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What is the deal with this? Are we more prone to this because of surgeries? for my daughter I delivered on a Monday and wasnt released until Friday and had horrible nausea and overall yucky feeling. What did you do while in the hospital to make yourself more comfortable? Did you take Zofran which my ob says slows down the gut? Did you modify your diet? Would love to be more prepared for this for my upcoming delivery!

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I am glad to see this question. I was going to ask the forum about this too. I am pregnant and plan to deliver by c-section and my OB's only real comment about dealing with j-pouchers was that he noticed that we have an especially bad time getting our intestines up and going again. I've had 4 abdominal surgeries and I don't remember having constipation with them but I did have terrible nausea and vomiting. I am not sure if it was from the surgery or the anesthesia (probably both). Anyway, the nausea has gotten better with later surgeries because I am able to warn my medical team that I have bad reactions to anesthesia and they can give you meds to help prevent it. I remember getting motion sickness medication and IV nausea medication before going under. I would think the spinal block would be different than general anesthesia? I've never had issues with the milder sedation used for quick procedures. 

 

After my experiences, I did gain some insight into a better recovery from other surgeries. Eat light before the procedure. Sure you are allowed to eat a full meal however many hours ahead of time, but you really will regret it if its anything heavy. After one bad experience, I eat a full meal that I know my pouch will handle very well (no gassy foods, low grease, not too much fiber). Eat lighter in the hospital than you are approved for or be very careful about how much you eat. I've been progressed way too fast from liquids to solids and it can really set you back. I have yet to experience good hospital food so ask family members to bring you your favorite sick foods (high quality broth, preferred juice flavors, pasta ect). I hadn't heard that the nausea meds can slow you down more. I would probably still take them otherwise I can't see getting up and moving and I think that might be more important. You also need to be able to keep liquids and some solids down to have decent pouch function. Also I would think zofran would be the least of your constipation worries compared to the pain medications. I was taking zofran for morning sickness and I didn't notice any pouch issues.

 

Oh, one other thing I found really helpful was to ask for a medication to take when you go home. I always do terrible in the hospital because the food is nasty, they don't let you sleep, the beds are more uncomfortable ect so I prefer to get home so I can move around and rest on my own (of course this might be really hard with a newborn...). I had adhesion removal by an OB/GYN and he gave me suppository nausea medication to take and it was a real recovery changer for me. I was able to take it when I couldn't keep anything down including oral medications and I didn't have to get readmitted. I was able to use it, drink liquids and keep light foods down, and go on a short walk outside. After a few doses and some real sleep, I felt amazing. I would ask if they can give you something like that.

 

 

L

Congratulations on your delivery!  I too am miraculously pregnant with a second baby 9 years after my first and the only one post-surgery. We opted against going through with IVF once we found out our chances of conceiving naturally were close to nil, so were very shocked to learn I was pregnant -- we didn't think it was possible!

 

I'm interested to follow your recovery experience from c-section as I'm nervous about having one this time around.

 

S
I have had a j pouch Since 2007 and I had my daughter in 2012. I had a c section and felt fine the first and second day but woke in the night projectile vomiting. My bowels were paralyzed and I had to have a tube put in my nose that went down my throat and into my stomach and pumped out green bile for 4 days. It was only supposed to be 24 hours,  it was horrible.  My bowels did not start working until the 9th day and I was allowed to try to eat for the first time on the 9th day. I was released from the hospital on the 10th day so I could get home to my baby who had been sent home five days earlier. I was in pain for weeks and didn't feel good for months.  I had planned to have another child but now I'm not sure I want to risk the complications.  Very scary situation,   the awful tube in my stomach for days was what saved my life.
C

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