sitz marker study

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New Member

Date Joined Jun 2008
Total Posts : 3
   Posted 6/26/2008 1:12 PM (GMT -7)   
I am having a sitz marker this week, had my fourth x-ray today and most markers are still there.  I have been reading about colonic inertia and think that may be my problem.  Surgery scares me to death.  I am having trouble finding out exactly how the surgery is done.  I know that all or part of the colon is removed, but what I'm not sure about is whether you have to have a bag afterwards. 
I had gastric bypass surgery three years ago and my chronic constipation began about a year afterwards.  I don't know if the two are related or not. 
After the sitz marker study, where many markers are still there on the fifth day, what will happen next?  Does anyone have an idea of what I can expect?

Regular Member

Date Joined Apr 2007
Total Posts : 385
   Posted 6/26/2008 6:50 PM (GMT -7)   


It's according to how many markers are left. You can have some markers left and it will be considered a normal study. I had all of them left after nine days.

Is this the only test they've done so far? If so, you'll probably need to do an anomanometry and defeocography as well. You want to make sure nothing is structually wrong before having the surgery, otherwise you could end up the same way after the surgery which is what happened to me.

A colectomy does not involve a bag...that's a colostomy. Of course things could go wrong during the surgery that would require you to possibly have a temporary bag.

Breast Cancer at 37; bilateral mastectomy with reconstruction.
Colon resection 2004; Sub-Total colectomy September 2007 for colonic inertia - didn't work.
Son (HLA B27 positive) diagnosed with Crohn's at 17 (now 21). Taking Asacol and 6MP with Prednisone and Rowasa added during flareups. Recently diagnosed with ankylosing spondylitis - now on Humira.
Husband HLA B27 postive with ankylosing spondylitis and psoriatic arthritis.

Regular Member

Date Joined Aug 2007
Total Posts : 185
   Posted 6/26/2008 8:02 PM (GMT -7)   
I had my colon removed in Oct 07.

I was dx'd with colon inertia. I took the sitz marker test and after 5 days 23 out of the 24 markers were left in my colon. I had all the pelvic floor function tests and they turned out normal so the surgeon was able to remove the colon and reattach everything back to my rectum.

The surgery was the hardest thing I've ever done in my life! I don't mean to scare you but I do mean to prepare you. That being said I'm 9 months out now and I can say it's one of the best things I've done for my health.

I was told I would be in the hospital around 6 days. But because my bowels didn't 'wake up' I ended up being in the hospital 11 days. When you have the surgery your bowels stop working and have to wake back up. They were afraid I had a blockage and did x-rays and then a Cat scan, but it was clear.

They wouldn't let me eat anything. I was only able to have ice chips and suck on hard candy. My advice on this, if your bowels are taking long to wake up and they aren't allowing you any nutrients then ask about a TPN. It's nutrients given thru the IV. I got very weak and was losing weight.

Then around 6am the morning of the 11th day I was in bed and my bowels just broke loose. I had no control. They got me unhooked from my IV pole and let me get in the shower and the poor nurse had to clean up my bed.

I had to eat a meal and see how I felt before they would release me. (Hospital food never tasted so good) You'll be on a low residue diet once released. My first meal home was: Roasted chicken, salad greens with dressing, cooked carrots, baked potato without the skin but with plenty of sour cream :), string beans and a dinner roll.

Everyone is different but I only had one accident after I got home. You might want to buy some Chucks to keep underneath you wherever you sit and on your bed.

I had bad spasming of my small intestines. The doctor said that sometimes people dx'd with IBS before the surgery have this. He gave me Symax which helped but he mentioned how stress effects the gut and to try and keep the stress down (yeah, right). Well, I have a prescription for Xanax so I thought I would try taking one with my meals and lo and behold that has helped tremendously.

I also take a stool softener because after about two weeks things seemed to have slowed down. I think my bowels are just slow, so I just take the stool softener for my own peace of mind. Maybe at some point I'll try not taking it and see how I do, but for now I do. I also take a good probiotics. After going thru this surgery the good bacteria in your gut is probably none existent.

I go out to eat with no problems. No worrying about making it to the bathroom. I thought that would be an issue but it hasn't with me. My stools have a normal consistency.

Also, no one informed me that this surgery would probably throw my menstrual cycle off. I had my period the week before surgery which I was glad about because I didn't want to be on my period at the same time, but I started my period a few days after surgery so be sure and bring proper underwear and pads just in case. The hospital pads aren't comfortable.

The most painful part for me was they pump you full of CO2 to do the surgery. Well that gas has to go somewhere and if your bowels aren't working you can't get it out. They tell you to walk, walk, walk. Well walking never got it out for me it made it go further up under my ribcage and shoulder. VERY painful.

Take advantage of your pain pump.

It's also good to have someone who you know is going to be there the first night and next day. My husband went home after the surgery and the next day when I was coming out from anesthesia I was confused. Didn't know what day or time it was.

If you have any questions please ask.
Control is an illusion. The only control we have is our response to people and situations. - Kim Martin

New Member

Date Joined Jun 2008
Total Posts : 3
   Posted 6/26/2008 8:11 PM (GMT -7)   
Thank you for the insight. I never imagined when this all started that constipation could be such a serious problem. The only other test I have had, other than blood tests, is a colonoscopy, which turned out normal.

Veteran Member

Date Joined Sep 2007
Total Posts : 687
   Posted 6/27/2008 3:38 PM (GMT -7)   

I agree with all the other in that it depends on how many are left. I had all of them there after 7 days or whatever it was. They were all in my transverse and descending. I had my entire colon removed for colonic inertia on Jan 28 of this year and it was a very long and hard recovery, but i would do it again. If you have any questions.....let me know. I do not have a bag and most of us who have it for colonic inertia do not....they connect the ileum to the rectum in what is called an anastomosis.


New Member

Date Joined Jun 2008
Total Posts : 3
   Posted 6/27/2008 5:33 PM (GMT -7)   
I had my last xray today but the tech wouldn't tell me anything. Thank you for your response. Talking to others about the possibilities make it a whole lot less scary.
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