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Cancer > Colon Cancer Forum > Diarrhea in total colectomy
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Q: Diarrhea in total colectomy
asked by: ashnaidu on July 13th, 2008
New User
Hi all

I am desperately looking for some help. My 77 year old father-in-law underwent a total colectomy due to colon cancer. He has constant diarrhea which is preventing him from excercising. This is now rendering him bed ridden and he is slowly losing his will to fight back. What sort of diet or medication should he be taking to help firm his stools.
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MandMs
replied on July 16th, 2008
Extremely eHealthy
One of the side effects of total colectomy is diarrhea and sometimes even fecal incontinence.
Due to surgery of colon cancer, and changed anatomical structure of GIT, patient experiences changed bowel function.
One of the main goals after colon or colon-rectal cancer's surgery is to have high quality of life by getting control of bowel movements.
Colon main function is absorption of liquids.
Because, parts of the gastrointestinal tract are removed with the surgery, there is a shorter tract for absorption the liquids (with total colectomy the absorption function is totally impaired) and that's causing a shorter transit time of food trough the GI tract and changed consistent of stool. This results in having more frequent bowel movements per day. Normal healthy people, usually have maximum three stools per day, but patients after colon cancer surgery are having more then that in form of diarrhea.
Your father in low should avoid taking liquids during the meal because this will cause more voluminous mass in his tract and shorter transit time through GIT and having frequent bowel movements. It's better to drink liquids between meals.
Because, GIT's absorption function is impair,using a medical fiber can slow down the transit time. Fiber taken right after a meal in very little fluid, can soak up excess fluid in the digestive system and thus slow things down.
He needs to avoid certain foods (spicy foods, sweets, high-fat, hot liquids,some fruits and vegetables), because he'll have increased bowel movements.

Does he experience inability to fully empty at one specific time?
How many meals he has per day?
Was he done ileostoma?
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ashnaidu
replied on July 16th, 2008
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Diarrhea in total colectomy
Thank you for the response. To answer your questions:
Does he experience inability to fully empty at one specific time? Unable to determine this as he is constantly passing loose stools.

How many meals he has per day? We try to give him 3 meals, but he sometimes skips.

Was he done ileostoma? Not sure what this is. His colon was removed and the small intestine joined to his rectum.
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MandMs
replied on July 17th, 2008
Extremely eHealthy
After ileoanal anastomosis (small intestine joined to his rectum), patients usually experience between four and nine bowel movements during the day and one at night. This frequency generally decreases over time.

He can practice having four small and one big meal each day.

If you want you can consult a dietitian who may suggest permanent changes in his diet to minimize gas and diarrhea.

Best wishes!
Marija
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