Obstruction pains 3 weeks after resection

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spiceman
Regular Member


Date Joined Aug 2008
Total Posts : 51
   Posted 4/8/2012 3:50 PM (GMT -6)   
Hi all.

Just wondered if anybody has experienced any thing like this 3 weeks after surgery? On the 16th March I had my second bowel resection in which I was in hospital for around 6 days and sent home. After about a week being home I started to have obstruction pains very similar to how it was before surgery but with no vomiting and not so as intense as before the operation. The pains are happening in the same place which is in lower right quadrant which I suppose is the new join. The first time it happend I went back into hospital in which I stayed another couple of nights and then discharded. The surgeon told me to stay on a soft diet for another 2 weeks.

Tonight I now I have the same pains as before and all I've eaten is some chicken and potato.

My belly cramps up all hard and gurgles just where the join is and then relaxes after 20 secs and then comes on again a few mins later. Its now been like it for over an hour.

I'm worried this is not normal after 21 days after surgery.
Has anybody had the same and been ok after a longer recovery time??

Thank you

keepingfaith
Regular Member


Date Joined Nov 2011
Total Posts : 360
   Posted 4/8/2012 4:39 PM (GMT -6)   
Why would you eat chicken & potatos after a resection? The poatato, especially, is probably WAY too mouch roughage after a resection. I don't have a full on blockage but after eating a baked potato a few days ago I'm still feeling the pain.

I think you should do what the doctor said and eat very bland and very soft foods.

Hope it stops soon & you heal well!
Current medicine:Humira, Apriso, Zantac, Prilosec, Probiotics, Folic acid, B-12, fish oil, D-3, Zinc supplements, Nortriptyline, tramadol, phenergan, zofran, lortab, flexeril.
Previous meds: Way too many
In current flare since: Feb 2011
"I have Crohn's Disease. Your excuse is invalid." :)

ambling
Regular Member


Date Joined Feb 2011
Total Posts : 316
   Posted 4/8/2012 7:07 PM (GMT -6)   
Hey Spiceman,
It can happen that there is obstructive pain a few weeks after resection. There may still be some wound healing at the join, which can affect movement of the small bowel, and which feels obstructive. Hopefully it will resolve itself (do you have some pain meds or muscle relaxers?) If the pain continues you may want to go back to the hospital.
A peeled potato is considered bland and low fiber (less than 2g.) However you may want to have nutritional drinks until it fully settles.

good luck.

Julia Hill
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Date Joined Mar 2008
Total Posts : 502
   Posted 4/8/2012 7:32 PM (GMT -6)   
I think I would go back to the surgeon and ask for a ct scan of the area to rule out infection or anything else. You didnt mentioned your bowel movements ie how many and consistancy. At 21 days you should normally be able to eat mashed potatoes, cream soups, etc. as you probably know as this is your second resection.

Julia

spiceman
Regular Member


Date Joined Aug 2008
Total Posts : 51
   Posted 4/9/2012 6:32 AM (GMT -6)   
keepingfaith said...
Why would you eat chicken & potatos after a resection? The poatato, especially, is probably WAY too mouch roughage after a resection. I don't have a full on blockage but after eating a baked potato a few days ago I'm still feeling the pain.

I think you should do what the doctor said and eat very bland and very soft foods.

Hope it stops soon & you heal well!
 
Hi Keepingfaith, After having 1 resection 3 years ago and having no problems with eating food I didn't think I should run into these problems this time. As for the potato I was given this 4 days after my operation in hospital so I sure didn't think it will upset my stomach 21 days after.
I have delt with strictures for over 20 years and normally potato is one of my safe foods. Of course no skin.
 
Thank you for your reply.

Post Edited (spiceman) : 4/9/2012 5:42:38 AM (GMT-6)


spiceman
Regular Member


Date Joined Aug 2008
Total Posts : 51
   Posted 4/9/2012 6:37 AM (GMT -6)   
Hi Ambling, I sure hope your right that it might just be the wound taking longer to heal.
I took some tramadol last night which didn't really help a great deal. The obstructive symptoms lasted about 4 hours and now this morning I just feel sore in that area.
 
I'm losing confidence in this operation fast!
 
