what does it mean to have sitz markers on left side

New Topic Post Reply Printable Version
31 posts in this thread.
Viewing Page :
 1  2 
[ << Previous Thread | Next Thread >> ]

ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/5/2009 9:57 PM (GMT -7)   
hey, so i am doing the sitz marker test. today was my first xray. i swallowed the capsules 3 days ago. the technician said that they're mostly on the left side. apparently this place hasn't done this kind of testing and i'm kind of worried about their interpretation so i thought i'd ask you guys first for some info.

what does it generally mean if the markers are all on the left side? the guy says he can't tell if its on the left side of the small intestine or large intestine o_O but he says it's probably the the large intestine. that's not so reassuring. he's not the doctor who will be interpreting the results though. i haven't had a chance to speak to the one doing the interpretation.

i will be going back on tuesday for another xray. just thought i wanted some more info now. i actually took the capsule a few days after i took a laxative while i still felt the laxative cramping in my system... the laxative didn't leave all the way yet. so far i haven't had a bm since i took my laxative on monday but i can't say for sure it won't make me go tomorrow or early tuesday because that's just how my system is... if i take a laxative it does 2/3 of the job the first 18-24 hours and the other 1/3 usually makes its way through me during the week. right now i'm having a bit of cramps. i can't tell if it's cramps from the magnesium laxative i took on monday... still stuck in my system or because i'm stuffed up from constipation. this is so annoying.

thanks for reading! i hope i'm not wasting a thread.

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/5/2009 10:20 PM (GMT -7)   
first of all, there are endless of threads to spread!!

the markers being in the left colon after 3 days sounds pretty normal, although can't say till you do the last x ray, cause for the next 2-3 days it can just stay stuck there!!

also, you'll have to tell your gi you took a laxative short while before taking the capsule, so maybe these results are not reliable.

good luck and keep us posted.
Hodaya
 
06/05/2007 - STARR procedure 
colonic inertia w/ pelvic floor dysfunction


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/7/2009 8:22 PM (GMT -7)   
just thought i'd post a quick update... so it seems that after 2 days all the markers are pretty much in the same place so the x-ray doctor wants me to go back on friday for yet another x-ray. i hope i don't die from pain/discomfort from going so long without taking a laxative! the x-ray doctor feels that my colon is not particularly bad but that i have a pelvic floor problem or obstruction on the left side, which i've long suspected... so he says he'll talk to my doctor about pfd tests. does his observation sound about valid?
then on saturday i turn 18. go me. 18 going on 80?

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/8/2009 4:06 AM (GMT -7)   
oh gosh, you poor thing.. i know so well how painful it can be going for days and days w/o a bm. hang in there, you'll make it.
how many days after you swallowed the capsule was your last x ray? did the markers reach the rectum? did you have defecography yet? the defecography should show exactly if there's an obstruction within the rectum.

if it's only the rectum, then you'll be great, cause a simple procedure can fix that. i truly hope it's only the rectum and not the whole colon.

good luck and keep me posted.
Hodaya
 
06/05/2007 - STARR procedure 
colonic inertia w/ pelvic floor dysfunction


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/8/2009 10:18 AM (GMT -7)   
thanks :)

i'm on day 6 right now. yesterday's xray was day 5. i have to go back in for another xray on day 8, which is this friday. from what i saw... i don't think the markers made it to the rectum. they were scattered on the left side. nothing past the sigmoid area i think. i haven't had the defecography yet but the x-ray doctor says he'll talk to my GI about giving me one. of course then i have to wait for my doctor and an authorization from my insurance so i probably won't be able to get it done until a month or two from now. i've waited 4 years for testing... for somebody to actually hear me out so i guess it's nice to know that it's not all in my head. 2 months is bearable, i hope. thanks again for reading !

