Doctor insights on:
Bowel Prep For Surgery
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Here's helpful link: ...and video: http://www.suprepkit.com/dose-instruction.htm (in English and Spanish versions) ...Read more
Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl
Insert drain: Ileostomy after rectal cancer is used to protect the rectal resuturing to establish continuity in the bowel. II there is some kind of abscess and leakage it can occur where the ileostomy has been reversed or at the site of the rectal suture line which may not have been ready for closure. Interventional radiology can place a suction drain to the site and left there until everything has healed. ...Read more
Does bowel prep medicines relieve severe fecal impaction prior to colonoscopy procedure night before ?
Possibly: Bowel preps are taken to assure that the colon is relatively clean as the scope is passed so that even small lesions in the mucosa can be visualized. Many of the preps contain polyethylene glycol which absorbs liquid into the bowel. This may help but you may need a stool softner. ...Read more
Post Surgery Pain: Yes. Of course. There is no ifs ands or buts about this. I would imagine your surgeon gave you some instructions and advice about your post operative course and what to expect. ...Read more
This : This is a practice that is still debated in the surgical literature with surgeons and evidence on both sides. A bowel prep refers to cleaning out the colon of stool prior to an operation (usually on the bowels) or colonoscopy. There are a variety of bowel preps used and it often depends on the practice of your surgeon. Reasons given for doing a bowel prep include; avoiding contamination of the operative field, infection, better anastomosis (sewing bowel back together), better visualization (for colonoscopy), and more pleasant for operating surgeon. Reasons against include increased infection, complications related to the prep, patient comfort. There are a wide variety of bowel preps currently in use. Most involve drinking either a large volume of liquid or a small volume of a liquid which sucks fluid into the colon, both producing a watery diarrhea. Some bowel preps have included antibiotics with the thought it would lessen infectious complications. The data is not clear. Many surgeons simply recommend a clear liquid diet for a day or two before surgery to limit the stool in the colon. There are also studies which have shown bowel preps to be dangerous by either causing electrolyte imbalances, dehydration, or actually increasing infection. As of yet there is no right answer and usually the choice of bowel prep has to do with the surgeon and their experience as almost any can be supported by some evidence. Many surgeons do colorectal surgery with no bowel prep. A colonoscopy does require a bowel prep for visualization. Speak with your surgeon about their practice. By far the most comfortable for the patient is to consume clear liquids for a day or two. ...Read moreSee 1 more doctor answer
Up to patient: True rectal prolapse which means the rectum literally falls out of the body is rarely dangerous but causes significant symptoms. If the rectum gets caught outside it can begin to die and require emergency surgery but this is unusual. On the other hand the only way to correct or get rid of the prolapse is surgery, and there are MANY procedures that are available. Must consult Colorectal Surgeon ...Read moreSee 2 more doctor answers
If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.
YES: if one performs a left colectomy, even extending the dissection below peritoneal reflection, as long as there is a rectal stump, 1-2 cm above the levators, proximal bowel can be reanastomosed. One can creates a pouch from the proximal bowel to make anastomosis easier and have the pouch act as a partial reservoir for the liquid feces in the ileum that will be used for anastomosis ...Read more
Redundant colon,candidate for elective colon resection. Linzess, miralax no help. Milk of mag or Sennokot 2-3x week helps.Use instead of surgery?
Chronic constipation: Most often, surgery is only considered as a last resort. For some people, having a bowel movement 2 to 3 times per week is normal. If you are able to achieve this using milk of magnesia, then I would not consider surgery at this time. It is always possible to have complications of surgery, and in your situation, it doesn't sound absolutely necessary. Fiber and hydration are key. Good luck. ...Read moreSee 1 more doctor answer
Could I have colon hydrotherapy as a substitute for the "standard" prep for a colonoscopy? Normally use enemas.
If it clears you out: The main purpose of colon prep for colonsocopy is to clean out the stool so that the camera can see the linings of your colon. The 'standard prep" works well because it has been done a gazillion times. I am not sure how good the hydrotherapy will do, but as long as it clean you out (without causing problem for you), i don't see why not! if it does not, u may have to do the standard" good luck. ...Read moreSee 1 more doctor answer
How long to wait for safe colonoscopy after colon resection? Polyp in rectum, blood in stool, no stoma.
Other options : There are many preps available. Options will vary with the endoscopist. It is best to discuss this with your doctor as he is the one who will advise you on the prep. A common option is a golytlely or CoLyte (polyethylene glycol) prep which involves consuming 4 liters of a peg solution. ...Read moreSee 1 more doctor answer
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