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Hi everyone, I've been a lurker for several years, and have always found so much good advice here  that I am hoping someone might have some input on an issue I'm having.  A little background:  I was diagnosed with US in 1989, had colectomy/J pouch surgery done in 2008 and was generally doing ok for some years, with the exception of several bouts of pouchitis which were generally well controlled with a round of Cipro.  Starting maybe 4 years ago, I started to develop a lot of pain, usually around my tailbone area that would spread sort of out into my butt cheeks - that too would generally go away with a round of Cipro, so I assumed it was just a new symptom of the pouchitis.  When I think about this all now, i can see that my symptoms over the years - increased output, more frequent trips to the bathroom, increased sense of urgency, pain - have intensified but I seem to have gotten used to them/adapted (I hope that makes sense - f these symptoms had come on suddenly, I would be very alarmed)  So I had just kind of been existing with these symptoms until December, when the pain became severe - I wound up in the ER with a rectal abscess (internal) that was drained.  The surgeon I saw then indicated that he had seen a small leak in the area where my pouch was connected to the rectum, this had caused the abscess and he fixed the leak - but he felt the condition was likely to reoccur.  I was sent home on antibiotics, did well for a few weeks, the pain came back and I went to see the surgeon who did my pouch.  To make a long story short, i wound up having two more surgeries to drain two new abscesses (all cultures have come back positive for e. coli) and then had a CT scan which showed a lesion on the levator plate.  I'm stiill on antibiotics, but I am in so much pain - it's been about 2.5 months since this all started and I don't see an end in sight.  My surgeon said he might have to reverse the pouch, but that would not resolve the infection/levator lesion.  He also indicated that there was no clear reason why infections like this happened. It hurts to sit, it hurts to lie down on my left side and I feel generally crappy.  I go to the bathroom about 20+ times a day (trying to poop and sit makes the pain worse, I am to the point where I pretty much have to stand to go, which is just mortifying and doesn't make leaving the house easy) - and it seems like no matter what I eat, it makes me feel awful (I've done paleo, SCD, gluten free, dairy free, sugar free over the years).  

So if you've stuck with me this far (thank you for reading, I realize this is very long), I'm wondering if anyone has encountered anything similar along the lines of my story?  Any advice?  Feedback or thoughts?  I am terrified at the thought of losing the pouch - but at the same time, I am feeling so awful that the option sometimes doesn't seem so bad (but i feel like that is coming from being in pain and wanting it to stop)  If anyone had anything to share, I would truly appreciate the input  Again, thanks you for your time in reading this.

Tara

 

 

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Hello, Tara.

Is he your original surgeon who created your pouch?  Can you ask why he believes it needs to be reversed?  Are you comfortable seeking a second opinion?  Your surgeon shouldn't mind if you do. Some doctors can be proprietary! You just want to know what is going on with your body. Ask what all of your options are (make a list of questions) until you are satisfied and confident in the answers so that can direct your next decisions. I hope it can be fixed and you will keep your pouch. Try not to be afraid or stressed. 

Winterberry

Thank you!  I am trying to be strong, but as we all know, feeling poorly for long periods of time can make you not so brave!  I'm heading into my next appointment with a written list of questions so at least I can walk away with a clear understanding of what's going on.  And yes, he is my original surgeon and you are SO right about the proprietary thing - I had surgery done in the ER by another surgeon, and when I mentioned what that surgeon saw, my current surgeon did get a bit ruffled!!!!

Tara G

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