my butt warts removed. Made it a lot easier.

Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 25 mg of Hydrochlorothiazide.
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Offline denb45

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Re: Butt Doc And Anal Pap Smears
« Reply #14 on: April 01, 2012, 11:18:46 AM »

We have them. That's what I used, a few years back when I had my butt warts removed. Made it a lot easier.

Ray

Bob & I have been using baby wipes for yrs. I cannot even recall the last time we bought TP-paper  ;)   it really cleans up the ASS BUTTER  ;D
« Last Edit: April 01, 2012, 11:20:27 AM by denb45 »
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline Joe K

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Re: Butt Doc And Anal Pap Smears
« Reply #15 on: April 01, 2012, 12:35:32 PM »
I've been advocating the use of baby wipes here for years. Recently I switched to a brand of "moist toilet tissue" - essentially baby wipes for adults. I switched for several reasons.

They come in a discrete little white reusable box that you can subsequently buy refills for. They work out to pretty much the same price as baby wipes. They're thicker, which is nice. Another big reason is I switched is that they, unlike most baby wipes, are flushable. So much more convenient.

I don't know if they're available in the US or not, but for those of us in the UK, here's the details.

Sometimes I forget that I live in Montreal.  We recycle almost everything and the baby wipes we use are flush-able.

Joe

Online buginme2

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Re: Butt Doc And Anal Pap Smears
« Reply #16 on: April 01, 2012, 06:36:09 PM »
What do baby wipes have to do with anal dysplasia?
Don't be fancy, just get dancey

Online Miss Philicia

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Re: Butt Doc And Anal Pap Smears
« Reply #17 on: April 01, 2012, 06:59:21 PM »
They wipe away the sin.
"Iíve slept with enough men to know that Iím not gay"

Online buginme2

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Re: Butt Doc And Anal Pap Smears
« Reply #18 on: April 01, 2012, 08:02:57 PM »
They wipe away the sin.

I hope they sell them at Costco. 
Don't be fancy, just get dancey

Offline Ann

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Re: Butt Doc And Anal Pap Smears
« Reply #19 on: April 01, 2012, 09:18:23 PM »
What do baby wipes have to do with anal dysplasia?

I would have thought it's a no-brainer. Any time you have something that makes your butt sore - whatever the cause - baby wipes (or "moist toilet tissues") make your life much, much easier.

Unless of course you relish the pain cause by dry toilet paper scraping across your raw butthole every time you have to take a crap - then I suppose our advocacy of baby wipes would make you scratch your butt head in consternation and confusion.
Condoms are a girl's best friend

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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline tednlou2

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Re: Butt Doc And Anal Pap Smears
« Reply #20 on: April 02, 2012, 12:01:32 AM »
I remember a few years ago Charmin or some major toilet paper company ran commercials for a wet-wipe tp that came with a holder you could attach to the wall.  I haven't seen those commercials in a long time, so not sure whether they even still sell them. 

 

Offline Oceanbeach

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Re: Butt Doc And Anal Pap Smears
« Reply #21 on: April 02, 2012, 07:58:33 AM »
There was just an article about how electrocauterization of high grade AIN was well tolerated and more effective than treatment with creams.

http://www.aidsmeds.com/articles/hiv_anal_neoplasia_1667_22127.shtml

I assume IRC would be similar to elctrocauterization. Ya think?

PS.  I am going through this also.  Let us know how it goes.

Well Bugs,

I'm pretty sure we are going for the same thing only they will electrocute yours and zap mine with a laser.  I checked the link you offered earlier and found my Oncologist, Dr. Berry was the first listed and I feel like I'm being treated by the best of the best.  I have no worries, he laughed last time when I told him, "this is gods way of making me pay for saying I'd rather have rectal cancer." 

He will offer to let me watch on the monitor and I will decline and wish I was somewhere else.  All of a sudden, I will want to be Sissy Spacek, in Coal Miners Daughter at the doctors office scene.  Or, Ava Gardner in her red 1957 T-Bird and drive away.

Oh Ann...

