Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Colitis (Expert Forum)
Complications post colectomy with ileoanal pull through
Answered by
Ratnakar Kini, MD - Gastroenterology, Pediatrics, acid reflux, gerd, colitis
Gastroenterologist & Hepatologist
India
This forum is for questions and support regarding Colitis issues such as: Causes, Constipation, Diagnosis, Diarrhea, Drugs and OTC Medications, Fever, Living with Colitis, Loss of Appetite, Preventing Flare-ups, Research, Symptoms, Support, Surgery, Tests, Treatments, Types of Colitis
Complications post colectomy with ileoanal pull through
by Drained, Oct 07, 2008 02:08PM
Last November I had a total colectomy with an ileoanal pull through for ulcerative colitis. The pouch was created during the first surgery but I had a colostomy for a few months while it all healed. In February then I had the colostomy reversed. Since then, I have had multiple complications. At first there was a great deal of pain with bowel movements. That has finally subsided however, I currently have 12 -20 bowel movements a day with several occuring at night. I also have a lot of trouble with incontinence. My surgeon has examined me and determined that my sphincter tone is perfect. He seems to be at a loss as to how to help me. I've experimented with antibiotics, diet changes, acupuncture.... the list goes on. I take immodium and acidophilus daily but nothing seems to help. Are there dietary restrictions that I should follow? Any foods or beverages I should avoid? Is there any hope that I won't be incontinent for the rest of my life?
Doctor's Answer
by Ratnakar Kini, MD, Oct 09, 2008 01:24PM
, Oct 09, 2008 01:24PM
Hi,
It could be due to pouchitis which is a known complication following IPAA surgery.
Metronidazole for about 4 weeks is very effective. Consult your doctor for the dose.
If it is not effective, then other medications like steroids, mesalamine and bismuth subsalicylate may be tried.
================================================================
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
It could be due to pouchitis which is a known complication following IPAA surgery.
Metronidazole for about 4 weeks is very effective. Consult your doctor for the dose.
If it is not effective, then other medications like steroids, mesalamine and bismuth subsalicylate may be tried.
================================================================
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.
- Ratnakar Kini M.D.
Member Comments (3)
by TrudieC, Oct 08, 2008 07:32AM
I had this surgery 15 years ago. It does get easier with time. Good things to eat that will bulk up your stool are marshmallows, oatmeal, and apple sauce. Watch how much fiber you take in. I can still only manage a small salad every other day. Eat your vegetables cooked. Try and increase your protein - eat eggs and more meat. Avoid sugar - it will loosen your stools. Too much caffiene should be avoided.
by Gina730, Nov 29, 2008 08:42PM
I had this surgery 21 yrs ago (@ 18 yrs old). I've had pouchitis twice. I still have trouble w/high fiber foods, anything spicy & I've become lactose intolerant. My diet is very restricted. I have 6-8 bowel movements a day, sometimes more.