Thank you for giving me some hope again.

spiceman
Regular Member


Date Joined Aug 2008
Total Posts : 51
   Posted 4/9/2012 6:41 AM (GMT -6)   
Julia Hill said...
I think I would go back to the surgeon and ask for a ct scan of the area to rule out infection or anything else. You didnt mentioned your bowel movements ie how many and consistancy. At 21 days you should normally be able to eat mashed potatoes, cream soups, etc. as you probably know as this is your second resection.

Julia..  Hi Julia, thanks for your reply. I'm now going on a really soft diet for another couple of weeks to see if things settle but yes your right if things don't improve I will be asking for a CT scan. I had some wind last night during these painful episodes which is a good sign but no bowel movements so far.  Thank you.

clonehead
Veteran Member


Date Joined Jan 2011
Total Posts : 613
   Posted 4/9/2012 8:34 AM (GMT -6)   
You're not having any bowel movements or you are having them infrequently? Do you feel better after having a BM? My bowels were slow to respond after surgery, and I had to take miralax for a few days after 1 week. Then, I had loose stools for about 3weeks, but needed miralax again after that.

You could have anything from just being a little constipated to having a problem at the incision site. Probably best to discuss with your doctor to see if they'd prefer to see you again instead of wait two more weeks.
Diagnosed in Feb 1989 at age 14
Just diagnosed, worried about future?
Tips on recovery from 1st surgery

1 Resection: 4" at terminal ileum + 24" of jejunum - June 2011
Current med: Humira (since Mar 2011)
Also take: monthly B12 injection, Calcium, Multivitamin

spiceman
Regular Member


Date Joined Aug 2008
Total Posts : 51
   Posted 4/9/2012 10:34 AM (GMT -6)   
Hi Clonehead, bowels are working ok. Its seems like I have some issues at the new join. It feels very similar to stricture blockage pains
But he removed that narrowing in the operation. I think I will give his secretary a call tomorrow.

How long do people go on a soft diet for after a resection, anyone?

Cheers Clonehead.
1 bowel resection 2008 due to obstructions
Meds-Tapering pred currently 5mg down from 40mg
6MP 125mg

ozonehole
Veteran Member


Date Joined Dec 2006
Total Posts : 543
   Posted 4/10/2012 12:01 AM (GMT -6)   
I've had 3 resections. The last one was the most difficult and took the longest to heal. I had to stay on soft foods for about 2 months. When I say "soft" I mean things like overcooked rice (consistency of soup), Cream of Wheat, etc. Any meat or fish I ate during this time had to be chopped up very fine and mixed in with the overcooked rice. I avoided any vegetables or fruit, or anything uncooked.

The biggest worry after surgery is obstruction caused by adhesions. The only thing a patient can do to help prevent that is to keep active - walk as much as you can. Once adhesions form, it could become bad enough to require yet another surgery.

clonehead
Veteran Member


Date Joined Jan 2011
Total Posts : 613
   Posted 4/10/2012 8:05 AM (GMT -6)   
I've only had 1 resection, it was laparoscopic, and I had no other complications or issues (like internal fistulas, etc.) I was on a soft diet for 1 month. Then, my doctor said I could slowly start introducing other foods over the course of weeks 5-8 so long as it was limited and every thing chewed very thoroughly. I think around the 2-3 month mark I was given the OK to eat more, but I remained more conservative than the doctor allowed for.

One thing the hospital did recommend was that my protein intake (for my body height/weight) be around 100g per day. So, I started tracking protein. It is really hard to get a lot of protein on a soft diet, and I'm pretty sure I wouldn't have been able to without the Ensure/Boost supplement drinks. I ate eggs or egg beaters at least every other day. That helped, too. My soft diet did include fish. Canned tuna, and the frozen Gordon fish filets, for example...things I could make for myself without a lot of effort.

I tried to walk as much as possible, too.
Diagnosed in Feb 1989 at age 14
Just diagnosed, worried about future?
Tips on recovery from 1st surgery

1 Resection: 4" at terminal ileum + 24" of jejunum - June 2011
Current med: Humira (since Mar 2011)
Also take: monthly B12 injection, Calcium, Multivitamin

Roni
Veteran Member


Date Joined May 2003
Total Posts : 2480
   Posted 4/10/2012 8:29 AM (GMT -6)   
You are still in the early weeks after major abdominal surgery. I had a lot of pain for many weeks after both resections, but especially after my second, and also after eating. It just hurt when food and gas were going through that area.

