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Hi. I've been a member for many years, but do not post too often. I have had pouchitis for the last year, but really bad for the last 5 months. Tried treating without being scoped (well, I was scoped in January 2012, but then it cleared up for awhile) up until a few weeks ago when NOTHING was helping. Also having problems passing stool. The scope showed a "narrowing of the reservoir". (beside the pouchitis) When I saw the surgeon on Friday to schedule the dilation, she did an exam in the office and wasn't even able to get the tip of her finger "in there". No wonder I have been bearing down and having issues. My question is this - Am I going to feel fine after the dilation? I know what I will feel like from the Anesthesia, I'm talking about is there any kind of recovery? Or is it just back to normal? (what ever normal is these days!)
For those who are having these type of issues, I am posting the medical terms from which I was told. Any input would be appreciated as the dilation is this Thursday, March 7th. Thank you in advance.
(who would have thought that there are actually medical terms for what I have been experiencing!)
Tenesmus:
Tenesmus is the feeling that you need to pass stools, even though your bowels are already empty. It may involve straining, pain, and cramping.
Considerations
Tenesmus usually occurs with inflammatory diseases of the bowels. These diseases may be caused by an infection or other conditions.
It can also occur with diseases that affect the normal movements of the intestines. Such diseases are called motility disorders.
Persons with tenesmus may push very hard (strain) to try to empty their bowels, but they pass little stool.
Stenosis:
Definition: Stenosis is a narrowing of any tubular structure in the body, including blood vessels, heart valves, vertebral canal and the GI tract. Blood vessel narrowing is one of the more common usages of this term.
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I'll answer for ya! I had a dilation prior to my takedown. It really wasn't a big deal.

You are probably just having an outpatient procedure. So you will have anesthesia, but you won't be "under" for long. So you will probably not have the anesthesia effects lingering on as with full surgeries. As for my actual dilation, I went back to work the next day. Didn't drive though, because I had to take some narcotic pain meds for a few days. There was a lot of bleeding, but both the pain and bleeding subsided within a few days.

good luck. I hope these gets you feeling better and your "system" working better for you.
Liz
I have never had a dilation, but have read oodles of posts from others who have had it. Like Liz said, it was just a few days of the pain and bleeding, but in addition, most everyone feels immediate relief in regard to their emptying issues. The pain and bleeding is variable, depending on how tight the stricture is. If it was a very fibrosed stricture, there may even be some incontinence for a few days, from the trauma. These strictures can recur, so pay attention to your symptoms returning, as you may need repeat dilations.

Some surgeons do this by balloon dilation, which is more gentle, and others just use their fingers. Some surgeons don't even use anesthesia if the stricture isn't too bad, but everyone complains that it is a pretty painful procedure, even if it is brief.

One suggestion about replies to your question. It is really variable how often people come on and view posts, especially during working hours. If you want a quicker reply, sometimes posting in the General Discussion or Need Advice Now Forums will get more views. Also, you can perform a search using key words, to find past posts with similar topics.

Jan Smiler

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