I have a supply of moist towelettes.  Kleenex markets Cottonelle, moist flushable wipes.  They have a puppy on the box, how can a person go wrong with that.   8)  Have the best day
Michael

   
« Last Edit: April 02, 2012, 08:29:48 AM by Oceanbeach »

Offline edfu

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Re: Butt Doc And Anal Pap Smears
« Reply #22 on: April 02, 2012, 03:10:17 PM »
Laser therapy and IRC (infrared coagulation) are similar in their general principles of activation but are entirely different in the individual specifics of  their application.  They're two really different surgical interventions.  Laser uses a highly intense light stream to kill abnormal cells.  IRC uses an intense beam of infrared light and radiation.  The heat from IRC is at a lower range than that used in laser or in electrocauterization (or electrofulguration), which uses an electric current  (via an electric needle) and is a third method of surgical intervention.
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Offline Oceanbeach

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Re: Butt Doc And Anal Pap Smears
« Reply #23 on: April 11, 2012, 04:49:32 PM »
Had mine yesterday morning.  Took 1mg of Lorazepan at 7:AM, another at 8:AM and by the time, I was in position on the exam bed, didn't have a care in the world...  Next thing I knew, Doctor said, "I have gotten them all".  Took some pain pills (Vicodin), a long hot bath, some dinner, some TV and today, I have thrown up a couple of times.  So the healing process begins   8)  Have the best day
Michael

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Re: Butt Doc And Anal Pap Smears
« Reply #24 on: April 11, 2012, 05:33:08 PM »
Had mine yesterday morning.  Took 1mg of Lorazepan at 7:AM, another at 8:AM and by the time, I was in position on the exam bed, didn't have a care in the world...  Next thing I knew, Doctor said, "I have gotten them all".  Took some pain pills (Vicodin), a long hot bath, some dinner, some TV and today, I have thrown up a couple of times.  So the healing process begins   8)  Have the best day
Michael

Good to hear it went well. Keep us posted on your results and recovery. 

My doctor is currently treating me with 16 weeks of Aldara cream and then they are going to do another HRA in 5 months.  I case I need to have the laser thing done its good to hear about your experience with it.
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Re: Butt Doc And Anal Pap Smears
« Reply #25 on: April 11, 2012, 05:47:52 PM »
Good to hear it went well. Keep us posted on your results and recovery. 

16 weeks of Aldara cream

http://www.poz.com/rssredir/articles/hiv_anal_neoplasia_761_22127.shtml
« Last Edit: April 11, 2012, 05:50:40 PM by Miss Philicia »
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Re: Butt Doc And Anal Pap Smears
« Reply #26 on: April 11, 2012, 10:17:48 PM »
http://www.poz.com/rssredir/articles/hiv_anal_neoplasia_761_22127.shtml

I do plan on bringing that article up to my doctor.  I started the Aldara cream about a week before that article came out.   I am seeing my HIV doctor this week for my regular check up (not the butt doc) and I am planning on asking him about it also.

Something about the Aldara cream though, I read a bunch of previous post how a lot of people had horrible side effects with it.  So far, with me, nothing, I might as well be rubbing Jergins lotion on my bungy hole.  I just finished up my first month with it and haven't noticed anything (although I'm not sure what it is I would notice).
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Offline Oceanbeach

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Re: Butt Doc And Anal Pap Smears
« Reply #27 on: April 12, 2012, 03:17:40 PM »
Today is Day 4 of healing... I had some runny bowel movements this morning, the butt hole is sore but there is no noticeable internal bleeding.  I lost blood for 3 days after the initial exam.  I had an appointment with my HIV doc and the ADAP clerk to renew for the next year but, I just don't feel like leaving the house.  They are rescheduled.

My friend filled my prescriptions so I didn't get to talk to the pharmacist to ask why so many Vicodin?  I stopped taking them two days ago and now have a lifetime supply.  There is also a tube of Anorectal Creme (Lidocaine 5%), with no discussion so, I guess, when I can break the child-proof cap (I swear, the plastic cap is stronger than the tube), it must be for the sore butt hole.

I read somewhere to avoid spicy foods for a specific number of weeks but I did put some Tabasco on my rice and some ground pepper on my cottage cheese before I threw up, but you got to have flavor.   Also remember reading not to have sex for (X) # of weeks.  That makes perfect sense, usually when a doctor is in my ass, I would have had a nice dinner first.   8)  Have the best day
Michael

Offline LM

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Re: Butt Doc And Anal Pap Smears
« Reply #28 on: April 12, 2012, 03:37:44 PM »
You haven't faced much pain, Michael?

After surgery, 6 months ago, I endured the worst pain of my life for weeks. It was really, really hard. Even today, 6 months later, I can't have anal sex if I wanted to, it's still sore inside, I don't know why. Not to mention the warts came back, so it was all for nothing.

