Low appetite after bowel resection?

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Sir WipesALot
Regular Member

Date Joined Nov 2009
Total Posts : 42
   Posted 1/31/2010 10:10 AM (GMT -6)   
Hello. I had about ten inches of my terminal ileum removed nine days ago. I'm doing well painwise, etc, and they say they got almost all of the bad stuff out, but my appetite is pretty low. This is even more pronounced as I have been on steroids for the past six months and so had a very high appetite at times leading up to the surgery.

I'm on five mg of Prednisone now and my appetite is back to less than what it was before my flare, which is low. I should say I always had a low appetite but I attributed this to my Crohn's. I didn't expect to be eating a lot so soon, but I'm at the point where I don't want to think about food, although I can face it.

Can anyone give me an idea of what their appetite was like after similar surgery?
20 mg Prednisone, 3000 mg Pentasa, 75 mg 6MP, Bactrim, Flagyl, Fosamax, Prilosec... probiotics......

DX May 2004
34 YO M

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 1/31/2010 10:13 AM (GMT -6)   
I always lose alot of weight after surgery because for a bit my appetite goes down alot. Give it sometime it will come back. Good luck and hope this surgery leads to a long long remission. Hugs~
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Sir WipesALot
Regular Member

Date Joined Nov 2009
Total Posts : 42
   Posted 1/31/2010 1:25 PM (GMT -6)   
Thanks Gail... your constant stream of useful information here is sincerely appreciated!
20 mg Prednisone, 3000 mg Pentasa, 75 mg 6MP, Bactrim, Flagyl, Fosamax, Prilosec... probiotics......

DX May 2004
34 YO M

Veteran Member

Date Joined Apr 2005
Total Posts : 3763
   Posted 1/31/2010 1:37 PM (GMT -6)   
I agree with Nanners. I always have a pretty low appetite after surgery, plus you are down quite a bit on the prednisone so that will affect your appetite too. Things will settle into place in a bit. My grandfather was a doctor and his rule of thumb was that it takes the body a full year to really recover from surgery, so just give it time.

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!

Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....

Veteran Member

Date Joined Dec 2009
Total Posts : 681
   Posted 1/31/2010 5:34 PM (GMT -6)   
I agree also. Best to go slow until your healed some more and your body knows that and is supressing your appetite for a good reason. Trust your body, when you do get hungry go easy.
Male, 54 years old with Crohn's since 15 years old, diagnosed at age 46. Terminal ileum resected 2002. 5 months of remission. Crohn's has now been active since early 2003. Had a gall bladder removed Nov. of 2009. Currently on Remicade every 8 weeks, Nexium, Iron, B-12 injection every 4 weeks, Morphine Sulfate as needed for pain. Cymbalta for long term pain control. 5-asa Salofalk, Entecort, Imuran and Prednisone in the past.

Sir WipesALot
Regular Member

Date Joined Nov 2009
Total Posts : 42
   Posted 1/31/2010 8:30 PM (GMT -6)   
Thanks to both of you. I appreciate the advice. It's all soft and easy foods for the time being.
20 mg Prednisone, 3000 mg Pentasa, 75 mg 6MP, Bactrim, Flagyl, Fosamax, Prilosec... probiotics......

DX May 2004
34 YO M

Regular Member

Date Joined Jan 2010
Total Posts : 193
   Posted 1/31/2010 9:09 PM (GMT -6)   
I had a huge appetite after all 3 bowel resections, but I learned to introduce foods slowly. When I gave in to a steak dinner, I paid for it. After living on soft foods prior to surgery, the trauma of surgery, and the anesthesia, your body isn't ready to dive back into full meals, so your low appetite is your body telling you to take it easy. Don't worry. It will come back.
Age 58, Crohn's since age 21
3 bowel resections, 1980,88,95
1 fistula repair, 2005
digestive enzymes
L-glutamine powder 3 times a day
sublingual B-12 and B complex
2 T. cod liver oil
2 tsp. tart cherry juice concentrate
Multiple vitamin, 2,500mg vit. C, 1,000mg calcium mag.

Veteran Member

Date Joined Jan 2005
Total Posts : 1709
   Posted 2/1/2010 11:09 AM (GMT -6)   
I had my resection on Jan. 15 & my appetite is still pretty low. I'm starting to work back up to a normal diet still without fiber though -- surgeons orders. He just kept stressing to me on Thursday when my staples came out that I need to take it very slow.


Veteran Member

Date Joined May 2009
Total Posts : 506
   Posted 2/1/2010 11:21 AM (GMT -6)   
I had a resection 6 weeks ago and have only recently regained my normal appetite. Healing takes time, don't rush into things.
Diagnosed with CD July 2007
Currently on Remicade, Imuran, probiotics, folic acid, multivitamin.
Resection December 2009

Amor fati - Nietzsche

Veteran Member

Date Joined Dec 2008
Total Posts : 947
   Posted 2/1/2010 7:40 PM (GMT -6)   
It took me a while to get my appetite back after surgery and I was on Pred too. Give it some time and you'll be back to normal, just don't rush it.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications:Humira,  Asacol, FolicAcid,  Multivitamin, 1000mg Calcium, Vitamin D, Probiotics, Pepcid Complete, Questran,  Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.

Regular Member

Date Joined Feb 2008
Total Posts : 493
   Posted 2/1/2010 8:58 PM (GMT -6)   
some things that really helped me:

-jello, popsicles, pudding, plain broth---always had them around and still do
-having a relative/friend prepare food and sit with me when I ate it
-small snacks (a very few baked chips, saltines and peanut butter, homemade mini muffins) very often
-juice and something small for breakfast, a bigger protein breakfast, a snack, lunch, a snack, dinner, a snack
-staying hydrated (with dehydration, my appetite disappears and I get extremely nauseated)

sending healing vibes!
24+ years with Crohn's/colitis; fistulizing crohn's; ileostomy and proctocolectomy; propranolol and xanax; been on a ton of crohn's meds; praying to get through each day.

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