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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Smoking Marijuana To Help Pain, Agitation, Fatigue, Stress From A Painful Anal Abscess. Fistulotomy In 13 Days. Any Problems ?

Hello, I m having a fistulotomy in 13 days, and I have been smoking marijuana daily for the last 3.5 weeks to help with pain, agitation, fatigue , stress , and comfort from a painful anal abscess . I quit smoking cigarettes and marijuana about two months ago but just started smoking marijuana again. Previously, I was a daily marijuana smoker for 15 years with many periods of about 2 months when I didn t smoke. I have seen surgical instructions that say to stop 3 days before and some say several weeks. I am a 31 year old male in good health who exercises regularly and is in good shape. How long should I abstain from marijuana before surgery? What are the chances of the surgeon cancelling the surgery when I tell the anesthesiologist my history and that I smoked about two weeks before the surgery? Also, would one week be ok, or should I just stop smoking now? The marijuana really helps me feel better because I constantly feel fatigued and ill. Thank you for your help in advance.
posted on Tue, 14 Aug 2012
Twitter Tue, 14 Aug 2012 Answered on
Twitter Tue, 14 Aug 2012 Last reviewed on
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Psychiatrist,  's  Response
Hello ..your smoking cannabis is not your surgical problem but your dependence on it and you have been smoking it long before your current problem and never been able to quit it.you were never been able to be abstinent more than 2 months and resumed and this time also same thing happens. Every time you must be having one or the other reason to rationalise you relapse and justify your action.
You need to quit not just for surgery but also for your longterm health as may cause many cognitive dysfunction on long term use. You should stop it immediately for surgery because it hamper the action of anaesthetics which may cause you problem during surgery.....what kind of anaesthesia will be required also determine the consequence of your action so don't hide this history from your doctor.
Think about the recommendation and take necessary action
Take care
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Smoking Marijuana To Help Pain, Agitation, Fatigue, Stress From A Painful Anal Abscess. Fistulotomy In 13 Days. Any Problems ?

Hello ..your smoking cannabis is not your surgical problem but your dependence on it and you have been smoking it long before your current problem and never been able to quit it.you were never been able to be abstinent more than 2 months and resumed and this time also same thing happens. Every time you must be having one or the other reason to rationalise you relapse and justify your action. You need to quit not just for surgery but also for your longterm health as may cause many cognitive dysfunction on long term use. You should stop it immediately for surgery because it hamper the action of anaesthetics which may cause you problem during surgery.....what kind of anaesthesia will be required also determine the consequence of your action so don t hide this history from your doctor. Think about the recommendation and take necessary action Take care