"aftercare and advice"

having had the procedure for banding of Hemmerhoids at St Richards clinic on 24.2.2014, I have been appalled by the lack of advice following this. The actual procedure which took all of 10 minutes was tolerably painful, but the advice that the bands would fall off after 3 days deceptive, and also not to strain not helpful. Following instruction to take paracetol for any pain I accepted that there would be some pain, but had not considered that I would become severely constipated, in severe pain and unable to pass faeces because of the internal inflamation and the position of the banded veins. Having tolerated this for several days and taking only soup and a little bread, I decided that I would have to only have a liquid diet. At this stage I called the telephone number provided and spoke to a male nurse who was entirely unhelpful and told me to call the hospital again and speak to the doctors secretary. I did this and the secretary spoke with a doctor and called me back saying I had 2 options: 1) to take painkillers 2) go into A&E. Because of the pain I was experiencing I couldnt bear the thought of sitting in A&E for hours, and as it was then Friday afternoon, I decided to take desperate measures and manually excavate the faeces which were lthen like rocks in my bowel. The pain in doing this was excrutiating and I almost passed out each time but the relief was substantial and very necessary. It is now monday 6 days after the procedure and I am still suffering, on a liquid diet and helping myself to relieve the pain- my internal bowel appears to very inflamed and narrow, and , the bands are still intact. I will try and see my doctor today and see if he can recommend something to calm the inflamation and reduce the pain and the constipation. All of this I feel could have been avoided by correct advice about sensible food intake or medication that would have controlled the situation. Also correct band rejection times. The leaflets provided simply indicated that spotting may occur and gave advice to call the department in the event of problems (not useful in my case) also to contact doctor or A&E if substantial bleeding should occur. I regret that in my case the verbal advice given was rather flippant and gave me the wrong impression about the ease of the procedure and healing and aftercare. Perhaps this information will help with staff training, knowledge and advice given on your advice sheets.

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Response from Marion Brown, Head of Complaints and Patient Advice & Liaison Service (PALS), Portsmouth Hospitals NHS Trust

Dear Ms Marshall

I am sorry to hear about your difficulties and would like to thank you for taking the time to add this to Patient Opinion. Your comments will be shared with the staff involved as it is important to know where patients feel we need to make improvements.

Should you have any concerns or comments in future regarding your care at the hospital, good or bad, then you can also contact our Patient Experience Team by e-mail on PHT.PatExp@porthosp.nhs.uk or telephone 0800 917 6039.

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