ks1905, I think you are definitely right about
the muscle atrophy in the sphincter, and the importance of kegel exercises in my situation. I am very surprised that I have never thought about
these before (in my own context), and I have never read anything mentioning these before either. Doctors and surgeons haven't said anything too, which is not surprising.
Thanks for mentioning. Your caution makes sense biologically. I am curious, have you read anything about
this before, or did you just thought about
I am on pentasa, 6mp, and Cimzia, in addition to a strict diet and some supplements. I will replace Cimzia with Stelara as a next step, because Cimzia hasn't made a difference good enough to eradicate the inflammation, it only reduced it to a degree.
My GI doctor, and two colorectal surgeons warned me about
the increased risk of carcinogenesis in the unused section (the rectal stump). This increased risk is independent of the already increased risk we have from IBD, this is specific to the situation where the unused section has an especially higher risk of cancer formation (why this happens is still a matter of debate in the medical community, according to them). This is also very concerning for me, and I have been trying to reduce the inflammation as best and fast possible; but I also am aware that, the anastomosis itself can cause a full-blown flare-up, especially after the stream of feces through the lower (and currently unused, inflamed) part of the colon triggering local inflammation is a big possibility and it's been shown, over and over that many Crohn's patients who were doing more or less fine after the diversion (resection and stoma) had an occurrence of the old/hellish symptoms after the anastomosis. So while I am trying to reduce the inflammation, I am also trying to be sure (as much as possible) that the lowered inflammation is durable, and not a transient event.
Post Edited (xy123) : 12/14/2018 3:06:17 PM (GMT-7)