It takes 6-8 weeks to heal and up to 1 year to fully recover, so you can still have pain during that time. You could also be experiencing trapped gas in that area, which can be very painful after surgery.

Make sure you chew your food very carefully. Stick to a more natural diet. And follow the doctor's orders about no bending/lifting/exercise, usually for at least 6 weeks.

Take it easy, and I hope you will have many years of remission!
Co-Moderator for Crohn's Disease and Epilepsy forums.
Crohn's Disease since the 1990s.
Close family member has had epilepsy for more than 45 years.

JaSanne
Veteran Member


Date Joined Oct 2006
Total Posts : 1491
   Posted 4/10/2012 3:21 PM (GMT -6)   
Hi Spiceman,

I'm not sure if you're dealing with the small bowel or colon, but for me, I did have my colon resection close up on me when it healed and had to have a dilatation. The main symptom aside from pain was lack of bowel movement. If you're going "normally" that's a good sign.

I know I was on a bland, low-fiber diet for a quite a while, but I kind of have to do that all the time. Skinless white potatoes and skinless chicken should be fine, but all patients are different.

You can have phantom pain from the severed nerves at the surgery site, especially while it heals, but it's always best to check with your doctor.

Hope you get better soon! -Joy
52 yr. old. Ileocolitis. Hemicolectomy-left side in 2001. Severe chronic pain due to enteropathic arthritis, spinal chord injury, sciatica, and scoliosis. History of endometriosis. Severe depression 4yr.

spiceman
Regular Member


Date Joined Aug 2008
Total Posts : 51
   Posted 4/10/2012 4:41 PM (GMT -6)   
Hi all. Just would like to say a massive thank you to all that have replied to my thread. I feel so much relief that probably what I'm going through is just the normal healing process which can take some time. My new small bowel anastomosis is located 20cm away from my previous ileocecal operation. The surgeon also told me that I had extensive adhesions from my previos surgery which probably was the reason I was getting so bloated all the time.
I'm walking everyday so I really hope that helps with those.

Thanks again and I wish you all the very best.

Tony.
1 bowel resection 2008 due to obstructions
Meds-Tapering pred currently 5mg down from 40mg
6MP 125mg

Julia Hill
Veteran Member


Date Joined Mar 2008
Total Posts : 502
   Posted 4/11/2012 8:32 PM (GMT -6)   
When I had my resections, I was on clear fluids until I passed gas approx. 3 or 4 days. Then I went onto the soft diet (soups, mashed potatoes, etc. for another 4 days at which time I was going through the bowel movement stage. After a bowel resection your stool goes through stages of color and smell. I know from experience when I get to a certain point I can eat. Did the suregon do anything about the adheisions from your previous surgery?

Take care, and take it slow. I would be asking about the adhesions, this pain could be from that and not your new resection site.

Julia

Mictab
New Member


Date Joined Dec 2008
Total Posts : 2
   Posted 8/25/2012 2:50 AM (GMT -6)   
Hi Spiceman,

I know this is an old thread but I am having the exact problem now as you had after your 2nd resection. I had my 2nd resection around 3 weeks ago. Past week I have been eating a little more and today on my bottom right side of my abdomen I'm getting partial blockage symptoms similar to what i was getting before surgery. Rigid painful swelling bottom right of my abdo for around 30sec then it eases for a few minutes then it repeats, exactly same place and same symptoms as I had when I had partial blockages. I was just wondering if yours eventually went way after a few months recovery and if so did you do anything to help? This never happened to me after my first resection.

Kind regards
Michael

Mictab
New Member


Date Joined Dec 2008
Total Posts : 2
   Posted 8/27/2012 12:00 AM (GMT -6)   
Hi Spiceman,

I know this is an old thread but I am having the exact problem now as you had after your 2nd resection. I had my 2nd resection around 3 weeks ago. Past week I have been eating a little more and today on my bottom right side of my abdomen I'm getting partial blockage symptoms similar to what i was getting before surgery. Rigid painful swelling bottom right of my abdo for around 30sec then it eases for a few minutes then it repeats, exactly same place and same symptoms as I had when I had partial blockages. I was just wondering if yours eventually went way after a few months recovery and if so did you do anything to help? This never happened to me after my first resection.

Kind regards
Michael
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