So, I just had a colectomy :( ( the whole large intestine removed)....What should I worry about and what will my body be lacking? Will I come into trouble down the road? I feel helpless because there isn't much info on this matter
They just connected it down to the rectum. I don't know what and if I am going to be deficient on anything or what to do when I get backed up....I have been a little constipated and I am scared to death to take anything for it. And sometimes my feces is black!!! Kind of scary.
I had a total abdominal colectomy one year ago and everything was going just fine until about 2 weeks ago. I was able to have normal bm's an now I don't feel like I can go. I also am scared to take anything for it other than my normal 2x a day metamucil. I also had my small intestine reconnected to my rectum. I am concerned I have scar tissue or a bowel obstruction any advice on how I would know?
I only take benefiber twice a day!!! And all the roughage like carrots, lettuce, corn, etc hurt to no end when it is time to go poo. I hope someone is out there that could give advice. I have been having sharp pains where my intestine was connected to my rectum. And I too would like to know what to do.....I have been having trouble with bm's and I am getting scared. It has been 9 months since my surgery.
If you absolutely cannot "go" and your abdomen is distended, and you have sharp pains, that is most likely a bowel obstruction or an adhesion. In which case, you need to seek immediate medical care. I've had a couple bowel obstructions/adhesions and they're not fun. They had to do a sigmoidoscopy to correct the problem. To do this, they made very small (1/4 in.) incisions in my abdomen, stuck two cameras in there and did t he surgery through the other hole. These healed up nicely and left unnoticable scars. The second time, they went through the same scars.
As far as depletion, your small intestine pulls most nutients out of your food before it moves to the colon. The main thing you need to worry about it dehydration. It's very easy to get dehydrated since you don't have a large intestine. My stools are usually loose, but formed and I use the restroom about 6 - 8 times a day. A lot depends on what I eat. I've learned to incorporate some kind of salad or veggie into every meal. Otherwise, stools have more of a diarrhea consistency. And this helps me have regular, predictable bowel movements. I absolutely stay away from things like nuts, popcorn, sunflower seeds, seeds of any kind, spicy food, eggs, and dairy products. Most of these need no explanation because, as you can imagine or have experienced, the food we eat comes out pretty much the same as it goes in.
Not sure about the black stools...
Let me know if you have more questions. Anything specific I can help with..
Thank you so much!!! I was wondering if I was alone with this problem!!! Now, I drink tons of water due to the dehydration....But what do I do about the gas build up.....I mean, I eat lots of fruit such as peaches and applesauce and such....But my stomach gets so distended by the end of the night and I have tons of pressure to poo, but it seems as though I can't always get a complete bowel movement and that my body has a shut off switch after a short time of pushing.....Like it plugs up and then I have to wait for a while to finish.....And what about the horrible loud flatulence with every bowel movement????
I am going to ask lots of questions because I haven't had anyone to ask....My doctor is a state away and I haven't reallygotten lots from him
dont forget that corn doesn't do much for the system....It hurts coming out!!! And I do have sharp pains all the time when my intestine is full..... Is that normal?
I really want to thank you for responding.....There isn't anything else out there for the information!!!!
It's good that you drink lots of water. That keeps keep your digestion running smoothly.
Depending on what I eat, I also get gas pretty bad. Usually I have it throughout the day. Food doesn't stay in me long enough to cause a noticeable odor so it's not usually a problem. The only think to do about gas is try and prevent it. Stay away from dairy, broccoli, eggs, gum is a huge one for me. I do not chew gum ever. I'll look like i'm in my first trimester if I do. I don't drink soda or eat hard candy. Carbs make me bloated anyway so I try to stay away from those and excessive sugar. (no, chocolate, candy, cakes, ice cream).
If your gas gets painful, beano before a meal prevents it, also gas-x after a meal works well too. I don't mess with those too much though since a little bit of air in your tummy is good. It keeps things moving along.
One other alternative is runnning. Somehow, while you're running, your body absorbs the gasses in your intestines. I've never had gas after a nice run.
Ok, pressure to go #2, but you feel like there's a shut off switch. Initially, I experenced this too. Since you have no large intestine, you can't store as much food as you used to be able to. Therefore, your meals have to be much smaller. Eating a huge thanksgiving dinner in one sitting is out of the question (for me). I'd be miserable. Instead, I started eating very small portions throughout the day. Instead of 3 big meals, I eat 6 small meals a day. I'm never excruciatingly full and don't experience the "shut off" switch any more. Also, I try to eat some kind of veggie with each meal to keep things flowing along. I mostly stay away from fruits for sugar and they make me gassy. Especially apples!
