new colostomy questions

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murky
New Member


Date Joined Sep 2010
Total Posts : 2
   Posted 9/9/2010 8:16 AM (GMT -6)   
One of my best friends has been readmitted to the hospital after a colon resection (cancer).
Here are some of his problems
1) stomach and bowel not working right, vomiting bile and having pain
2) on dilotid for pain, causing horrible muscle contractions.
3) nurses having problem putting bag back on.
 
Is #1 a typical problem for people. Do you have suggestions for a menu for him when he gets out. He has what he cannot eat, but no suggestions on how often or what is best to eat.
2) anyone have any alternative choices for pain management
3) this seems ridiculous to me, since nurses do this all the time?

Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3115
   Posted 9/10/2010 5:05 AM (GMT -6)   
1. Ileus can happen and does to many during the first few days after surgery. That's when the small bowel doesn't wake up/goes back to sleep after surgery. Usually an NG Tube will help with the pain/vomiting until they decide to work. Food/Water isn't recommended during that time.

2. Not every pain med works for everyone. Their doc should try something else! There are meds that I cannot/won't take because of their effects on me...it's trial and error but the doc needs to make adjustments!!!

3. Are they a WOC Nurse? If they are not, that could be the reason, but there is a period of adjustment when finding the right appliance...what does their stoma do that they cannot get one on?

Welcome to the forum...your friend is lucky to have you:) Please keep us posted!
Crohn’s dx 1989
some terrible years before my
temporary ileo in 2001
Proctocolectomy w/end ileo in 2008
...wish I knew then what I know NOW!

esoR
Veteran Member


Date Joined Jan 2007
Total Posts : 4147
   Posted 9/12/2010 8:25 PM (GMT -6)   
Post-op ileus. He needs bowel rest with IV and an NG tube. NO food or drink by mouth. THen Clamped trials off of the suction machine. THey take the nose tube off the suction machine and see if he get nauseous. Then they rehook the suction to the tube they left in his nose into his stomach and see how much fluid they get out. As more fluid passes out of his ostomy and less gets suctioned out of his nose tube he is coming out of ileus. This sometimes takes a LONG time. So no food or drink by mouth til his intestines start up again.

Good luck. I had post-op ileus for a month. That is the longest anyone goes. Most don't go that long, but I had a severe gut trauma, so my case was very unique. I got better and so far so good. So keep the faith. Time and NG tubes and IV is his friend at this point. Get the stoma nurses to do the bag.

Rosemary
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