Post op questions again.....and THANKS!

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redspot321
Regular Member


Date Joined Jan 2006
Total Posts : 303
   Posted 2/20/2008 5:30 PM (GMT -7)   
First off let me just say thank you to anyone who has replied to any of my posts. I do ALOT more asking here than I do answering. Im 29 years old with a 7 and 5 year old. Im also putting my wife through full time Nursing school confused   I dont have alot of time!! I truly thank you all!!
 
 
 
My Questions. (please dont read if you cant handle graphic poo questions)
 
Im 16 days post op 63cm SB resection. Before the sugery I had cronic Constipation due to strictures in the small bowel, never "D"............
 
Now I havent had a solid BM since my surgery, I go 5-6 times a day mostly VERY lose "D". I can also recgonize things I eat hours later in the bowel and there seems to be alot of mucous.
 
Is this how its going to be forever? If not how long does it take to normalize? Should I notify my MD?
 
 
 

LavenderBlue
Regular Member


Date Joined Oct 2005
Total Posts : 168
   Posted 2/20/2008 5:42 PM (GMT -7)   
Hi redspot-

I had a resection a year ago. My dr. told me at the time that the leftover bowl would eventually pick up for the loss and things would return to normal. I was the same as you. I never had D before my surgery unless I was in a serious flair. and then only occasionally. But now since my surgery I have had constant D. Same thing - I go about 5 times a day, sometimes up to 10 if it's a really bad day. She keeps telling me that things will get better, but i haven't seen a difference yet.

I hate to be the bringer of negative news. But everyone's body is different and i'm sure there are people on here that returned to normal bowl functioning. My dr. surgeon said that it could possibly take up to 2-3 years before mine returns to normal. I think you should definetly let your Dr. know and ask when they feel it will return to normal. My resection was of the large bowel, not small, so it very well might be different.

Sorry i'm not much of a help. I really hope you have better success than I.

cheers
lavender
 
diagnosed: Crohn's Aug 2005
 
other set-backs: Vasculitis Aug 2006, Sub-total Colectomy (10 inches of colon left) Feb 2007, Ogilivie's Syndrome Mar 2007, Pulmonary Embolism Sept 2007, Collapsed lung Oct 2007, Recto/Vaginal fistula Nov 2007
 
drugs: Asacol, Imuran, Remicade, Humira, Prednisone, Canasa, Fentanyl, Warfarin, TPN


belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 2/20/2008 6:36 PM (GMT -7)   
Hi Redspot:

You are only two weeks from major surgery, so my advice is to give your body a chance to adjust. If you have been suffering from a stricture with constipation for an extended period, isn't it possible that your poor bowel just doesn't know how to handle the incredible difference in effort it now takes to move digestive matter through the bowel? Quite aside from the tremendous insult that your body has just endured, I am sure that after years of having to work really hard to move feces through the stricture, your bowel is probably still just a little hyper-active.

In addition, you are probably still on a bland/soft diet. As you are able to add more fibre, especially soluable fibre that will bulk up your stool and that should slow down your bowel.

Definitely discuss this with your surgeon when you have a recheck but don't assume this is forever. You have been through a lot but so has your body. It needs time for things to settle and two weeks is just not an adequate test.
Belleenstein:

30+ years living with Crohn's.

Post Edited (belleenstein) : 2/20/2008 8:26:09 PM (GMT-7)


LavenderBlue
Regular Member


Date Joined Oct 2005
Total Posts : 168
   Posted 2/20/2008 6:41 PM (GMT -7)   
hey belleenstein-

that's great advise. i never thought about having a stricture. I had one before my surgery too. Can you elaborate about the insoluable fiber? I don't know much about this. wouldn't it cause increased D? Is it different than the fiber found in veggies? is this something that you can just pick up at the supermarket and add to juice or water? I could really use this also if it would bulk up my stool.

cheers
lavender
 
diagnosed: Crohn's Aug 2005
 
other set-backs: Vasculitis Aug 2006, Sub-total Colectomy (10 inches of colon left) Feb 2007, Ogilivie's Syndrome Mar 2007, Pulmonary Embolism Sept 2007, Collapsed lung Oct 2007, Recto/Vaginal fistula Nov 2007
 
drugs: Asacol, Imuran, Remicade, Humira, Prednisone, Canasa, Fentanyl, Warfarin, TPN


belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 2/20/2008 8:25 PM (GMT -7)   
Actually, I mis-spoke. Insoluable fibre is what you find in many veggies like lettuce. It is something to avoid if you have a stricture. Soluable fibre, like that found in oatmeal, absorbs water as it makes its way through the digestive tract and swells, creating bulk. This tends to make a more formed, softer stool. Yes, you can pick it up in the drug store as a supplement, but why not first try adding something like oatmeal to your diet?

BTW have you been tested for fat-malabsorption? This could also be contributing to your frequency and is easily treated with cholestyramine.
Belleenstein:

30+ years living with Crohn's.

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