Is this anything?

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ohcountrybear
Regular Member


Date Joined Mar 2009
Total Posts : 192
   Posted 4/30/2011 12:55 PM (GMT -6)   
On Wednesday night I thought I had a partial obstruction, took some miralax, hot baths, heating pad, walked alot and so on. Thursday I got up and went to work, at lunch I decided to try and eat so I ate some soup. about 15min later I started with severe pains and vomiting, so I went to the hospital. They admitted me giving me IV fluids, zofran and dilauded. The ct scan showed that I had stool impacted behind the stoma. I couldnt figure out how that happened since it should be coming out naturally. They admitted me that night and started treating me the next morning. So they had me take a bottle of magnesium sulfate and I got some liquid out. Then they came in and did a soap suds enema, well when it went in it felt as if it was going throughout my body. I like I felt it was going down to my rectum yet I have an end colostomy of the transverse colon. She told me if any leaked over it would just absorb into my tissue so no big deal. So after they release me, I came home went to bed and slept. This morning I woke up in horrible pain throughout my abdomin and again nothing in my pouch. Its go to be going somewhere right? Is there a chance the stool is going into my abdomin? Would I know? Please can anyone help me. I felt like the docs had no clue what to do with me.

polishdan
Veteran Member


Date Joined Mar 2010
Total Posts : 1595
   Posted 4/30/2011 5:02 PM (GMT -6)   
I think you would know if you had leakage into your abdomen. I had internal leakage and severe pain a week after my colectomy. I had virtually no blood pressure. When the ambulance people stood me up I passed out. It was called peritonitis. I almost died.
 
The docs probably did not know what to do. I wonder about the soap suds enema. That is a common enema for people with all plumbing intact. It goes into your colon. With an ileo the enema goes into your small intestine. Is that a bad idea?
 
Dan 

stripey
Veteran Member


Date Joined Feb 2011
Total Posts : 1059
   Posted 4/30/2011 5:59 PM (GMT -6)   
You would be in immense pain if bowel contents were leaking as it would burn the area it leaked into. Think how much it hurts if you get any output onto raw skin. I would def go back as seems odd that stoma still not working but I wouldn't let them do an enema again without checking with your GI or surgeon as if they don't really know what there are doing they could cause more problems than they solve.

The pain could be from the blockage, can you feel a lump near your stoma or does your stomach feel hard and bloated. When I get a blockage the area goes rigid and bloats up badly. I can normally massage area gently to get it moving again but wouldn't recommend it unless you know what to do.

Think a trip back to ER or doctor would be recommended.
Crohn's dx 1989, loop ileo 1992, end ileo 1992. Arthritis developed 1990 Stoma abcess 1995. Azathioprine started 1995. Panprocolorectomy 1999. Stillbirth 2000, antiphospholipid syndrome dx 2000. Flare up 2004, stoma abcess and strictoplasty 2004. Low blood pressure dx with impaired kidney function 2006, fludrocortisone pres. flare up 2010, steroids, Humira, codeine.

CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 5/1/2011 3:11 PM (GMT -6)   
You would know if you porforated your bowel. I had porforated in 3 different spots in my small bowel specifically my terminal illieum. And the pain is seriously unbearable. Like your normal amount of Dalaudid would definetly not cut it on the pain control side.... so if your normally getting 1 mg then that wouldn't work if you normally get like 6 mg like then that wouldn't work. But trust me you'd know from the excruciating pain. But like you said it has to be going somewhere, and Im sort of wondering where. And why was their reasoning that the stool had compacted just inside the stoma? was there a narrowing there? Im thinking your having a narrowing to begin with and that its getting backed up every once in a while. That would explain why you felt better after leaving the hospital but then again felt bad again once you got home. In that case Id assume you'd have to have surgery to correct that. You could probably maybe see it with a CT or an MRI with dye and contrast. oh wait Im starting to say it sucks you cant take a scope up that far but you have a colostomy and not an illiostomy so you could at least see part of your colon and the very beginning of your terminal illieum. I would say you could do one of the M2A studies, the pill capsule endoscopy that you swallow and carry the little hard drive around for about 8 hrs and it takes about 10,000 pictures in that 8 hours but if you have a narrowing then it could and most likely would get stuck which is actually what happened to me and made me porforate in 3 different places, now then you WOULD definetetly have it leaking into your abdomen. Also that soap suds enema sounds pretty strange to me...

andorable
Veteran Member


Date Joined Jun 2005
Total Posts : 981
   Posted 5/2/2011 9:44 PM (GMT -6)   
I agree with the others, 3 days after my ileostomy surgery I developed serious abdominal pain to the extreme I was screaming for help, they rushed me into xray for a ct scan and discovered leakage into my abdomen so straight into surgery I went to have it drained and fixed. The pain is indescribable. I do hope you feel better soon, keep drinking lots of fluids and if it persists get back off to the hospital. take care
Doreen

ohcountrybear
Regular Member


Date Joined Mar 2009
Total Posts : 192
   Posted 5/2/2011 9:59 PM (GMT -6)   
Thanks for all the replies, I ended up back in the hospital and again was told I was impacted they flushed it, gave me IV fluids and sent me home. Today I went and saw my surgeon who pulled up the ct scans and was upset at the way I was treated in the ER. I have a parastoma hernia that is kinked at the bottom so he said when I sit or bend it is completely kinked off. My colon is also inflamed. So he put me on antibiotics and told me to spend as much time laying down as possible until my surgery which is the 17th. He even took me off work because he wants the colon to heal as much as possible. Sighs, two weeks seems like a long time to be in pain but I understand why he is waiting. I dont want more complications because its already infected. All I can say is god give me strength these next two weeks.

blueglass
Veteran Member


Date Joined Dec 2010
Total Posts : 3332
   Posted 5/3/2011 6:22 AM (GMT -6)   
Good luck. Hope you find some good distractions for the two weeks.
48 years old, female.
2004 dx indeterminate colitis. Back and forth between Crohn's and UC dx. Many drugs, minimal success.
2010-11 Crazy skin and eye complications, high fevers, bad flaring. Out of good drug options, tired of scary drugs.
Feb 2011 -- proctocolectomy with permanent ileolostomy; abscess, blood clot. Still healing, still glad for the surgery

run4pancakes
Veteran Member


Date Joined Oct 2008
Total Posts : 938
   Posted 5/3/2011 7:10 AM (GMT -6)   
I'm so glad your doctor knew what to do and you have a treatment plan now. ER's scare me! I know they can be life savers sometimes, but man....it seems you really take your chances when you go into one.

I hope the next two weeks fly by for you and your surgery is a snap. Be well! :-)
UC dx 2/08

Done with the drugs. Step 1 (of 3) J-pouch surgery 3/22/11, Steps 2 & 3 TBD
http://life-takes-guts.blogspot.com/
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