Question about prep for reversal...

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2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 12/12/2008 12:39 PM (GMT -6)   
I've had a temp ileostomy for three months and I'm having it reversed on Monday.  My prep starts on Sunday with an all liquid diet and some bisacodyl (?) tablets at noon.  Then at 6pm I'm supposed to drink the HalfLytely until the stuff coming out of me runs clear.  My question is, how do you do it with the bag?  I mean I would imagine it comes out really fast, isn't it difficult to empty the bag?  Am I going to be in the bathroom the whole time with the bag open so it can empty into the toilet? 
 
I just have this image of the bag filling so fast I won't be able to keep up.  Can anyone tell me what their experience was like?  I have to admit I'm a little miffed because I was under the impression I'd never have to drink that stuff again....yeah right!
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - 3/13/07
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Take Down Surgery Scheduled - December 15, 2008
 
The whole world is at your feet; so paint your toenails Red!
 


Marsky
Veteran Member


Date Joined Jul 2007
Total Posts : 1956
   Posted 12/12/2008 1:36 PM (GMT -6)   
When I had my temporary colostomy, my prep for the take down surgery was much easier than trying to clean out my entire colon. I held a bowl or bucket and sat on a stool near the toilet. I told my family I needed the bathroom. All I have to say is I am doing a bowel prep and they not only give me the bathroom but leave the house (I've done bowel preps at least 10 times now)! But it was different. I just recall having either hand wipes or baby wipes for drips and quick wipe ups. A garbage can with bag inside, one or two boxes of tissues, etc. I was ready with everything I could think of in case I had a major mess on my hands. My colon doc said I wouldn't want to stoop and lean over the toilet. He recommended the bucket. I can't even remember what I actually used to catch the stool. Probably an old mop bucket and I may have pitched it after my prep was over. But it did go fairly well and I don't recall any wild or urgent eruptions. Just steady output when it started.

I also recall taking my bag off. Hours later when I knew all the output was over, I put a fresh wafer and bag on.

The wipes were nice to clean up around my stoma too. In between sitting there and waiting for more stool to come out.

Post Edited (Marsky) : 12/12/2008 12:39:11 PM (GMT-7)


2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 12/12/2008 1:48 PM (GMT -6)   
Marsky, thanks so much for your reply! It sounds like it's fairly constant once it starts. Do you have any idea how long it lasts? Lucky for me I have a book to read, maybe that will keep me occupied while I'm in there if I don't need my hands. Right now I use the little pouch but I have some larger ones I can use for the prep, maybe it will be long enough to drain into the bucket without much help. Either way it's got to be better than the normal prep.

Also, the doctor said I only have to drink the stuff until it's clear, did that take long? Sorry for all the questions, but I guess I'm anxious about it and any more help you can give would be appreciated.
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - 3/13/07
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Take Down Surgery Scheduled - December 15, 2008
 
The whole world is at your feet; so paint your toenails Red!
 


Marsky
Veteran Member


Date Joined Jul 2007
Total Posts : 1956
   Posted 12/12/2008 2:00 PM (GMT -6)   
I had my temporary colostomy 9 years ago so some of these important details are fuzzy. I know you will receive more replies so just be patient. I know we have members here who have colonosocopies so they'll be able to tell you how long the prep lasts. I remember it coming in spurts. I did stay in my bathroom area for quite a while though. I didn't venture into my bedroom and begin watching TV, for example. Like you I had plenty to read and kept it all nearby.

I had another suggestion, I recall buying a box of surgical type gloves. They would come in handy too. Just in case things do get messy.

But since I wasn't cleaning out the entire colon and only a portion of my colon, the output was shorter. So since you have an ileostomy your output time (overall) would probably be shorter than mine was. My colostomy was located on my left hand side just before the colon descends down. So I was cleaning out more of my GI tract than it sounds as if you are.

I was skeptical when my surgeon kept saying bowel preps were easier on patients with ostomies. I didn't believe him until I went thru it. It was easier!

Once you're done make sure you put a fresh bag on. There will be some output, even if small in amount, you wouldn't want to go without a bag.

2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 12/12/2008 2:04 PM (GMT -6)   
Thanks again. The surgical gloves are a good idea! Yeah, mine is on my right side. I've had colonoscopies before (too many to count) and it can't be as bad as that! The hard part of all this for me is drinking the prep fluid. Ewwww!!!!
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - 3/13/07
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Take Down Surgery Scheduled - December 15, 2008
 
The whole world is at your feet; so paint your toenails Red!
 


Marsky
Veteran Member


Date Joined Jul 2007
Total Posts : 1956
   Posted 12/12/2008 2:19 PM (GMT -6)   
I just do not do well with the prep either. No matter what I do, I get nauseous. I'm lucky if I can keep the second Fleet's Phospho Soda dose down. One thing I also do differently is I try and consume most of my liquids early in the prep day before I begin the laxatives. So by the time I am going into taking the meds, I've had at least 3/4 of my total fluid count recommended. The more I drink later, the fast it all comes out and the more I feel sick to my stomach. I also keep focusing on the following day, when it will all be over with!
Marsky/Mary's story.....
- Diagnosed with rectal cancer, April 1999 - Stage I, no treatment necessary
(5 hour colon resection: 90% sigmoid removed, 15 inches of colon removed, gall bladder removed, given temporary colostomy)
- Colostomy reversal, June 1999
- Left with IBS/D symptoms, multiple bm's every day
- On a low residue diet at least 75% of the time
- Takes Colace 50 mg each evening

All in all I do okay, I just use the bathroom A LOT! But I survived and beat cancer!