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/9/2009 10:27 AM (GMT -7)   
if after 5 days they haven't reached the rectum yet, then your colon is not doing it's job properly. after they'll do a pelvic floor evaluation they'll be able to know what should be done.

hang in there and good luck.

keep me posted.
Hodaya
 
06/05/2007 - STARR procedure 
colonic inertia w/ pelvic floor dysfunction


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/10/2009 3:53 PM (GMT -7)   
the x-ray doctor was out today because of a family emergency... might be out for a few more days. i have an apptment with Gi on tues. it's hard to get an apptmt with the GI lol so everything might be delayed. either way. i went to the bathroom yesterday. it was really painful and hard and not even that much but apparently when they took the xray again today... the technician said that the markers are mostly gone. i saw one near the rectum and a few a bit on the lower left side like above my hip bone.

does anybody else notice that when they have a bm its feels incomplete like there's a big weight/mass weighing down on the rectum, but then it sorta tucks itself back in and you just no longer feel it? that feeling puzzles me... cus it feels like it gets pushed back up. i don't know. i know the defecograph will tell me more, but my nerves are going crazy right now. lol thanks for reading :)

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/11/2009 11:57 AM (GMT -7)   
the sensation of an incoplete evacuation indicates there's an obsruction within the rectum. what you're describing is exactly it. yes, when it gets stuck, it does go back up and that can sure leave you feeling uncomfortable and bloated which leads to an awful pain in the abd. later during the day.
it could be that your colon is too slow and you also have an obsruction within the rectum, like: rectal prolapse, rectocele, enterocele, anismus. so yep, the defecography is the best test to see for an obstruction.

i know so well how things take so long to happen.. it's a frustrating waiting game. one of the most frustrating things in all of this process.

i know the waiting is hard, i'm going through a really rough waiting game myself right now.
lol, lets try to stay sane together, o.k?

keep me posted.
Hodaya
 
06/05/2007 - STARR procedure 
colonic inertia w/ pelvic floor dysfunction


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/14/2009 4:34 PM (GMT -7)   
went to gi today. i finally had a better look at the xrays. seems that the markers were all over my rectum as well. only 5 markers remained at the 7th day. i had a painful bm on the 6th day. guess that got just about everything out. however, the GI doctor noted that on the 3rd and 5th day i didn't have much stool in my colon. on the 7th day i had a lot of stool yet most of the markers were out. i also found out today that my insurance will not cover the pelvic testing or biofeedback. i'm going to keep looking and hopefully find a loophole or something. i'm kind of stuck in a rut. my parents are elderly and do not/cannot work so money is limited. if we pay out of pocket it would wipe out a large chunk of their savings. biofeedback does not always have the best results from what i have heard. i'm still in school and just recently turned 18. i don't think i can hold a job and complete my studies with this constant discomfort and sickness. i stopped my studies for a year and half a while ago and i would rather not stop it again.

any advice? thanks. take your time to respond since i've seen a few of your posts in other threads and i know you have a lot going on right now. best of luck to you and your surgery hodaya :)

jjfromga
Regular Member


Date Joined Mar 2009
Total Posts : 48
   Posted 4/14/2009 5:20 PM (GMT -7)   
ih8u-
I am currently doing my second round of biofeedback (which has been no help at all). The first time around I paid out of pocket because I could not get my insurance company to pay for it. It turns out that the problem was the way my doctor had my diagnosis listed on my chart. She had it as just "constipation", which I guess is too broad for the insurance co. Try to see if your doctor can list your diagnosis as a pelvic floor disorder, or something that will be allowed by your insurance. Also, if you ask, the doctor can send an appeal to your insurance company explaining why you need the treatment. I don't know if it will help..I did all of these things and it still didn;t work, but maybe it is worth a try? Maybe your insurance company will be nicer about it than mine was.
Good luck!
Chronic Constipation
Pelvic Floor Dysfunction
Botox Injections-2008
Biofeedback- currently


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/14/2009 7:52 PM (GMT -7)   
thanks! i'm going to have to keep calling around tomorrow and bug them to death.
i honestly haven't heard many good things about biofeedback :/ what's your plan of action after biofeedback? also... botox injections were of no help?

