perforation, abcess, and surgery

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HanooN
Regular Member


Date Joined Dec 2008
Total Posts : 63
   Posted 1/29/2009 8:42 PM (GMT -7)   
hi this is hanoon's wife posting for him

hanoon is currently admitted to the hospital. after 24 hours of straight severe pain i finally convinced him to go to the ER.

a CT showed that he had an abcess due to a perforation. the gastroenterologist wanted an immediate resection but that would mean an ostomy. the surgeon convinced us to have the abcess drained (with antibiotics) and give him some time to get better and perhaps have a more "healthy surgery" without an ostomy. we decided it's worth a shot.

either way he'll have surgery as he's been in a stubborn flair since july and is allergic to remicade. prednisone also hasn't helped.

our question is, what does the recovery look like after a resection? what's the timeframe? he has 16 inches of diseased small intestine.

thanks for any answers to our questions!

73monte
Veteran Member


Date Joined Mar 2007
Total Posts : 1496
   Posted 1/29/2009 8:55 PM (GMT -7)   

Hanoon, (wife),

Just wondering, could you give some detail as to where the abscess is, and what size? Do they feel that there is alot of disease present? 


My daughter was diagnosed Feb. 19/07, (13 yrs. old at time of diagnosis), with Crohn's of the Terminal Illium. Initially, 9 weeks of Prednisone, currently taking 2000mgs of Pentasa.


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 1/29/2009 9:58 PM (GMT -7)   
Hello!

I don't have any expereince with resections but I just wanted to send my prayers for his swift recovery!! And bless you for convincing him to go to the ER. Sometimes it is hard to think clearly when you are feeling so poorly. Thanks for looking after him.
Diagnosed with rectal Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 1/30/2009 7:24 AM (GMT -7)   
My recoveries after both my resections was approximately 8 weeks. Mine was a little longer than others because I got an infection in my incision both times.

I am so sorry to hear he is so ill, please know that I will keep him in my prayers. Do keep us posted on how he is doing.

Hugs,
Gail *Nanners*
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

asc58
Regular Member


Date Joined Jun 2006
Total Posts : 83
   Posted 1/30/2009 8:19 AM (GMT -7)   

I also had an abcess that the docs couldn't find until it burst and the infection really showed up on the cat scan all over the inside of my abdomen. They took me straight to surgery and also removed about 18 inches of my ileum. I had a drain in for a short while. Recovery time for me was roughly 8 weeks. This was 23 yrs ago.  I continued to do fine for about 20 yrs before my crohns started acting up again. Sounds like you have a smart surgeon.  Good luck to you guys.

asc58


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 1/30/2009 1:53 PM (GMT -7)   
Hi Wishing your husband all the best and thankfully he went for some help. I too had a abdiminal abscess and know they can be painful so glad he is getting the help he needs mine was sort of contained but very large none the less and I had the resection about 14 months later which should have been done earlier. about 6 to 8 weeks should see a change in him but it does take a long time to get the abdominal strength back. Give him our love and let us know how he is doing. lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,hemmies,and still alive.lol gail


Joie1
Regular Member


Date Joined Oct 2008
Total Posts : 376
   Posted 1/30/2009 2:28 PM (GMT -7)   
Had two resections equaling about 18 inches. They put in a drain. Recovery time is weird. Basically your body will heal from surgery in a couple of months BUT your body will have to get used to the loss of intestine which can take about a year. Don't be scared. That's everything from scar tissue looks to learning how to eat how much for your body to all the weird muscle pangs from where the incision was made. It's not a bad year. The first two months are HARD. Then you work up from there. I only mention the year 'cause when I had my first resection, the Surgeon answered a question about how I could get a tight abdomen whenever the weather changed (not painful just a weird pulling feeling in the muscles). He said that including mental, emotional, and physical...it really was a year where you had to reteach muscles.

Hopefully, the abscess gets drained and you don't have to have too much intestine removed. I'm glad he did get help and sad that like us all, he kept hoping the pain would vanish and there would be nothing wrong. Good luck during the process. (Tell him to USE the pain button for the pain. Don't be a hero...'cause it takes much longer to stop hurting then it does to soothe the pain before it starts.)
27/f/CD. 4 CD related surgeries: 2 resections, 2 JP drains, 3 NG tubes, many absesses (including the one my most recent surgery scraped off my ovary) and fistulas.
Currently trying to figure out hip and knee joint pain.
Have lost in these surgeries: appendix, 8 in. intestine, R fallopian tube, gallbladder, 10 in. intestine
Crohns Dx'd: February 2008.
Pentasa (and much mental screaming)

Trying to hang in there until January so I'll have some insurance and can visit a rheumy, neuro, GI, primary, pain control, and possibly a shrink so I could stop crying and living in my own lil pity party. :-P