Miss UK
Regular Member


Date Joined Oct 2007
Total Posts : 128
   Posted 12/12/2008 5:23 PM (GMT -6)   
I know nothing, just wanted to wish you huge luck for everything going great for you.  Let us know how it went :-)

mom9mom
Regular Member


Date Joined Sep 2008
Total Posts : 489
   Posted 12/13/2008 12:22 AM (GMT -6)   
It has been 6 months since I had my reversal but I do remember that it was not to bad.But I hope you have two bathrooms.I do remember that the bathroom by my bedroom was basicly mine for the whole day and half of the night befor surgery.GOOD LUCK.
Lost half of my small intestineJan.2008.Ilieostomy for 5 months then reverst in June 2008,Nerve damage to right leg,part of my right hip bone removed Jan. 2008,Cronic pain,hernia,infection in my back called discites,and depression.Gallbladder removed Nov,2008.Mother to 9 kids 7 boys 2 girls and 1 stepson.4 grandsons,9 grandaughters.4 of my grandkids I inherited from my twin sister who passed away 6 1/2 years ago from a blood clot after surgery.God has given me my life back after I almost lost it.Even though its a painful and sometimes hard road to walk I take it one step at a time and give thanks to god for every step I take.


summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 12/13/2008 10:27 AM (GMT -6)   
There is a thread on the UC forum about some of the preps being blackboxed. Apparently they are causing some kind of weird kidney disease. If i werent' so lazy right now i would put you a link.

2 RIS K
Regular Member


Date Joined Aug 2008
Total Posts : 367
   Posted 12/13/2008 11:17 AM (GMT -6)   
Summerstorm, I went out and found it anyway. Thanks for the info. That's scary!! I've used lots of phosphosoda too and haven't had any problems like it said, at least not yet, but I'm definitely glad I don't have to take that anymore. This should be the last time I have to take the HalfLytley too, with any luck!

Reversal surgery in two days!! Counting down....very nervous. My anxiety level is building so high my stomach hurts...
Amanda
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - 3/13/07
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Take Down Surgery Scheduled - December 15, 2008
 
The whole world is at your feet; so paint your toenails Red!
 


Roddiesgirl
Regular Member


Date Joined Oct 2008
Total Posts : 262
   Posted 12/13/2008 3:43 PM (GMT -6)   
Hey Amanda!!  Just want to wish you the best of luck with your surgery on Monday!!!  You lucky girl :-) ....Cheryl

GISGuy31
Regular Member


Date Joined Feb 2008
Total Posts : 79
   Posted 12/14/2008 1:28 AM (GMT -6)   
I just had a ileostomy reversal and j-pouch surgery during my last surgery 3 weeks ago. My first surgery was where they just removed my colon and created the end ileostomy.

I'm surprised they prescribed a bowel prep for you. Do you have any colon left, a colostomy? If not, then taking a bowel prep is not necessary. My bowel prep for my last surgery was...day before surgery, eat a normal breakfast, then a light lunch, and then nothing else for the remainder of the day, then the standard nothing to drink or eat after midnight. My surgery was at 7:00 AM the next morning.

I would question a bowel prep from any doctor that says you need one when you have just an ileostomy. If you have any part of your colon with stool, then it makes sense to have a bowel prep. Otherwise, your just dehydrating yourself.
Age 0 to 30 - 100% healthy, no meds, no doctor visits, no hospital stays
Oct. 2006 - Symptoms of UC began
3/5/2007 - Diagnosed with UC - Pancolitis (entire colon involved)
20mg-40mg/day Prednisone, 4.8 g/day Asacol - didn't work at all
10/12/2007 - Steroid Induced Osteoporosis from Prednisone and Anemic
add Actonel (75mgx2 pills/month) and daily iron pills
2/12/2008 - open Subtotal Colectomy with Temporary Ileostomy Surgery
8/05/2008 - Unexpected surgery to remove blockage caused by scar tissue
11/20/2008 - J-Pouch and ileostomy Reversal Surgery - finally normal again!!!
"When life gives you lemons...make lemonade"


sfgiantsjo
Regular Member


Date Joined Feb 2007
Total Posts : 420
   Posted 12/14/2008 10:20 PM (GMT -6)   
I always question bowel preps since I've had my colcon removed, and every time I do, the surgeons say that I do NOT need to do anything, other than the whole liquid diet for a certain amount of time. I always thought of it as a benefit to having no colon. :)
If at first you do not succeed, then skydiving is surely not meant for you.


Jo - UC, total colectomy and ileostomy on August 24, 2007. Step 2 & ileostomy switched to left side - May 27, 2008, and take down August 8, 2008. Gallbladder removed December 5, 2008. LIFE IS GOOD.

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