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Doctor insights on: Colonoscopy Stoma Problems Stoma Angles Down Leaking

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Dr. Charles Cattano
2,055 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Diagonised with rectal cancer, after ileostomy reversal, frequent bm's, abcess withleakage at the surgery site. alternatives tocolostomy ?bowel trnspl

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

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Appendix, colon cancer and bdominal hernia mesh implant surgeries. Lots of scar tissue causing bowel blockages. Can anything be done about it?

Appendix, colon cancer and bdominal hernia mesh implant surgeries.  Lots of scar tissue causing bowel blockages.  Can anything be done about it?

Significant problem: There are no known medical treatments for adhesions. Once formed, there isn't medicine that can dissolve them. Symptomatic treatment with pain & anti-nausea meds may be helpful at controlling some of the symptoms. The main stay of treatment is surgical therapy called adhesiolysis or lysis of adhesions. Adhesions can be divided using laparoscopic techniques which may relieve your symptoms. ...Read more

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Appendix, colon cancer and abdominal hernia mesh implant scar tissue causing periodic bowel obstructions. Can anything be done about the scar tissue?

Appendix, colon cancer and abdominal hernia mesh implant scar tissue causing periodic bowel obstructions. Can anything be done about the scar tissue?

Yes: Imagine your intestines are like a rope in a bucket with glue poured over them. The glue would represent the scar tissue, and could be holding a single part of the intestine in a position that makes it prone to twist and intermittently obstruct. This can be released with an operation, best attempted laparoscopically (open causes comparatively more scar tissue). Can't remove scar tissue though. ...Read more

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Diverticulosis attack treated with antibotics can arrest further devlopment? Colon scan indicates two pouches locatedi n the lower colon near rectum

Diverticulosis attack treated with antibotics can arrest further devlopment? Colon scan indicates two pouches locatedi n the lower colon near rectum

Diverticulitis?: I'll assume you are asking about the role of antibiotics in diverticulitis. Diverticulosis is the presence of outpouches in the colon wall. It presents with bleeding. Diverticulitis is infection of one of those areas, it will present variably with pain, fever, diarrhea, nausea, inability to defecate, and even sepsis. Diverticulitis is treated with antibiotics, but additional therapy may be needed. ...Read more

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SubColectomy w/Ileostomy Placmnt in 01, Abdominal Dishences frm c.diff infec causin rectum removl. Ileostomy revisn X2 in 09. Reversal Possible now?

SubColectomy w/Ileostomy Placmnt in 01, Abdominal Dishences frm c.diff infec causin rectum removl. Ileostomy revisn X2 in 09. Reversal Possible now?

Maybe: It depends on whether or not the rectum was removed or not. There's no reason to think you have a sphincter problem, and if that's true, along with the presence of the rectum, you may be able to get reversed. Without most of the colon, likely to have frequent BM's. see a colorectal surgeon for a more complete eval. Hope this helps! ...Read more

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Difficulty going to the toilet opening bowels L4 and L5 compression?

Difficulty going to the toilet opening bowels L4 and L5 compression?

What do you mean?: Are you trying to gauge the force of straining at stool? Or, how can we help you? ...Read more

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Colonoscopy done through stoma, there is a ulcerated mass sigmoid colon approximately 15 to 20 ct meter, there is light bleeding from colon ! Ok to delay surgery now?

Colonoscopy done through stoma, there is a ulcerated mass sigmoid colon approximately 15 to 20 ct meter, there is light bleeding from colon ! Ok to delay surgery now?

Ulcerated stoma: hello. you have a colostomy stoma and the presumed reason for that is colon cancer.You are 74y and now present with ulceration and some bleeding. DELAY IS VERY UNWISE. This must be treated as if it were colon cancer, and surgically removed asap and histology to confirm either benign or malignant with appropriate follow up thanks ...Read more

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Gastric bypass with hiatal hernia repair done wed-off painkillers-vomiting (no nausea) a fecal like material-more coming out then going in-cause?

Gastric bypass with hiatal hernia repair done wed-off painkillers-vomiting (no nausea) a fecal like material-more coming out then going in-cause?

