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Colostomy reversal

by kcmomof3, Jan 30, 2008 10:17AM
I have a 13 year old son who had a colostomy reversal 3 years ago. Luckily he only had to have the colostomy bag for 6 months. (which seemed like an eternity) After the reversal, we had to watch his diet, make sure he got lots of fiber, etc. Ever since the reversal, he has had lots of stomach problems, including pain near the incision site, constipation, stomach aches, excessive gas, and belching. I have asked the doc about this many times, and they say there is nothing wrong. He has even been to the ER a few times with terrible stomach pain. They have done CT scans, x-rays, etc. and just tell me that he is constipated, which seemed strange to me because he has very regular (almost like clockwork) bowel movements.  I try to make sure that he gets lots of water, and push the fruits veggies as much as possible.  If anyone has any suggestions, or has experienced these things, any advice would be much appreciated!
Member Comments (1)

by Jaybay, Jan 30, 2008 11:40AM
It's possible that the anastomosis site has narrowed due to scarring (adhesions).  Scar tissue doesn't show up on tests, so it can be very difficult to there really is a problem and that it isn't just a functional one.  If the anastomosis is completely closed up and the bowel is obstructed, that can easily be seen and is an obvious medical emergency.  If it is only narrowed enough to cause symptoms, it generally won't show up.  

One way to check the anastomosis is through colonoscopy.  You might ask your son's gastro doc about that.  In some lucky people, the process of moving the scope through the area of intestine can break up the scar tissue, open up the intestine, and there are no further problems.  Obviously you aren't going to get this problem treated effectively through the ER.  All they can do is get him stabilized and discharge him and tell him to follow up with his own physician.  I agree with you that constipation alone is not the problem; constipation is a symptom.  Start with a gastro doc or even consult with the surgeon who did the original colostomy and reversal.  Bring along copies of lab work, test reports and even the CT and xray films.  You can request these from the hospital in person.
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