jjfromga
Regular Member


Date Joined Mar 2009
Total Posts : 48
   Posted 4/15/2009 12:00 AM (GMT -7)   
I must say I have been completely un-impressed with biofeedback- everyone (my doctors) seemed to think it was a magic cure, but it has not helped AT ALL. Botox injections also did nothing for me. I go back to see my surgeon on monday and we will discuss a colostomy. I have tried everything possible, but nothing has worked. I am miserable all the time.. I think I would be happier with a colostomy than the way I am right now. I have done the sitz marker study as well, two defacography tests (which I failed miserably), anal monometry, pudendal nerve conduction tests, sigmoidoscopy. My pelvic floor just does not work and it sounds like there is nothing they can really do to fix the muscles (they think my musclles and/ or nerves did not develop fully as a child).
What kind of problems have you been having? Is it new, or have you always had problems? Have you had any other tests?
Chronic Constipation
Pelvic Floor Dysfunction
Botox Injections-2008
Biofeedback- currently


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/15/2009 10:20 AM (GMT -7)   
the problems are not new. i've had them for 4 years now. when i was 14 i was on a bus to school and got sick. it was around 6:30am in the morning and no stores were open. i got off to check and all. by the time i made it back home i had been holding in urgent D for like over an hr or it may have been close to 2 hours. don't remember. have had problems ever since.

now if i do manage to have a bm it's quite small and incomplete. it's like my muscles shut down after it lets a bit out and no matter how i position myself or try to relax or push, my rectum is shut. when i try to relax or strain, the pressure is on my perineum and i felt with my hands and it really was pushing on my perineum instead of my rectum.

i've had a gastric emptying study, sitz marker, x-rays, gluten allergy tests and just routine blood tests. it has taken 4 years of begging with doctors before i finally managed to beg one to do the first 2 tests. these doctors were so keen on labeling me with ibs that they didn't want to investigate further. of course, they probably did not want to listen to a teenage girl with parents who didn't speak english. if i want the defecograph done i'm pretty sure i have to pay out of my own pocket.

the thing with the sitz marker is that although i passed majority of the markers by the 7th day... the xray showed a lot of stool in my colon that aren't going anywhere. markers don't draw in water like the stools do...so i don't know.

have you had this problem since your childhood or did a certain event trigger it? i really hope you find some kind of relief even if it's a colostomy. i'll probably be well into my 30s before they even consider cutting me open. i saw your profile and saw that you're doing your masters. that sounds like hell, but yet also amazing.

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/15/2009 2:11 PM (GMT -7)   
you poor thing, and you're only 18?? i don't know how things work in the USA, but in israel the biofeedback and defecography are covered. but maybe if you can convince your gi that you need the defecography, then maybe with his recomendation the insurance will cover it. the defecography is truly the best test to diagnose obstructions within the rectum.

you MUST insist. you have to keep telling your gi you always feel an incoplete evacuation and that you want a defecography. tell him how bad you feel all day b/c of it and how it effects your whole life. cause really, if it takes over your life like this, then it's something he must look into. you just have to be persistent!!! if he sees that it bothers you THAT much, then he may start taking you more seriously. if he doesn't cooporate, then you must find another dr who'll listen to you.

honestly, it took a while (that's an understatment) for the drs to listen to me too. i was 20 when i started having probs and my dr kept telling me there's nothing wrong with me and it's all in my head... i really started believing that it was truly all in my head and just lived with it for so many years, but really... my life was not considered to be a life at all. i didn't have ANY quality of life since then. but you, you must know it's nothing psycological and insist on having this test done. only then you can know what's really going on with your rectum.

so guess what, when i finally had this test done, it turned out i had MAJOR rectal prolapse and a rectocele. i don't know if the fact that it wasn't taken care of for more than 10 years was the cause for my colon to become so paralized. when it comes to functional and anatomic probs in the digestive system, the drs rarely have a way of knowing what was the cause for it. in some cases they may, but in most cases they just can't have a way of finding it out.

as for biofeedback, i had 3 mons of it and it really didn't change ANYTHING for me. it helped me getting rid of the constant chronic pain i had from the STARR procedure and i'm SO thankful for that, but as for my bms - nothing.

i truly hope you can make your gi notic your misery and be able to have the defecography.

i will add you to my list of prayers!!
Hodaya
 
06/05/2007 - STARR procedure 
colonic inertia w/ pelvic floor dysfunction


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/15/2009 3:41 PM (GMT -7)   
thanks. it's not that my insurance won't do the defecograph. the place won't take my insurance lol. there's aren't many in NY apparently it's one of the few that does do the testing and it won't take my insurance because it's attached to medicaid. they gave me a vague explanation for it, but it wasn't helpful. my GI is trying to push the insurance company for biofeedback. he does listen to me but i think he just doesn't know what to do with me any more. it's insurance that's a problem. my insurance company directed me to a directory of radiology clinics i can try calling so i'm going to get to it tomorrow since it's past closing time now.

