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I'm new to the site and was wondering if anyone had an advice for me. I had my colon removed in 2002 and for several years I was ok, but in the last 6 years I've been in the hospital 15+ times. Everytime it's the extreme abdominal pain, X-rays that show dialited bowels, a NG tube, bowel rest and home after 4-6 days inpatient. It never seems to be a complete blockage, so surgery hasn't been required, but it's getting too be a bit much both physically and emotionally. I had my first child last June and this problem occurred twice during pregnancy and 4 times since his birth and he's not even 1 yet. Any suggestions? I see my colorectal surgeon next week. Thanks in advance.
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It's most likely adhesions that are tormenting you, I think. Any abdominal surgery will tend to create adhesions, and sometimes their location creates trouble. When it's as big an issue as you describe it may be worth getting them treated surgically. The surgery to cut them is a last resort because it can create new adhesions. The irony isn't very amusing. Some folks here have had great success with that procedure, though.

I agree with Scott. When you see your surgeon talk about how much these recurrent episodes impact your life and ability to parent. Either he or a general surgeon can do adhesion lysis surgery. Your surgeon may want to at least be present (or available) in case  complications come up. Most docs are pretty hesitant to do this surgery, so if you are not clear that you are not OK with the status quo, they assume you are OK with it.

 

Jan

I was always under the impression these were adhesions, causing bowels to loop and twist and become a faux blockage. But after my last stay (4 weeks ago today, so sadly today has been filled with major anxiety about another episode) my surgeon seemed to think that I'm not emptying my pouch fully and that is leading to back up which is then causing an episode. Have either of you ever heard of anything like that? Thank you so much for taking time to answer. This is the first time I've been here, it's a bit overwhelming, but very satisfying to know I'm not alone!!

There's nothing faux about a blockage caused by twisted bowel.

 

Why does your surgeon think it's caused by incomplete emptying? Are all of the blockages at the pouch? I'd also wonder about a stricture if so. What has your surgeon suggested you do?

 

Incomplete emptying can be exacerbated by too thick a stool consistency. Are you producing pudding or bricks? Are you on any medications that could contribute to this (e.g. opiates or Imodium)? Are you drinking enough water?

Last edited by Scott F

Incomplete emptying would be consistent with constipation type symptoms, which slowly develop. Obstructions, even partial, are more abrupt, with the type of pain you describe and dilated loops of bowel. I imagine your surgeon would like to think it is an emptying issue and it is the right thing to do to rule it out. But your abdominal x-arays don't lie. Adhesions would not show up, but their effect does.

 

Jan

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