Sitzmarker in Small Intestine

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TickledPinkTwice
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Date Joined Mar 2011
Total Posts : 242
   Posted 4/25/2011 7:42 PM (GMT -6)   
I was going through all of my medical records and was looking at my day 4 Sitzmarker x-ray. I noticed there was a marker in the middle center. All of the other was in the ascending colon but just that one was left in what appears to be the small intestine. Has anyone had this happen? Would this maybe show a slow small intestine too? Yes, I know I overthink everything.
 
 
ADDED QUESTION: My report states "Bowel  gas pattern is within normal limits" if this is the case then why in the world is my distention so bad?!
 
Another thing I noticed on day 4 it shows that all of my markers are between my Cecum and Hepatic Flexure but in all of the diagrams I am seeing the Cecum in on the right side but these markers are straight dab in the middle of my abdomen.

Post Edited (TickledPinkTwice) : 4/25/2011 7:11:50 PM (GMT-6)


2b ColonFree
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Date Joined Nov 2008
Total Posts : 2603
   Posted 4/26/2011 2:06 AM (GMT -6)   
hi Tickle,

don't try to interpret the x rays on your own. in my last sitz test my first x ray was on day 5. i looked at it in the computer (i asked the teck to let me take a look) and it showed most of the markers were at the middle of the abd. the tech and i (she's no radiologist) thought they were all still in my small intestine, which freaked me out. then on day 7 they were all in the descending colon.. that was SO confusing lol.... but then my gastro explained it to me that it seems my transeverse colon over the yrs of severe C collapsed and was sitting on my pelvic.. so what seemed to be middle abd and location of markers in small bowel - tunred out the markers were actually in the traseverse colon. it is very possible this is the case with you too. i wouldn't be surprised, it happens to lots of ppl with CI. this also covers your question about the hepatic flexure.

i'm sure when you see your dr he'll be able to clear all your questions :)

my report also said "Bowel gas pattern is within normal limits", but i guess the bloat is from all the stools in there and not necessarily the gas.

let me know if the location was really in the traseverse colon. hope you're hanging in there.

TickledPinkTwice
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Date Joined Mar 2011
Total Posts : 242
   Posted 4/26/2011 7:12 PM (GMT -6)   
Thanks for responding. That is crazy your transverse colon was so out of place. I don't THINK that they were in my transverse colon because this was clear down where my markers were on day 7 in my Sigmoid Colon. I am just going to wait and see what the surgeon says on Thursday. I am just scared I have a small bowel motility issue and won't be able to have surgery:(
26 years old
On going Chronic Constipation. Abdominal distention,Nausea and painful gas started 2/2011.
2003- Hypothyroidism
March 2006- Colonoscopy,removed polyps
April 2011- Sitz Marker shows Colonic Inertia. Defecography shows small Rectocele and moderate sized Enterocele but it is not effecting anything. Waiting on Manometry!
4/28-Appointment with Colorectal Surgeon

TickledPinkTwice
Regular Member


Date Joined Mar 2011
Total Posts : 242
   Posted 4/28/2011 7:37 PM (GMT -6)   
Ok I wanted to let you know about the sitzmarkers. Well I have a very long loopy colon, so apprently the one sitzmarker on day 4 that was all by itself in what looked like the small intestine is actually in my transverse. Apparently my transverse is sagging down. As far as the others that looked like they were in the sigmoid colon on day 4 they were at the Cecum but because my colon is so long it starts clear by sigmoid colon in the midd bottom of my abdomen. So that pretty much answers my question you are right my transverse colon is sagging down.
Mary 26,Female with Chronic Constipation
MARCH 2006- Colonoscopy: Polyps, mild Melanosis and long redundant colon ,APRIL 2011- Sitz Marker: Colonic Inertia. Defecography: small Rectocele and moderate sized Enterocele
4/28-Appointment with Colorectal Surgeon-I have to have more tests before moving on
5/11-Manometry&Emptying test