It's been really hard, and the doctor really wasn't helpful. I'm trying to go to other doctors now to check what happened and how I can finally get totally better.

Offline animalleader

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Re: Butt Doc And Anal Pap Smears
« Reply #29 on: April 12, 2012, 07:12:55 PM »
Get a pap smear.  It's painless and takes about 45 seconds.  I had the surgery in November.  It's intense.  Make sure they give you Dilaudid before you leave.  Start eating a high-fiber diet at least a week before the surgery and continue through the whole healing process.  I didn't have any bleeding but did leak and had to wear diapers for about 2 weeks, didn't leak every day but never knew when I would.  You (or at least I) can eat totally spicy food but keep with the fiber.  Hot baths immediately clear the pain.  With respect to pain, I basically felt I was being ripped in half, lenghthwise.  Then heal up, get your smears on a regular basis and forget about it.  The incidence of cancer is extremely low (I had pre-cancerous tissue and believe me it's the last thing I think about, healthwise).

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Re: Butt Doc And Anal Pap Smears
« Reply #30 on: April 12, 2012, 08:36:11 PM »
You haven't faced much pain, Michael?

Not much pain, I took a 1mg Lorazepan an hour before and another right before the procedure.  Thinking it was baby aspirin for a migraine, my doc promised to be extra gentle.  I remember him saying he got them all and something about a wheel chair, riding in the car to the pharmacy and my friend bringing out Vicodin and a tube of Lidocaine 5%.  I have stopped taking the Vicodin 2 days ago, I feel sore but not in real pain.  Someone left a pot of yellow Tulips at the door and after finding an appointment slip, I have an exam in 4 months.  8)  Have the best day
Michael

Offline surf18

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Re: Butt Doc And Anal Pap Smears
« Reply #31 on: April 12, 2012, 10:24:16 PM »
went through it twice.first time they sent me home with percosets. felt fine when i left. drank some beer,which was stupid. ended up hurling all night. but the weird thing was i had a constant hard on the whole night, don't what nerve they messed with. anyways next day nurse calls me to make sure all is good, i said yea sure, did not have a shit though.
well when i had my first one oh my gosh!!!!!!!!!!!!!!! yelling pain !!
and then the one day the ass burn was so bad i had to take a percoset for pain and not for recreation.ha
wow it sucked so bad. and butt sex after was a bitch for a bit.
then did it again six months later but it was better that time.
did the cream first, not much problems with the cream at all to be honest.

Offline Oceanbeach

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Re: Butt Doc And Anal Pap Smears
« Reply #32 on: April 13, 2012, 06:03:24 PM »
I was kind of out of it when I left the clinic and still out of it at the pharmacy so, I never really knew why the bottle of Vicodin is so big.  I also wondered about the tube of Lidocaine.  It's for the pain in taking a solid shit, isn't it?  Feeling blessed w/runny stools and now I hope it continues   8)  Have the best day
Michael

Offline surf18

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Re: Butt Doc And Anal Pap Smears
« Reply #33 on: April 13, 2012, 08:04:10 PM »
yea runny better. the first time i didn't listen to them and didn't take the softener so when the real one game holy cow!!!!!!!!! screaming pain. the second time i did the softener hugggggeeeeeeeee help

Offline sanjuanboy

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Re: Butt Doc And Anal Pap Smears
« Reply #34 on: May 09, 2012, 05:38:09 PM »
Interesting thread.....  My doctor wants me to have an anal pap smear, since a number of years ago I had veneral warts down there.  It was six years ago when I was given Aldera cream and that took them away, but I did have them for 2-3 years.  I have zero symptoms  and am just wondering if I should even bother with it.  I don't feel that I have anal cancer, but then again neither did Farrah Fawcett.

Offline edfu

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Re: Butt Doc And Anal Pap Smears
« Reply #35 on: May 10, 2012, 01:28:37 AM »
I have zero symptoms  and am just wondering if I should even bother with it.  I don't feel that I have anal cancer, but then again neither did Farrah Fawcett.

I'm afraid it doesn't matter if you don't have any symptoms.  You can have problems down there and up there without any indications you can feel or sense.  Also, you can have pre-cancerous lesions that need to be removed before full-blown cancer develops.  Good luck.
"No one will ever be free so long as there are pestilences."--Albert Camus, "The Plague"

"Mankind can never be free until the last brick in the last church falls on the head of the last priest."--Voltaire

 


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