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TickledPinkTwice
Regular Member


Date Joined Mar 2011
Total Posts : 242
   Posted 5/19/2011 8:18 AM (GMT -6)   
So I just got done with my Small Bowel, hopefully the last test before surgery. I have been freaking out all week that it will be too slow. Nope, I was wrong 30MINUTES! OMG, I am so happy it didn't take long but I have a question. Is the fast transit time going to stop me from surgery on the basis that I might have too bad of diarrhea? I am now worried about this. With my mild delay in Gastric Emptying and slow Colon, I did not expect these results!
Mary 26,Chronic Constipation
Colonoscopy: Polyps,Melanosis and long redundant colon, Sitz Marker: Colonic Inertia. Defecography:Rectocele and Enterocele, Anorectal Manometry:Normal, Pudendal Nerve Study:Normal, Gastric Emptying-20% at 4 hours
5/19-Small Bowel Study-not hopeful
5/26-Surgeon Appt

Ironmum
Veteran Member


Date Joined Oct 2010
Total Posts : 776
   Posted 5/19/2011 10:34 AM (GMT -6)   
Wow that's interesting.. so it's just your colon that's the problem? sorry just trying to catch up here.. are you planning to have total colectomy? i guess you can just ask your surgeon about whether it could be a problem. Sure others will know much more.. I had the same.. totally expected it to be slow and it whizzed through in 25 mins. So it's just my colon which is dyfunctional. In a way that's good as it means I can have an ileo and hopefully it should work as well as it did last time. What did you do in terms of prep in the end?
Sarah - 38 year old mum of 2 boys, competitive runner/triathlete, health and fitness writer

June 2010 - Peritonitis caused by perforated diverticulitis. Emergency surgery.
August 2010 - Sigmoid colectomy and temp ileostomy
October 2010 - Ileostomy reversal - but didn't go well and struggling since.
Currently - dx colonic dysmotility April 2011. Currently taking Prucalopride 2mg p/d

TickledPinkTwice
Regular Member


Date Joined Mar 2011
Total Posts : 242
   Posted 5/19/2011 11:11 AM (GMT -6)   
Well I am waiting for the doctors office to call me back. I am so scared this is going to be a problem because we were planning a TC with Ileorectal Anastomosis. Wow you have been through a lot.
Mary 26,Chronic Constipation
Colonoscopy: Polyps,Melanosis and long redundant colon, Sitz Marker: Colonic Inertia. Defecography:Rectocele and Enterocele, Anorectal Manometry:Normal, Pudendal Nerve Study:Normal, Gastric Emptying-20% at 4 hours, Small Bowel Followthrough:Reached the Cecum at 30 MINUTES!!
5/26-Surgeon Appt

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 5/19/2011 11:56 AM (GMT -6)   
Mary, i don't think it will be a problem. when do you see your dr?
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 5/19/2011 12:06 PM (GMT -6)   
Hodaya- you don't think it might cause more diarrhea than normal after a TC? I see him a week from today. I called the nurse and she said he is out until Monday, so I guess I am going to have to wait:(
Mary 26,Chronic Constipation
Colonoscopy: Polyps,Melanosis and long redundant colon, Sitz Marker: Colonic Inertia. Defecography:Rectocele and Enterocele, Anorectal Manometry:Normal, Pudendal Nerve Study:Normal, Gastric Emptying-20% at 4 hours, Small Bowel Followthrough:Reached the Cecum at 30 MINUTES!!
5/26-Surgeon Appt

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 5/19/2011 12:45 PM (GMT -6)   
i don't know, Mary, but what one surgeon explained to me once is that these tests are not something to rely on too much and that the results can vary if you repeat them several times. (tests for motility of the stomach and small bowel)

but think of it this way, ppl with UC go through the colectomy and removal of their rectum. they have a J pouch created to sort of replace the rectum. their transit time is also very fast, not slower than yours anyway, and many of them manage pretty well with their j pouch. but you, you'll still have your rectum and a bit more, which means you'll still have a portion of colon in you. that is a sinificant difference. with a j pouch i think one can have more diarrhea than someone who still has a portion of their colon (the rectum is considered part of the colon - functions as the colon as for absorbing water from the food etc.)

again, i don't know and can't give you a definite answer. these are just my thoughts. hope all goes well for you. keep us posted on your dr's appt. 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

TickledPinkTwice
Regular Member


Date Joined Mar 2011
Total Posts : 242
   Posted 5/19/2011 12:58 PM (GMT -6)   
You always make such good points and that reminds me. The surgeon stated that he does leave a very small portion of the Sigmoid Colon to counertact the diarrhea. Perhaps, that would help in my situation?
Mary 26,Chronic Constipation
Colonoscopy: Polyps,Melanosis and long redundant colon, Sitz Marker: Colonic Inertia. Defecography:Rectocele and Enterocele, Anorectal Manometry:Normal, Pudendal Nerve Study:Normal, Gastric Emptying-20% at 4 hours, Small Bowel Followthrough:Reached the Cecum at 30 MINUTES!!
5/26-Surgeon Appt

2b ColonFree
Veteran Member


Date Joined Nov 2008
Total Posts : 2603
   Posted 5/19/2011 2:16 PM (GMT -6)   
yep, the more colon you leave, the more it will slow things down. if you have a really fast small intestine, this can balance it. oh hon, the gutts are sooo complicated and i wish we could predict how things will be.. but even drs can't predict in our case, unfortunately. hang in till next week :)))
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 5/19/2011 2:35 PM (GMT -6)   
I know I know, I did get the report from the hospital.lol It said how everything looked good with UGI and that the SBFT was "within normal limits at 30 minutes". So now I don't know what to think!!!
Mary 26,Chronic Constipation
Colonoscopy: Polyps,Melanosis and long redundant colon, Sitz Marker: Colonic Inertia. Defecography:Rectocele and Enterocele, Anorectal Manometry:Normal, Pudendal Nerve Study:Normal, Gastric Emptying-20% at 4 hours, Small Bowel Followthrough:Reached the Cecum at 30 MINUTES!!
5/26-Surgeon Appt
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