Miss UK
Regular Member


Date Joined Oct 2007
Total Posts : 128
   Posted 1/30/2009 3:03 PM (GMT -7)   
I had a perforated bowel that fused onto my bladder so I unfortunately ended up with the ostomy.  I just want to say that should things not go to plan and that is what your husband has to have then it really isn't that bad at all especially as it will only be temporary.  My surgery is due any week now for a reversal of the ostomy so can't tell you about recovery from that yet but just wanted to tell you the worst case scenario isn't anywhere near as scary and awful as I thought before getting one.  Good luck he is going to feel so much better! :-)
36 year old single mum to a 2.5 year old son
Suspected Crohns when 10 years ago had a very painful rectal abscess
Diagnosed with Crohns desease properly 6 years ago
2008 developed fistula bowel perforated onto bladder resulting in temporary ileostomy
hopefully a reversal around March 2009.


HanooN
Regular Member


Date Joined Dec 2008
Total Posts : 63
   Posted 1/30/2009 5:42 PM (GMT -7)   
his abcess is about the size of an apricot in the middle of his abdomen. the radiologist said nothing else leaked into his abdominal cavity, which is good. his drainage is going very well and he's supposed to have surgery next week. also he is supposed to get a central line and TPN later tonight or tomorrow morning.

thanks for all the advice and prayers!

gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 1/31/2009 5:27 AM (GMT -7)   
Hi Sounds like he is doing fairly good and he is a lucky man to have you to help him and care for him .How are you holding up? lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,hemmies,and still alive.lol gail


HanooN
Regular Member


Date Joined Dec 2008
Total Posts : 63
   Posted 2/1/2009 8:19 PM (GMT -7)   
First of all, thanks all of you for your responses, prayers, and support. Second, My wife is the best gods gift i have in my life, Without her I cant imagine how i would cope with this disease and survive she is myhero and god bless and reward her for me and for every thing she does to make me happy and feel good about myself. By the way I'm writing this from my bed in the hospital using my lap top since i found out they have Internet access here. Right now I feel very good after finding out this crohn's is going to leave me alone soon. by the way last update that I'm not going to have the open surgery next week because I'm planning to have the LaproScopic surgery which gives me a better chance not to have astomy and a faster recovery since I'm a good candidate for it that what my surgeon said. Hope that will help me reach a remission for quite some time.

thanks again for all your responses and prayers. I ll keep u posted


HanooN
Age:28
Diagnosed with CD in Jan, 08.
Meds: Prednisone(40mg), Pentasa (4mg), Hydrocodone, prilosec, Fish oil, Multivitamins
Surgeries : NONE
..........................................
Words are, of course, the most powerful drug used by mankind


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 2/1/2009 8:23 PM (GMT -7)   
I am glad to hear you are doing so well!! I hope your surgery goes very smoothly!
Diagnosed with rectal Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 2/2/2009 10:48 AM (GMT -7)   
Hi Glad to see your update and that you will soon get some relief. I must say it was very nice of your wife to keep us posted. So will you be home and it is nice that hospitals nowadays have the access to internet makes it not so isolated.Best Wishes with your lapo surgery.lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,hemmies,and still alive.lol gail


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 2/2/2009 10:54 AM (GMT -7)   
Glad to hear your update. I think our Crohns spouses should receive an award for all they put up with us. I have to say I have an amazing husband myself. They sure do help us get thru all the crap we deal with don't they????

I pray your surgery brings you to a long long remission.

Hugs,
Gail*Nanners*
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

LynnRN
Regular Member


Date Joined Oct 2007
Total Posts : 289
   Posted 2/2/2009 4:05 PM (GMT -7)   

Good luck to you and praying for a awesome recovery!!  I have taken care of a few people (I'm a nurse) lately who have had lap resections and have done great!!!It's amazing what they can do these days.

 

Keep us posted smilewinkgrin


HanooN
Regular Member


Date Joined Dec 2008
Total Posts : 63
   Posted 2/2/2009 5:13 PM (GMT -7)   
sure my wife is an angel I can't deny that she is awesome and supportive. I 'm really excited to have this surgey and cant wait for the remission and go back to normal life,for how long I don't know what i know that I'm almost their. I had enough of crohns. I pray for god that every one feels better and get the best luck in life,and get what is looking for.
I will have my surgery once they drain the abscess and feel better. We are targeting +/- 4 weeks from now that what my surgeon told me today. as some of you know the Laproscopic surgery need clean gut to be more efficient and less complication also less chance to have Colostomy.

I do appreciate every one's response and support.

best of luck of all of you.

cool
Age:28
Diagnosed with CD in Jan, 08.
Meds: Prednisone(40mg), Pentasa (4mg), Hydrocodone, prilosec, Fish oil, Multivitamins
Surgeries : NONE
..........................................
Words are, of course, the most powerful drug used by mankind

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