Surgery and UC

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   Posted 3/16/2009 8:58 PM (GMT -6)   
Can you have surgery if you have UC? Even if you're in remission, it would seem like it's kind of risky to take antibiotics and you would have to for protection against infection.
Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
Diagnosed with UC December 08 but had symptoms months ago - Treating with Asacol 400mg (9 a day)

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Date Joined Mar 2003
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   Posted 3/16/2009 11:02 PM (GMT -6)   
Of course you can have surgery if you need it. Not all surgeries require antibiotics, but if they do we take the antibiotics. They don't typically start a real flare, but we're a lot more likely to get the sort of diarrhea that quite a few people without IBD get from them.

I've had surgery several times since my diagnosis with no problem.
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from Entocort.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
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Please remember to consult your health care provider when making health-related decisions.

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Date Joined Apr 2004
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   Posted 3/17/2009 6:24 AM (GMT -6)   
I agree with Judy. I have had several surgeries myself. I had no problem with them. And while yes we need to be careful with antibiotics, but if you need them you need them. Uc should come second to that. The rest of your body comes first. Just keep in mind that if you need to be placed on any antibiotics to steer clear of the "cillins and "cyclines. These are most likely to cause Cdiff infections.
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Date Joined Dec 2008
Total Posts : 15902
   Posted 3/17/2009 7:21 AM (GMT -6)   
What if you want to have something elective. like nasal reshaping? Is it bad to get surgery if you don't need it? Will a doctor operate on someone with UC? I doubt they would send you home, I am sure they want the money. I know they wont operate if you're anemic.

Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
Diagnosed with UC December 08 but had symptoms months ago - Treating with Asacol 400mg (9 a day)

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Date Joined Feb 2005
Total Posts : 6447
   Posted 3/17/2009 7:27 AM (GMT -6)   
I'm going to have knee surgery in June, and I don't think it will cause a problem. Yes, it's elective...well sort of! Good luck with your decision.


Remicade - will have my 27th infusion on March 19 Vitamin B-12/Biotin, Probiotics
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Date Joined Mar 2008
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   Posted 3/17/2009 7:15 PM (GMT -6)   
I had outpatient surgery under general anesthesia, and the surgery was important but not absolutely necessary. I had just gone off prednisone so they gave me some steroids in the IV so my body would be OK with the shock, or something like that. All went fine.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering. Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; eliminated all wheat/gluten from my diet. Probiotics (Ultimate Flora, 50 billion), trying Curamin. 
Flaring, seasonal? or supplements too harsh? Back on prednisone, trying 15/20 mg. Appt 3/6 to discuss Humira, etc.   

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Date Joined Jun 2008
Total Posts : 2865
   Posted 3/17/2009 8:55 PM (GMT -6)   

I am going to have a knee replacement BUT my surgeon and gastro doctor say that the only problem is I am now on immune suppressant 6MP which can cause a bigger chance for infection - especially with joint surgery.  My doctor wants me to get into remission - tapering prednisone (that is not a problem) and upping doseage of 6MP - get into remission (may take 3 to 6 months) and then drop the 6MP - raise prednisone to protect me (as you said ) while surgery and rehab and reintroduce 6MP for maintenance.  All the time they keep a close watch on your WBC so you won't get an infection.  It is complicated to explain but my doctors are working together.  Maybe I can have the knee surgery end of summer - I hope.


Senior - New diagnosed with proctosigmoiditis - 6/2008  Cannot tolerate mesalamines, Canasa, etc. Tried, Colozal, steroid enemas, etc. - started working but severe side effects occurred.
Started on prednisone Feb.7, 2009 - tapering to 20 mg. for two more weeks and then down to 15 mg.etc.  Added 6-MP Feb. 28.
Added Anusol suppositories - March 16 - see doc in 3 months. 
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.

Regular Member

Date Joined May 2008
Total Posts : 387
   Posted Yesterday 8:51 AM (GMT -6)   
I have had two surgeries while flaring. Both were minor, but related to having colitis. One required three days worth of iv antibiotics which gave me the most awesome two weeks of perfect remission I have had since I was diagnosed. So you never know!
UC diagnosed 10/05, first symptoms 1983
Starting remicade 3/24/09
* asacol 12/daily * rowasa pm * cortifoam  
 Culturelle Probiotic - prilosec - metamucil capsules
past rx: colozal, lialda, canasa, 6mp
i can't complain, but sometimes i still do.  lifes been good to me so far.  -joe walsh

Regular Member

Date Joined Mar 2009
Total Posts : 40
   Posted Today 4:05 AM (GMT -6)   
I had abdominal surgery 2,5 weeks ago, 3 hours long, no antibiotics were prescribed after it, my surgeon said that they were not need as the surgery itself was done in antibitiocs environment (I'm not quite sure what that means). Just the first day after surgery some antibiotis was given with drip, they said some very good one which would not affect my intensine. And indeed, I'm in remission :)
Female, 48
symptoms including bleeding since 2002, UC diagnosed in 2006
Sulfalazine 750mg tabs 3x daily (tapered from 1000mg 4x)
Iron, fish oil, probiotics, other supplements
Colonoscopies: 2
on Remission since Sept'08 after almost 1 year flare

gurgling tummy
Regular Member

Date Joined Aug 2006
Total Posts : 166
   Posted 3/20/2009 11:00 PM (GMT -6)   
I just had surgery a week ago, they gave me oral antibiotics to start before the surgery and also IV antibiotics during the surgery and there was no change in my UC, still pooping little worms but no blood. Just let them know before hand that you have UC and they might be able to try a different antibiotic that isn't as hard on the colon. Good luck!!
Diag. Aug 06 (Proctosigmoiditis), finally diagnosed with Fibromyalgia 12 August 08, Paxil (1 a day) for Depression, anxiety
Gabapentin (still working up to mx dose), Ambien (1 50mg a night), Venlafaxine (2 a day), cyclobenzaprine (1 10mg tab a night), Tramadol (3 50mg tabs every 4 hours), Indomethacin (1 50mg cap every 3 hours), Tylenol Extra strength (2 500mg tabs every 4 hours).
Getting ready to start Azathioprine, we'll see how that goes.

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