"going" now is a quick process for me. About 7-8 times a day depending on my diet and a very small amount. About 1/2 cup i'd say. And no pushing required. When your body needs to empty itself, it'll let you know. And pushing puts a strain on those stiches that are still healing (a very delicate area that you want to take good care of. A very small portion of your rectum still has uc so you don't want to irritate it.)
loud flatulence. Yes, this is something i've struggled with for years. I'm now 22 and have been trying to figure out ways to quiet this occurence since I was 14. There are a few tricks. Flush at the same time you think there will be a noise. The noise is usually quick so the flush works. You'll get to where you can time it so the loud rumble at the end will be in sync with your bm. Then, of course, you have to flush again when you're done. It also works well because it's a courtesy flush, although there's usually not much of a "normal" smell. Another trick is to take a few sheets of tp and hold them over your bum while you go. If there's a lot of stool, just let it drop into the toilet and get another wad. This, in combination with the syncronized courtesy flush works great. I can usually get away with going just about anywhere (although I hate bathrooms which are connected to the bedroom/living room or that have tile floors, etc.) i've become hyper aware of bathroom necessities. You will too:)
if it hurts to go, give your tummy a break. Stick to water for a day until you clear yourself out. Then ease back into it with small intestine friendly foods like toast, applesauce, mashed potatoes with a salad (can't forget the greens!) to keep you from binding up. You'll feel a ton better.
Finding the right balance is key. After I had my surgery, I had no idea what to expect. I kept track of how different foods affected me, stool consitency, gassy, constipated, came out whole, diarehea sp?, etc. Then, I took that and mentally made note of 'safe' foods. Of course, I goof every once in a while, but for the most part, i've got it down to a science. Also, watch your sodium intake. Since I don't have a large intestine, I retain more water than normal. Like %50 percent more. The only way around swollen ankles and a puffy face is drink gallons of water a day and do not consume salt. Period. I hope you don't have this problem though.
As far as sharp pains, i'd say try to eat smaller meals more frequently. And stay away from foods that make you gassy or don't digest well (popcorn, corn, broccoli, dairy, soda)
Pain, diarrhea, skin burn, after Total Abdominal Colectomy
Total abdominal colectomy done May 10, 2010. Black runny stools, I've discovered, are usually the result of eating chocolate (or choc cake), blueberries or similar. I find I can tolerate beans but only in small doses, but MUST eat ONLY cooked foods, including cooked fruits. That rules out salad--although I have even tried that sauteed in a pan and it was OK. The worst offender is high fiber anything including crackers with lots of added seeds.
While immodium is recommended to control the diarhea, I find it helps the pain, resulting from going too frequently, but it appears to be gas producing and makes me feel uncomfortable. If I'm terribly uncomfortable, I use the flexible hose from my shower (don't allow water to run too forcefully or I allow some to escape from the anus) and give myself an enema and after a couple of those, it appears to obviate the uncomfortable feeling most of the time.
Also the abdomen, I've found, can become painful from overwork--pushing vacuum cleaner on stubborn carpets, for instance.
Ibuprofen and bed rest helps. BUT, I always wear a small girdle for support to the tummy area, and also an all around wide sports support belt when doing physical work that can be a strain on the abdomen--good for back too!
This is rather personal but, to avoid continual breakdown of the skin around the anal area (for which I use Calmoseptine--immediately soothes the burning sensation-- or Hydrocortisone 1% plus, anti-itch cream, and the usual Preparation H.) I tried cutting off the bottom of a plastic cup from Pepto Bismal. I hold that in place while I have a BM and it keeps the BM from touching my skin. I now have a small measuring cap with handle which is easier to use.
I do hope some of these comments are of help to someone.
I had a partial colectomy in 2004 and a total colectomy in Feb 2009. Few things to consider across the board of the post I have seen in this chain.
1. Adhesions do happen and they are dangerous and extremely painful. Be sure to get them handled. Lots of water will some times help.
2. Water, some time I forget to drink enough and I can tell. I think it is about 20% of your water was absorbed from your colon. You dont have that now (thus perm loose stool). So we have to drink a great deal more.
3. I know I have bowl movements 5 to 10 times a day depending on the food and water consumption. That combined with the liquid consistency can lead to raw, irritated "exit". Try an ointment like A&D or even diaper rash type med. It keeps the acids and extreme wiping friction down some.
4. I do suffer and have not resolved yet the gassy abdomon. I find the loudness very embarrassing and some times painful. I havent tried it really yet but I wouldg guess one of those gas products might help. Not sure if it will require more water consumption but should probably help.