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Hello everyone,

 

I am 9 days post phase 1 of my J-pouch surgery; had it on October 14, 2015.  Reason is (or now I guess was, rather) Familial Adenomatous Polyposis.  Frankly, I am crushed; I think it was the biggest mistake of my life.  I avoided the surgery for 9 years, and should have kept on avoiding it, in spite of the inevitable.  The problems, although not numerically many, are significant.  1) I have stool bowl movements from my rectum.  They are uncontrollable and mostly happen while either I'm emptying my ileostomy pouch or sleeping at night.  They also occur during the day.  Smelling fowl is horribly humbling feeling, and I can't take it.  I'm stuck inside my house because I'm too afraid of going out in public and being embarrassed.  I'm afraid to even have friends over.  The isolation is terrible.  I'm a 34 year-old man and have always taken care of myself, making it a point to look and smell good.  Now I've lost control of my own body, and it literally makes me often break out in tears and/or uncontrollable fits of crying.  The bag, although sealed and not linking smells too.  It's enough that I lift my shirt, and boom...

 

2) Emptying the bag is kind of a problem to, y such that I'm only comfortable doing it in my own bathroom.  Reason is, I have moderate spasticity in my legs as a result of Cerebral Palsy.  Note: I do not need a special bathroom, it's just that if I have a spillage, it needs to be at my house and not anywhere else.  I emptied it once yesterday and it went fine, the second time I spilled all over the place because I couldn't get the measuring cup (my doctor wants output measured for the first couple weeks).  So, again, I am stuck in my house for the next 3 months, until my ileostomy is reversed because I'm terrified to go out in public.

 

On a normal day prior to surgery, I never even noticed my Cerebral Palsy.  I walk with forearm crutches, use a wheelchair, but only if I need to have my hands free, and drive  car without any hand controls or adaptations.  Basically, I have always been able to do anything I wanted  But now, my disability is severely limiting me; I don't have the luxury of being able to stand independently and care for my bag.

 

Please, do any of you have any ideas???  I'm a very social and outgoing person, and I can't be on "house arrest" for the next 3 months!  It's killing me!  And this is just day 2 out of the hospital (was discharged yesterday).

 

 

Tags: Problems, J-Pouch, Cerebral Palsy

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The fluid from the pouch/your bottom is not indicative of how things will be after you have your takedown.

Intestines create mucus, always, but with stool mixed in, you rarely see it. After my surgery, at first, I couldn't control the mucus discharge, but slowly it became less and less. My surgeon used the decrease of it as a way to gauge when I was ready for takedown. For me, that was at 4 months. However, you mention a foul smell; my discharge did not have any real smell at all. Maybe ask about that. I'd just wear a peri pad in case. Look into disposable underwear for the time being. It really slacked off for me by the end of month one.

I never had to monitor "amount of stool" with my ileostomy. I think that's an added amount of extra work for anyone, let alone someone like you who has a harder time dealing with the ileostomy. I'd just open the bag, drain into the toilet, seal up, and be on my way.  I was only 19 with a new boyfriend, no way would I have stayed chained to the house for four months!  I'd ask to not have to do that.
rachelraven

oh boy I am sorry to hear you feel so discouraged. but take heart the early days are the worst days. Rachel is spot on, the mucus discharge from your bum will slow and eventually cease. 9 days out is very early days, not sure if youre still on pain meds, that might or might not have anything to do with control. as to odor, how frequently are you changing the appliance and maybe consult with other suppliers, I hear nowadays they make a variety of bags with filters etc. might also be the food you are eating? check under the information tab on here, it has a dietary guidelines section, that might help.

 

and yeah I had my surgery decades ago and once I left the hospital I didn't get involved in any measuring and maybe its putting too much pressure on you. I would talk to surgeon and ostomy nurse about alternatives. I think one of the main reasons they do that is to check if you have high output and to therefore know it, and address it. without your colon, you are at risk of dehydration which left unfettered can be deadly.

the ostomy nurse should have ideas about odor too I would think. chin up, it gets better from here.

deweyj

I am so sorry, this is adding insult to injury!

First off, I agree...the mucus slows to a halt after a while...mine did stink horribly (no one warned me about that pre-op)...they did my total colectomy 5 months after my k pouch creation...

A couple of suggestions for the bag change....try doing it in the bathtub or shower...makes clean up easier...also 1sth thing in the morning on an empty stomach...

I have a k pouch and with every surgery I had to wear it hooked up to a tube/flange/bag thinggy for 1-3 months...it stunk. For some reason the mucus that leaked around the tube was horrendous....I was staying with friends the whole time and was very self concious about it...my girlfriend informed me that I was being way over sensitive...her and her family couldn't smell a thing.

We do get over sensitive about odours and our bodily fluids (most people care a lot less than we do)...

I know that being a shut-in is hard...it has happened to me often (I don't drive in this country to boot and live in an industrial zone with no public transport) with every surgery I was stuck in the house for weeks or months...I have learned to deal with it...lots of books, videos, tv and intellectual activities plus a home gym...and the phone...didn't get a lot of visitors either...

You just have to keep telling yourself that it is only for a short time and will soon be over...internet is a powerful tool for distraction...

Hang in there...the worst part is over.

Sharon

skn69

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