Possible obstruction?

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Janiepain
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Date Joined Jan 2007
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   Posted 11/25/2010 9:27 AM (GMT -6)   
I had a total colectomy 18 months ago for colon inertia. I have still had issues with constipation, but taking miralax 2x a day helps alot. I've been able to eat most things without any abdomen distress...but 2 nights ago I ate a hot dog...first time since surgery. Yesterday I woke up with my belly aching and so bloated. I've gone to the bathroom several times, (small amts) but it's very yellow and liquidy (liquidy from miralax)..but yellow? Last night I only ate soup for dinner, and this morning I'm still bloated and have some pains. I'm scared to eat today....tried gas x, but didn't help. does this sound like partial obstruction and dare I eat today??

Thanks and Happy Thanksgiving!

Janie

P.S. I've been on antibiotics (clindamycin) all week for a spider bite. I've been taking probiotics with it, but have stopped taking it since I just had one pill left. It can cause nausea, diarrhea, etc but I don't have that. Just abdomen pain...could that be the cause I wonder?

Post Edited (Janiepain) : 11/25/2010 7:33:44 AM (GMT-7)


pelztier86
Regular Member


Date Joined Apr 2009
Total Posts : 401
   Posted 11/25/2010 9:54 AM (GMT -6)   
Yes, antibiotics alter intestinal microflora, hence the change of the colour of your stools.
Some antinibiotics cannot only cause diarrhea but also constipation and different people react differently.
It is very likely that you have abdominal pain from this, especially if this is rather constant and not colicky.

2b ColonFree
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Date Joined Nov 2008
Total Posts : 2603
   Posted 11/25/2010 3:51 PM (GMT -6)   
hi Janie,
 
sorry you're in so much pain. i would relate the pain to eating the hot dog (really not good for us), esp since it started a short while after eating the hot dog. i don't know much about antibiotics, but maybe that can contribute to worsen things even more.
 
in cases of obstructions/partial obstructions what you should do is take pain meds and put your self on liquids for couple days till it all clears out. most times that's enough to clear it out. but if it doesn't get better within say 3 days, or you start vomiting uncontrolably, then you must see a dr.
 
i used to have these obstructions every once in a while before and after my colectomy. for a long time i refused to take pain meds (just have a terrible fear from taking too many meds), and usually just put my self on liquids till it slowly clears out. i usually didn't vomit and could tolerate liquids, so i thought what's the point in going to the er..? they would have done the same thing - pain meds and liquids through iv. as long as drinking is not painful and you're not vomiting, you can do it by yourself at home. but when it gotten too bad i went to the hospital.
 
i hope it clears out soon, let us know how you're feeling, k?

pelztier86
Regular Member


Date Joined Apr 2009
Total Posts : 401
   Posted 11/25/2010 7:55 PM (GMT -6)   
Hoddaya,

what you say is right. However, in my opinion one must not assume an obstruction only because one's having abominal pain. If I did that I would constantly live in fear since I live daily with bloated/full stomach/bowel feeling and aching. An obstruction is one level up. IT is not "just" belly aching that is a little worse than usual. It is mostly very bad, often colicky pain and I could not read in Janies posting that the pain level is that high.
Sure, it doesn't hurt to saty on liquids for some time since this bowel rest would do at least no harm in any case.

pelztier86
Regular Member


Date Joined Apr 2009
Total Posts : 401
   Posted 11/25/2010 9:35 PM (GMT -6)   
Clindamycin Side Effects (Systemic i.e. oral or injectable infusion)
Common

* Abdominal pain
* Abnormalities in liver function tests
* Diarrhea
* Esophagitis - inflammation and irritation of the esophagus/esophageal lining
* Jaundice
* Nausea
* Pruritus - itching
* Pseudomembranous colitis
* Skin rashes
* Urticaria - hives
* Vaginitis - a type of vaginal infection
* Vesiculobullous rashes - a type of severe rash
* Vomiting

tinkerbell2
Regular Member


Date Joined Jun 2009
Total Posts : 418
   Posted 11/26/2010 5:38 AM (GMT -6)   
Hi Janie,

pelz is correct that certain antibiotics alter intestinal microflora, and I want to warm you that my DH was taking Clindamycin (he has no colon issues at all, healthy) and ended up with c-diff! He was pretty sick and didn't realize that it was the Clindamycin! You really need to call your GI on this as they will need to test your stool.

snugglesaurus
Regular Member


Date Joined Apr 2010
Total Posts : 206
   Posted 11/26/2010 4:46 PM (GMT -6)   
Clindamycin makes me super nauseous and even vomit. They say I'm not allergic to the 'mycin' family because I don't have any rashes or hives, etc.

Stick to liquids and pain meds like the others have suggested.
Diagnoses: Colonic Inertia, Rectocele, Anismus
Surgery: November 9, 2010 - subtotal colectomy with anastomosis

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 11/27/2010 1:02 PM (GMT -6)   
Sarah, you're very right - there's a huge difference b/w an abd pain and the pain of a real obstruction. i only know about my self that many times i'd get the obstruction like pain and know that if i don't put my self on liquids, it will easily worsen into a real obstruction. i can recognize many times the kind of pain that can lead to a real obstruction and stop it on time. most times it's a kind of pain that i can hardly move. however, sometimes an obstruction can come all of a sudden w/o any worning.

what i know about my self is that many times in the past i got the obstruction like pain, but it wasn't that bad, and i ate more and then i developed a real obstruction. so now i know i have to stop eating when i get this pain and put my self on liquids, before it turns into a real obstruction.

Post Edited (2b ColonFree) : 11/27/2010 11:06:08 AM (GMT-7)


Janiepain
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Date Joined Jan 2007
Total Posts : 662
   Posted 11/27/2010 11:13 PM (GMT -6)   
Hi everyone,

Just checking in, and thank all of you so much for the information and suggestions. I haven't had a chance to check back in since I posted, I've had my 2 year old grand daughter since Thursday (my son and daughter in law are moving this weekend) so I've been busy. Where do 2 year olds get their energy? She's going home tomorrow morning and I know I'll miss her, but I am totally exhausted and looking forward to a relaxing Sunday..

I'm sure it wasn't an obstruction. It was very painful Wednesday but Thursday I ate some, but not nearly as much as I wanted and didn't have any pain,. I felt much better. Today I ate a small piece of pecan pie though and the pain came back, but only for a hour or so. I took 2 gas ex and used a heating pad. Tonight I had a chicken sandwich and no pain..it's just strange because I've been able to eat pretty much anything since surgery and not have pain.

I was taking the antibiotic because of a spider bite. I waited two days to go to the Dr. (stupid me) and by then I had cellulitis and needed antibiotics. I had never taken this antibiotic before and didn't have any trouble the first 6 days, so I'm not sure if that was it or not. I did take the probiotics with it, and questioned the Dr about taking it but he said I really needed to because the bite was looking bad. The other option was a sulphur antibiotic and they make me so sick.

Thank you all for your suggestions and information! Hodaya, you're so sweet...always there right away with an answer! Love you sweetie:)

Janie

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 11/28/2010 3:33 AM (GMT -6)   
love you too honey ♥♥ glad you're better now :)
Hodaya
06/05/2007 - STARR procedure
colonic inertia w/pelvic floor dysfunction
08/16/2009 - total colectomy w/ileorectal anastomosis
07/08/2010 - loop ileostomy
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