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Hi all.

 

Very new to this site -- and this stoma (god help me, sometimes i think it hates me).  I'm nearly two months till my takedown surgery if everything goes well and --- well.  I have a few questions.

 

I was diagnosed back in 2004 when I was 17 with f.a.p and had my colon removed - or most of it, I think like nine inches was kept and attached to my rectum -- this went fine except a few bumps here and there over the years, till a few years ago.  A pollyp kept coming back, larger and larger and closer and closer to cancer and, no matter how I hedged about the j pouch surgery (mostly because of the bag) it was eventually decided, wanted or not, I -had- to have the surgery or risk cancer, the pollyp was pretty much a hop skip and a jump away from cancer this time.  

 

Not much of a choice there.

 

 

So the surgery removed the last nine inches of colon and the rectum, created the j-pouch and the stoma so the j-pouch could heal over three months and I was wondering -- will I get butt burn?  Since I didn't have most of my colon for years and all (I don't think I ever had it before).  If so, it'd be nice to know so I could prep ahead of time and all.

 

Second - is it normal to still have tons of nausea nearly a month out?  Not quite vomiting, unless I eat something I shouldn't I guess, its more just feeling sick and dry heaving a ton.  I'm thinking about asking the doctor for some sort of anti nausea.

 

And third - does... anyone else have restless leg syndrome?  I do.  It was under control for quite a while until the surgery and then it came back - with a vengeance.  Sometimes I can't sleep because its so bad.  The doctors said getting back on a normal routine with thyroid medication (I had thyroid cancer years ago, so no thyroid) would help but it really, really hasn't so far and I'm.. not quite sure what to do.

 

Also possibly silly question but how do you tell if you have a loop or end ileostomy?  I'm pretty sure they told me at some point in the hospital but I seem to have forgotten.

 

Thanks very much for your time and any answers, and sorry if my post was rambling at all.  Its nearly four am and the RLS and dry heaves aren't being kind.

Replies sorted oldest to newest

Hi Jeann!  Welcome to our group.  You have been trough a lot in your young life!  It's my son who has gone through pretty much what you have gone through.  The nausea, I'm not sure about.  Could be a lot of things.  As far as restless legs, I suffer from that. There is a medication for it, I don't remember what it is but check with your primary.  It didn't work for me.  Made things worse.  I take Klonipin for it. Klonipin is an anti anixity drug but it helps me sleep at lot.  Also, I'm getting into essential oils.  I put lavender and lemon in a defusior and go to sleep with that.  It's a calming formulation and I seem to be sleeping better.

as far as the back pain, could be from sleeping on your back.  I would check with your doctor unless someone else here can answer that question.

try to relax and I hope things go well.

 

dianne

Jeffsmom

Welcom Jeann- ever since I had my colon removed along with all my other surgeries, I get nauseous very easily too. My surgeon doesn't seem to have any issue prescribing Zofran. It helps tremendously! I cannot figure out why I get so nauseous, other than my plumbing has just completely changed. Dramamine helped me too when I didn't have a script, but Zofran works much better.  Kara

Kara Fred

I have a j pouch. To prevent butt burn, I use a travel bidet. It's a plastic squeeze bottle with an angled nozzle available on Amazon.com or Amazon.ca for around $14. It has saved my life and sanity and tears. I use it every single time I go to the bathroom to clean the area completely. It is very easy to use. Then use toilet paper to gently pat, pat dry. Then Calmoseptine to stop any burn, or Cavilon to heal. Make sure the area is completely dry before applying barrier cream or you will end up sealing in the moisture and that will lead to irritation. Make sure your post takedown diet is healthy with lots of whole foods and protein to help you heal much faster. I ate lots of poached egg / tofu / rice/ bone broth to keep up the protein (for tissue healing) and B vitamins because loss of colon is related to vitamin B deficiency (the B vitamin complex helps manage stress). My doctor did bloodwork and found I was extremely low on vitamin D and recommended I take vitamin D in 1,000 international units daily , and that seems to help me sleep. Good luck to you. 

Winterberry

Welcome, Jeann. You *might* have less butt burn than folks transitioning from a complete colon, but it's really probably best to prevent it in the beginning with a barrier cream applied after every BM. Once it develops it can be a bit of a torture show. The bidet idea is also a good one, whether it's a squirt bottle, an inexpensive toilet attachment (BioBidet has one for less than $35, though you can spend a lot more). I waited years to get a bidet, and even though I didn't have a big problem with butt burn I wish I hadn't waited.

Your nausea should (IMO) be diagnosed, if possible, rather than covered up. A common cause of chronic nausea is gastritis. Some docs do an upper GI scope to prove it, and others just try a few weeks of an acid blocker, like Zantac. If it's caused by the bacterium H. pylori then a combination of antibiotics can eliminate that - your doc would usually have to test for that.

You probably have a loop ileostomy. Your upcoming "takedown" actually means taking down the loop from the abdominal wall. Connecting (or reconnecting) an end ileostomy is a very different procedure.

Good luck!

Scott F

You have me thinking Scott & Jeann due to your insight! 

I was diagnosed with acid reflux in 2008 but have not had an endoscopy since then to determine if my nausea, heartburn, upset stomach could be something more. 

I take Dexilant and Nexium to keep my symptoms under control - and as mentioned, Zofran & Dramamine. So I may be 'masking' something different. I believed these symptoms to be typical with any IBD diagnosis, but I never really explored. 

Thanks to you both- It's got me thinking! ��

Kara Fred

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