See your surgeon: The cause could be something normal during the post-op healing from a bypass, but it could also represent a problem. If you are not able to keep yourself hydrated, then you need IV fluids and medical attention. I definitely recommend contacting your bariatric surgeon for further evaluation. ...Read more

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In 1966 open surgery for malrotation & right kidney displacement & appendix removal age 12,now problems with acute Gastroparesis/ SMA Syndrome ?? Help

In 1966 open surgery for malrotation & right kidney displacement & appendix removal age 12,now problems with acute Gastroparesis/ SMA Syndrome ?? Help

Very different: conditions. Both the conditions of "gastroparesis" and "SMA syndrome" are uncommon, and are very different, unrelated conditions. Neither of these would be related to past surgery. Both need a detailed evaluation by a specialist, Gastroenterologist. Both need specialized radiology testing (gastric emptying study, vascular MRI study, etc). Your doctor will know what tests you need. ...Read more

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Opening on abdominal wall for colostomy, what happens?

Opening on abdominal wall for colostomy, what happens?

Usually nothing: The opening on the abdominal wall is small and just large enough for the colostomy to fit. The edges of the colostomy are then tacked down to the surrounding skin to seal the area. Rarely does anything go wrong. Occassionally there might be a paracolostomy hernia that then needs repair or a prolapse or dropping out of the colostomy itself that needs to be fixed. ...Read more

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Why does L eye tear? DRs. tried sewing up corners, inserting my tissue into lower lids, stent in L duct, & endoscopy surgery to open another duct.

Why does L eye tear? DRs. tried sewing up corners, inserting my tissue into lower lids, stent in L duct, & endoscopy surgery to open another duct.

Blocked tear ducts: Blocked tear ducts are common with advancing age but it looks like you are doing the right thing consulting the specialists. ...Read more

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Incomplete bowel obstruction ? Feels like a blockage or the colon closes after halfway through the bowel. No other symptoms, stool is fine.

Incomplete bowel obstruction ? Feels like a blockage or the colon closes after halfway through the bowel. No other symptoms, stool is fine.

Constipation?: It sounds like you have the feeling of incomplete stool evacuation during a bowel movement. A bowel obstruction usually is a mechanical obstruction on the intestine caused by scar tissue from previous operations, hernias, masses in the intestine, ect. If constipated i recommend increasing the fiber and water in your diet, and add a stool softener such as colace (docusate sodium). If symptoms continue, see a md. ...Read more

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Hysterectomy ,TVT,correctional bladder prolapse6wk out experience "contraction-like" pain Ct saw fecalization of smIntestine. Fam hist.rectalcancer?

Hysterectomy ,TVT,correctional bladder prolapse6wk out experience "contraction-like" pain Ct saw fecalization of smIntestine. Fam hist.rectalcancer?

Postoperative pain: I believe that the surgeon who performed your procedure is best qualified to evaluate and advise you. I don't feel that the symptoms or ct findings are necessarily a sign of rectal cancer, but the surgeon can also best address that question. ...Read more

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I have potential bowel obstruct with diverticulitis. X-ray image had circles on area of my stomach. Diverticulum located high. Gas pockets??

I have potential bowel obstruct with diverticulitis.  X-ray image had circles on area of my stomach.  Diverticulum located high.  Gas pockets??

Seek treatment: Hi, the description of your medical illness can be consistent with the laboratory findings you provided please seek immediate medical treatment if you are having symptoms. Hopefully you are being treated already... ...Read more

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10cm sigmoid tumor obstructing bowel, terminal colorectal cancer since 2010 extensive disease. Choice is stent or stoma please help not sure what to do?

10cm sigmoid tumor obstructing bowel, terminal colorectal cancer since 2010 extensive disease. Choice is stent or stoma please help not sure what to do?

Sorry : Sorry about the bad diagnosis. I would suggest that, at this point , if stent is possible go that route. A lot easier to recover from and ultimately, if disease is as bad as you say, it will be the same outcome. But don't have to recover from a big operation. ...Read more

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Over 2 years post low anterir colon resection. 10 inches removed. Osmosis is 5 cm to anal verge. still have urgency and problems evacuating. lifelong?

Over 2 years post low anterir colon resection. 10 inches removed. Osmosis is 5 cm to anal verge. still have urgency and problems evacuating. lifelong?

Probably: It's likely that after two years, the symptoms aren't going away. However, dietary modification has a huge impact on bowel function, so consider making some changes to your eating patterns, like adding more fiber by replacing some meats with beans, and see if that makes a difference in your bowel function. ...Read more

Dr. Marvin Ott
29 doctors shared insights

Stoma (Definition)

A stoma is a surgically created hole that creates a connection between the digestive tract and the skin so that liquid food can be put into the stomach, or liquid waste ...Read more