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/29/2011 2:51 AM (GMT -6)   
yep, very common with CI. what's the next step for you? are they now seriously considering surgery?
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

TickledPinkTwice
Regular Member


Date Joined Mar 2011
Total Posts : 242
   Posted 4/29/2011 7:13 AM (GMT -6)   
I am still so impressed you called that right!
He is considering surgery,he wants to rule out any other issues. He wants to make sure that I would actually benefit from the surgery. On the 11th I have a Gastric Emptying Test, Dudendal Nerve Study and an Anorectal Manometry. I am not sure when I will have the Small Bowel study. I hope those all come back well!
Mary 26,Female with Chronic Constipation
MARCH 2006- Colonoscopy: Polyps, mild Melanosis and long redundant colon ,APRIL 2011- Sitz Marker: Colonic Inertia. Defecography: small Rectocele and moderate sized Enterocele
4/28-Appointment with Colorectal Surgeon-I have to have more tests before moving on
5/11-Manometry&Emptying test

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/29/2011 8:48 AM (GMT -6)   
i hope so too. i live in israel and over here we don't have the small bowel study, and only after surgery we could see that my small intestine is really slow.

so now it's only completing the tests and then on your way to surgery. good luck with the tests!!
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

TickledPinkTwice
Regular Member


Date Joined Mar 2011
Total Posts : 242
   Posted 4/29/2011 8:58 AM (GMT -6)   
Thanks so much! So what have you had to do since you also have issues with the Small Bowel?
Mary 26,Female with Chronic Constipation
MARCH 2006- Colonoscopy: Polyps, mild Melanosis and long redundant colon ,APRIL 2011- Sitz Marker: Colonic Inertia. Defecography: small Rectocele and moderate sized Enterocele
4/28-Appointment with Colorectal Surgeon-I have to have more tests before moving on
5/11-Manometry&Emptying test

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/29/2011 10:18 AM (GMT -6)   
well, my colectomy w/ileorectal anastomosis on Aug 2009 didn't work due to my slow small bowel and pelvic floor dysfunction. i had a loop ileostomy done on July 2010. i still have C and if i don't drink lots of prune juice every day (about 1/4 litter), i hardly have output into the bag. i also have to keep a soft liquid diet, like 80% of the time, otherwise, even the prune juice won't help much.

but i'm doing great and i love my ileostomy and the new life it has given me. even tho i still have issues with C and limited with my diet, i now can eat best than i've been able to in yrs and it feels awesome. and now if all it takes for me to feel good is a large glass of prune juice, then that's not so bad at all for me and i'm happy it's not worse and i do feel i gained my life back 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

TickledPinkTwice
Regular Member


Date Joined Mar 2011
Total Posts : 242
   Posted 4/29/2011 10:22 AM (GMT -6)   
Wow you have been through a lot. I didn't think slow small bowel motility would make that much of a difference! Did you have to go through any biofeedback?
Mary 26,Female with Chronic Constipation
MARCH 2006- Colonoscopy: Polyps, mild Melanosis and long redundant colon ,APRIL 2011- Sitz Marker: Colonic Inertia. Defecography: small Rectocele and moderate sized Enterocele
4/28-Appointment with Colorectal Surgeon-I have to have more tests before moving on
5/11-Manometry&Emptying test

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/29/2011 10:25 AM (GMT -6)   
oh, and mostly, there's not much the drs can do any more for a slow small bowel. my surgeon did mentioned we could try to do the stoma 1 meter upper in my small intestine - like shortening the length of the small bowel, but w/o cutting out any parts, but i'm doing pretty good with prune juice, so i don't want more surgery and trying things i'm not sure will work, and that are not commenly done etc. before my colectomy even the colonoscopy prep didn't affect me, and now all it takes is prune juice, so i'll stick to that.
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