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/15/2009 4:44 PM (GMT -7)   
good luck with the insurance, the test.. everything, and me updated.
Hodaya
 
06/05/2007 - STARR procedure 
colonic inertia w/ pelvic floor dysfunction


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/16/2009 2:18 PM (GMT -7)   
thanks. i'm curious...did the starr procedure improve anything though like incompleteness? oh and when's your surgery scheduled for? i wish you the best of luck as well :)

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/16/2009 3:18 PM (GMT -7)   
thanks so much, little lady (you are a little lady!). well the prolapse of my rectum caused the whole outlet to be blocked, so before the STARR even when i took the strongest laxatives, when the stools was finally reaching the rectum it would get stuck and only if it was liqiud then it could pass, but i had to push it out REAL HARD even though it was liquid.

after the STARR for the first 2-3 mons i actually had spontaneous bms, they were small amounts, but still, they were spontaneous!! after 13 yrs of forgeting what a spontaneous bm is, it was amazing for me to have those, it actually seemed like a miracle to me, lol. but then it gradually but pretty quickly began to return to the way it was, but that's b/c the major prob is that my colon itself is paralized and not pushing the stools, so the stools doesn't even reach the rectum for at least 8-10 days. i never felt any urge to go befor the STARR too, so i know my colon was paralized way back before the STARR.

but the STARR still was a good thing, cause now when i take laxatives, when the stools reach the rectum it can pass through. the defecography i did 6 mons after the STARR showed i have no prolapse anymore, just a very minimal level of anismus though. so at least now i can have relief with the laxatives, but still the colon has to go.

i don't have a date yet for surgery. things are taking too long to happen and it's really frustrating. my drs had a final consultation 2 mons ago and they said surgery is certainly an option, but they want me to see a psychiatrist first to make sure i'm ready emotionally for this kind of surgery. well my gi noticed that ever since he mentioned the word surgery i got in to a lot of anxiaty, he just couldn't help not noticing that, and it's true, i was in a lot of anxiaty for the last few mons, but i feel like i'm so over it now and ready for surgery.

my gi told me he'd let me know when i can start my sessions, but it's already been 2 mons and he hasn't called yet. oh.. the frustration of waiting........ honestly, i feel i can't wait anymore, so i'm planing to call him this coming sunday (he was gone for the holydays) - i hope he's back, and tell him that i don't want to wait anymore and i want to go a head with the surgery as soon as possible.

say a prayer for me on sunday that he'll agree with me.

i'm looking forward to hear about your progress too.
Hodaya
 
06/05/2007 - STARR procedure 
colonic inertia w/ pelvic floor dysfunction


jjfromga
Regular Member


Date Joined Mar 2009
Total Posts : 48
   Posted 4/16/2009 6:04 PM (GMT -7)   
I have had computer issues for the last two days., so I haven't been able get on here =(

ih8u- Your story sounds miserable. Sorry you're having such a hard time. Your symptoms sound similar to mine- I have pelvic floor dysfunction, so the muscles do not relax and I cannot make the poop come out. I spend hours a day trying to go and usually only manage to get a little tiny bit out. I try to relax and hope it helps but it never does. I had similar results on the sitz marker study as well. I was able to pass most of the markers by the 7th day,but I still never got out most of the stool that was in there. I don't know if they just found their way to the bottom of everything or what.

Whatever you do, just make sure you insist that your doctors do the tests you need and that they continue investigating your problem. It can't be fixed until they are able to identify the problem. I have had to go through several doctors to finally find one who listens to me and doesn't think I'm crazy. I even had one doctor tell me that she didn't think anything was wrong with me and gave me a prescription for an antidepressant and told me to visit a pain clinic if that didn't help!!! I think a lt of people just do not take GI issues seriously.

