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hopestar
Regular Member


Date Joined Jun 2008
Total Posts : 67
   Posted 8/1/2008 7:26 PM (GMT -6)   
ok how does this nutrient absorption work without a colon? Do you get dehydrated easier after a colectomy? If you have a colon loaded full with crap will you lose it with the surgery... ?  is weight hard to maintain after a colectomy for colonic inertia? curious?

suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5692
   Posted 8/1/2008 8:55 PM (GMT -6)   
Losing your colon does not mean you will lose your ability to absorb calories.  Calorie absorption takes place in the terminal ileum of the small intestine.  So weight loss should not be a problem except for immediately following surgery.  As for dehydration it can be a problem for some people; I only am careful and conscious of hydration when I am exercising.  Otherwise I drink very little.  Each person is different, you will have to learn how your system will behave.
 
Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 8/1/2008 11:56 PM (GMT -6)   
you do have to watch for dehydration, after a while you will learn the signs of beign dehydrated, and you will know that you need to drink more when you start to feel that coming on.

awesomeame
Veteran Member


Date Joined Feb 2006
Total Posts : 625
   Posted 8/2/2008 6:50 AM (GMT -6)   
as was mentioned you need to keep an eye on your fluid levels. i tend to drink quite a lot, easily over 1 gallon a day, i drink a quart every day within 30mins of waking up, and always have a water bottle in the car for my commute to work. the thing i noticed at first was dry skin..upped the fluid intake and now i have better skin then ever before in my life haha. and yes, you can still get fat LOL...once you're better, calories are something to watch: You'll be able to eat whatever and however much of anything!! :)

--matt
Dec 2006: Proctocolectomy/permanent ileostomy
Since 1991: Indeterminate crohn's/ulserative colitis


Shaz032
Forum Moderator


Date Joined Feb 2003
Total Posts : 1246
   Posted 8/2/2008 9:12 AM (GMT -6)   
hopestar said...
does this nutrient absorption work without a colon? Do you get dehydrated easier after a colectomy? If you have a colon loaded full with crap will you lose it with the surgery... ?  is weight hard to maintain after a colectomy for colonic inertia?
Oh, how I wish!  Once I had surgery, I started eating eating everything and anything I couldn't before surgery - and it shows!  I had/have UC tho so it might be a little different for you.
 
Your colon will be without all that 'crap' during surgery due to the prep. :)
 

I have had an ileostomy for 32 years now due to UC.
 
Moderator of the Ostomy Forum
_______________________________________________
 
I'm not a complete idiot - some parts of me are missing!


hopestar
Regular Member


Date Joined Jun 2008
Total Posts : 67
   Posted 8/2/2008 12:30 PM (GMT -6)   
none of the preps work tried em all, my belly has been so full of crap for 3 months now nothing helps i guess they will just have to operate on a poop filled colon. Most of my weight is due to my full belly literally and swelling due to blockage. i guess im soL

summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 8/2/2008 8:16 PM (GMT -6)   
in this case you really actually ARE sol! i guess they can do the surgery that way, i dont' see how they could do anything else.

peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 8/2/2008 8:26 PM (GMT -6)   

I'm sure that they can but I would think that they'd just have to take some extra precautions to ward off infection.  What about trauma cases - things like stab wounds, gunshot wounds.... they do surgery on them, don't they?

 


Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


awesomeame
Veteran Member


Date Joined Feb 2006
Total Posts : 625
   Posted 8/2/2008 9:10 PM (GMT -6)   
i never had any prep, my colon was full of crap when they cut it out. no infections/no problems from that

--matt
Dec 2006: Proctocolectomy/permanent ileostomy
Since 1991: Indeterminate crohn's/ulserative colitis


hopestar
Regular Member


Date Joined Jun 2008
Total Posts : 67
   Posted 8/2/2008 9:26 PM (GMT -6)   
thanks matt, and all:) u give me hope
Matt- I'm having a different procedure im having  colectomy ileorectal anastamosis, do think that would make a difference?

awesomeame
Veteran Member


Date Joined Feb 2006
Total Posts : 625
   Posted 8/3/2008 6:57 AM (GMT -6)   
i have no idea what exactly that procedure is that you're having, but by 'anastamosis' it sounds like a piece is getting cut out and the two ends reattached. if they can slice and dice me with poop inside i don't know why they can't do it to other ppl

--matt
Dec 2006: Proctocolectomy/permanent ileostomy
Since 1991: Indeterminate crohn's/ulserative colitis

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