TickledPinkTwice
Regular Member


Date Joined Mar 2011
Total Posts : 242
   Posted 4/29/2011 10:35 AM (GMT -6)   
At least you have found something! Does it cause bad cramps? I had the same issue with the Colonscopy prep. I am glad it has made a difference too.
Mary 26,Female with Chronic Constipation
MARCH 2006- Colonoscopy: Polyps, mild Melanosis and long redundant colon ,APRIL 2011- Sitz Marker: Colonic Inertia. Defecography: small Rectocele and moderate sized Enterocele
4/28-Appointment with Colorectal Surgeon-I have to have more tests before moving on
5/11-Manometry&Emptying test

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 4/30/2011 1:10 PM (GMT -6)   
hi Tickle, sorry i couldn't keep talking to you yest. yes i had biofeedback, but it never improved anything for me.
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

TickledPinkTwice
Regular Member


Date Joined Mar 2011
Total Posts : 242
   Posted 5/2/2011 7:41 PM (GMT -6)   
I'm sorry, I just saw this. I am dreading biofeedback and I don't even know if I will have to do it. It just seems like it will waste so much precious time. Did they mention Botox to you? I am just frusturated because he wants to primarily check my resting pressure with the Manometry but why does it matter if I am able to expel the stool (like in the defecography)?! I have been working on relaxing my muscles but I tell you these tests just make me so stressed and nervous. I will keep you updated. I really appreciate you always answering my questions :-)
Mary 26,Female with Chronic Constipation
MARCH 2006- Colonoscopy: Polyps, mild Melanosis and long redundant colon ,APRIL 2011- Sitz Marker: Colonic Inertia. Defecography: small Rectocele and moderate sized Enterocele
4/28-Appointment with Colorectal Surgeon-I have to have more tests before moving on
5/11-Manometry&Emptying test

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 5/3/2011 3:20 PM (GMT -6)   
i knew about botox, but didn't even want to try it. the success rate for it is very low. it is a very painful injection, in a very delicate muscle. even if it works, the affect lasts for only few mons, maybe 3-4 mons, so you have to repeat it. i've heard there's also a little risk for incontinence. actually, i'm still wondering whether trying the botox could help and i could have success with surgery and not need the bag. but i don't know, havn't heard of anyone who it helped. and it's very expensive too.

of course it matters whether you're able to expel the stools. when the whole colon is slow, the stools doesn't even reach the rectum, but when they take your colon out and the small intestine is working fine, it will be very frustrating for you if the stools reaches the rectum, but you wont be able to expel it - you'll still be constipated! the stools may reach the rectum in a reasonalbe amount of time, but an obstructive defecation syndrom is not fun, believe me. that's why he has to check everything to be able to estimate the success of the surgery. i chose ileostomy BECAUSE i couldn't expel the stools after the colectomy. i spent hours in the b/r b/c it would only come out in little bits every 30 mins-hour and even after few hours, it still wasn't all out and making me VERY uncomfortable all day. also, laxatives didn't help, cuz even 20 cm of rectum (which are part of the colon) adapted to the laxatives and they quit helping. now with the ileostomy, the rectum is out of the way and the small intestine doesn't get used to laxatives like the colon does - i can fool it every time :p

most ppl with CI have some degree of pelvic problems, but they manage ok. my anismus is too severe + having a slow small intestine doesn't help the situation, so an ileostomy is my best option. i'm not sure about the success of biofeedback, havn't heard of anyone who has benefited from it, but i could be wrong, cuz i've never talked to ppl with normal colon transit time and only problem is anismus. all the ppl i talked to are from this site and have/had CI, and for ppl with CI it is really different.

i hope you don't need the biofeedback, but if it turns out you do, then just go along with your drs. for them, the biofeedback's purpose is to prepare you for surgery - that after surgery your pelvic will function right. don't let it stress you, it's all just part of the process before surgery. i know, it's a pain, i hated it, but you have to play along, even tho we feel it's not worth the effort.

good luck!!!!
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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