I have had some problems with constipation probably my whle life if I really think back about it, but it has really been out of control for the past 4 years. The hardest part has been trying to convince people that I'm nt crazy and that there really is something wrong with me.

I hope you get your insurance figured out so you can get the tests you need. God luck, let me know how it goes.
Chronic Constipation
Pelvic Floor Dysfunction
Botox Injections-2008
Biofeedback- currently


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/16/2009 7:40 PM (GMT -7)   
thanks guys :) it's nice to hear people going through the same thing (yet not so nice at the same time, but i hope you get what i mean lol) are you considering surgery if biofeedback doesnt work out, jjfromga?

jjfromga
Regular Member


Date Joined Mar 2009
Total Posts : 48
   Posted 4/17/2009 12:09 PM (GMT -7)   
Yes! I have got to do something! I go see my doctor on Monday, and we will discuss options. We have talked before about either doing an ACE procedure or a colostomy. (Antergrade Colonic Enema- basically they use your appendix and bring it outside your abdomen and leave it hooked up too your colon so you can irrigate it every day and flush everything out. ) Idon't think this will work for me because it doesn't address the problem I have with relaxing the muscles and sphincter, so I think I will be heading for a colstomy. I have had a lot of time to think about it and I think I'm ready to just get it over with so I can move on with my life. We'll see what he says on Monday.

Have you heard anything else about being able to get your tests done?
Chronic Constipation
Pelvic Floor Dysfunction
Botox Injections-2008
Biofeedback- currently


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/19/2009 12:35 AM (GMT -7)   
gl on monday! no luck so far. going to have to call up insurance on monday again. does anybody notice their acne worsens terribly with the constipation? it keeps getting worse as my stomach feels worse.

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/19/2009 1:30 AM (GMT -7)   
gosh.. don't know, never had acne.
Hodaya
 
06/05/2007 - STARR procedure 
colonic inertia w/ pelvic floor dysfunction


jjfromga
Regular Member


Date Joined Mar 2009
Total Posts : 48
   Posted 4/19/2009 5:16 PM (GMT -7)   

Thank you! Good luck to you as well!

I don't know about the acne..I always break out when I am about to start my period, and my stomach always feels worse around this time as well. I'm not sure why this is. That's all I can think of that may cause it. I'm not much help I guess.


Chronic Constipation
Pelvic Floor Dysfunction
Botox Injections-2008
Biofeedback- currently


ih8u
Regular Member


Date Joined Feb 2008
Total Posts : 33
   Posted 4/23/2009 1:31 PM (GMT -7)   
thanks. it may not have anything to do with the constipation i guess...idk

i found a place that does biofeedback + accepts my insurance and i'm waiting on an authorization from my insurance for the defecograph. the doctor that does biofeedback is a colorectal surgeon. they sound comprehensive and it's with a major hospital in my area. the lady i spoke to... said the doctor won't see me without a defecograph, but yet the center also administers the defecograph.

i didn't have such a nice chat with physician's assistant because i was tired from school + insomnia? (slept for... 6 hrs the past 2 days) and didn't get my words through clearly i guess. we were borderline arguing because i wanted to see the doctor without the defecograph. she said sitz markers stuck by the rectal area + inability to relax muscles does not constitute as pfd... only the defecgraph can diagnose that. she won't let me make an appointment ahead of time either. with big hospitals the wait is usually pretty long and if i wait until AFTER i get my authorization and defecograph to make an appointment... who knows when i'll get an appointment. i know none of it is her fault and she's just doing her job but i started tearing up.
New Topic Post Reply Printable Version
31 posts in this thread.
Viewing Page :
 1  2 
Forum Information
Currently it is Saturday, December 16, 2017 9:37 PM (GMT -7)
There are a total of 2,906,349 posts in 318,946 threads.
View Active Threads


Who's Online
This forum has 158283 registered members. Please welcome our newest member, Coe-Coe.
281 Guest(s), 2 Registered Member(s) are currently online.  Details
Traci, mareish