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Hello All,

In mid January, I started to get sick with symptoms you all will recognize. By the end of the month, I'd been diagnosed with Pan Ulcerative Colitis.

The oral steroids had no effect on my symptoms and I was put into the hospital on 2/8. On 2/14, my bowel perforated and I had emergency surgery. The surgeon counted six perforations before stopping, and found that most of the colon was rotten. I woke up with an illeostomy. Complications and an allergic reaction to an antibiotic kept me in the hospital for just under a month. I came home down over 40lbs, malnourished, etc.

Now, two months after leaving the hospital, I'm feeling much better. I've put 20lbs back on, I'm walking 3 miles a day, I'm back at work, and my surgeon is looking to schedule the creation of my J-Pouch in July, pending a scope on my next visit at the end of this month.

My biggest issue is the comfort of my appliance. My skin is sensitive, and the appliance adhesive is incredibly itchy. It's not leaking, that's been checked and re-checked. It's just a skin under the adhesive portion reacting to the adhesive. I'm also ALWAYS aware of the appliance--it sort of feels like it's pulling on my belly and it drives me nuts. Is there anything that can be done for this? In the grand scheme of things--what with me not being dead--I can live with these issues, but I'd love to find some relief.

I also have some J-Pouch questions (actually a lot, but I'll do more reading before I ask them all.

First is what to expect in terms of output. Is the type and frequency of output from my ostomy any indication of what to expect from the J-Pouch? I don't have any major food issues (gluten, dairy, etc are all fine), and I seem to be tolerating anything I swallow just fine, with an output that runs from very thick paste to porridge 90 percent of the time, and I have to empty the bag about five-six times per day on average.

Second is timing of surgeries. My surgeon seems to be a fairly conservative guy (and he did quite literally save my life, so I'm okay with that), but he's saying 12 weeks between creation of J Pouch and take down. From what I've read, 8 weeks seems to be pretty standard. I can live with the bag, but unlike most of the people I've spoken with about this condition, I didn't suffer for a long time with UC. I pretty much got sick and a month later woke up with an ostomy I wasn't expecting or prepared for, and I don't like living with the bag, and want it out of my life ASAP.

Thanks for taking a look and sharing your insights. 2014 has been quite a journey...

Replies sorted oldest to newest

Your story is a lot like my story. I had my ileostomy for 8 months. Like, you... I could live with the minor itching and burning with all things considered. The wax barrier rings and powder were the only things that offered relief. Whenever I had to change my bag, showering with the bag off helped as well.

I too had to wait 3 months for takedown.

I am now one year post TD and my output is about 4-5 times a day. Have only had one bout of pouchitis and hernia repair in the past year.

I take one Align probiotic a day.
Lesandiego
There are many different brands of ileostomy appliance, and just because one is uncomfortable for you doesn't mean they all will be. I suggest making an appointment with a WOCN (stoma nurse) to help you assess the situation and try something new.

I had very thick/formed stool most of the time with my end ileostomy, and while I sometimes have fairly thick/formed stool from my j-pouch, it tends to be a little thinner on average than what I got out of the end ileo. On the other hand, I have never required bowel slowers with my j-pouch, and it seems like many people do. So the consistency of your output now is no guarantee, but it's certainly a good sign.

Eight weeks is not really standard... if anything I see 12 weeks quoted far more often. My surgeon wanted 12 weeks between each surgery, and we ended up doing 15 and 13 respectively. Experience tells us that reversals performed too soon have a higher complication rate. Although the ileo can be uncomfortable and extra work, keep things in perspective -- you want this j-pouch to be perfect and work for you for the rest of your life. A few extra weeks should be worth that.
P
Thanks so much.

I'm not sure if I was clear on the appliance issue. My itching is not under the circular material closest to the stoma that is wax like (I also am currently using a barrier ring because my stoma has shrunk post op and the size of my initial order of supplies is too large), but rather under the collar. I've tried both acrylic and hydrocolloid collars, and the later is slightly better, but neither is great, and the Texas humidity doesn't agree with the hydrocolloid material much and I worry about it as it gets hotter.

Again, all in all, I can live with this for the time I need to. But if there's relief to be found, I'd like to find it.
ATXGuy
Sorry, I'm not sure what you mean when you refer to the "collar" -- do you mean the adhesive closer to the outer edge of the wafer? Again, each brand uses a somewhat different material for the wafer, e.g. Coloplast is a harder plastic type material while Hollister is fabric. An oft overlooked approach is to simply remove all of the excess and secure the "important" part of the wafer (the "wax" like material you're talking about, plus or minus a barrier ring) with a non-irritating medical tape. Here's an example of what I'm talking about: http://ostomyoutdoors.com/2012/06/12/skin-sleuthing/ (scroll down for a photo)

If I'm still misinterpreting, please share what you mean by collar, there really are a lot of options out there!
P

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