Doctor insights on:
Do You Still Feel Pain A Couple Of Months After Sigmoid Colon Surgery
I'm still in a lot of pain after having laproscopic sigmoid colon surgery, then a hematoma. Why, and how long could this go on? I had the surgery for diverticulitis, it's been 2 weeks after surgery and 4 days ago he drained the hematoma, I am in a lot of
Standard recommendations for the performance of laparoscopic sigmoidectomy in patients with diverticulitis include patients who have complications of the disease or have had numerous, severe disease episodes. Laparoscopic sigmoid colectomy for diverticulitis has demonstrated benefits with regard to operative blood loss, postoperative pain, length of hospital stay, morbidity and mortality compared with open surgical techniques. In either open or laparoscopic sigmoidectomy, the major complications include: leakage and/or stricture at the anastomosis (connecting the two ends of the colon), abscess, and bleeding (hematoma).
The symptoms associated with the hematoma depend on its size and location. It is possible that the hematoma is compressing surrounding tissues or organs causing pressure symptoms, or if pressing on a nerve, can also cause neuralgias or pain. If you are still having symptoms after drainage of the hematoma, you may want to see your surgeon again to have a ct scan done to make sure that the hematoma has been drained and that there are not other reasons (such as infection) for presistent pain or gastrointestinal symptoms. ...Read more
Reactive lymphoid follicles colon means? My sigmoid colon was removed by surgery due to cancer and re joined. Thanks sir. My colon cancer stages 3.
How to get rid of gas pain after colon surgery? I've been walking a lot, but still a lot of trapped gas. How many days does it take to get 1st bm?
Few days: A few days usually. Remember you have not eaten for some days in between. If you are passing gas and no movement try taking a laxative to help with the first movement then it still maybe agee days until food goes thru ur system to get back to normal if you are not passing any gas maybe a bigger problem and you should get looked at asap. ...Read more
May need help: Not sure if 5 mm is the size of the restriction ('stricture') or the lumen thru the stricture. 5 mm is not much if this is all the stricture represents. If the lumen is narrowed to 5 mm - you may need therapy and a GI doctor or surgeon might try balloon dilation to widen this area. If this does not work, another surgery may be necessary to prevent obstruction. I am sorry this happened. ...Read more
Could u recommend some body having redundant colon to have colon surgery by fearing that some day it could happen colon twisting?
Volvulus is...: ...Colon obstruction brought about by twisting of the colon. While having "redundant colon" may be a common factor in people who develop volvulus, we never recommend surgery for this condition unless they have had a documented episode of obstruction. Stated another way, many people have redundant colon (esp in the elderly and/or chronic constipation) but few develop volvulus. ...Read more
I take 4mg medrol/d, since, a small wound takes long weeks to heal completely (one week before) should I be concerned in case of colon surgery?
Steroids: It is always preferable to not have steroids on board prior to surgery. If your surgery is elective and you're only on steroids temporarily, then it would be preferable to wait until you were off. However, if surgery is needed non-electively and/or you are on steroids indefinitely, then its ok to proceed. ...Read more
See his doctor: Sounds like you need to return to the surgeon and possibly to family doctor to assess the reasons for this. Without knowing his history and doing an exam it would be difficult to answer your question. What type of surgery did he have, why was it done, what are his other health issues? ...Read more
Possible: It is possible for nerves to grow and for cut ends of a nerve to 'find each other.' but, this is a slow process. The pain should abate with time after a surgical incision and the work done inside. Sometimes scar tissue or 'adhesions' may develop which can also be a cause of pain and discomfort. I am sorry you are having pain issues after your surgery. ...Read more
Establish continuity: The second part of a colectomy usually refers to re establishing continuity when resection is not followed by re anastomosis. By establishing continuity there should be normal bowel movement but this could be hampered by the healing process of the anastomosis. If low down with inadequate blood supply occasionally a leak can develop or if inflammation sets in there can be a stricture. ...Read more
Could colon redundancy be the main cause for over passing gas up to the level of unable to control properly? If it is, can colon surgery be recommended
Not that I know:
Gas is due to many other factors. I would look to other things to explain large amount of gas. Try avoiding the foods, activities that cause the gas accumulation. See your primary to figure out the cause of your symptoms. You may have a food intolerance (lactose? Wheat?) see below
http://digestive. Niddk. Nih. Gov/ddiseases/pubs/gas. ...Read more
Is surgery the only treatment for an intestinal stricture of the sigmoid colon caused by Crohn's disease?
The best treatment: Your best bet for intestinal stricture due to ibd is surgical resection. In patients who've had multiple surgeries/resections for ibd, stricturoplasty, where the inflammatory stricture is opened but not resected, may be an option. Still, surgical intervention will be necessary. Good luck. ...Read more
I have flatulence and my doctor recommend me to have colon surgery to cure b/c as he explained me flatulence is caused by colon redundancy? I doubt
No Surgery indicated: Other source is aerophagia, that is swallowing air that occurs when the diaphragm contracts & creates negative intrathoracic pressure to breathe but also draws air into the thoracic esophagus. This source may be exaggerated by respiratory issues like asthma or psychological issues like anxiety, but still would not be helped by colon surgery. ...Read more
Was told I had a narrowing of the anal canal due to scarring after colon surgery. Called a fissure? What is the success rate of fixing this w surgery?
Miscommunication: I think you are confusing your terms here. What you are describing sounds like an anal stricture/stenosis. An anal fissure is a tear in the lining of the anus. These are two totally different processes with different treatments. I would clarify with your physician what it is you have exactly. Strictures can initially be treated with dilation. ...Read more
How much quicker is the recovery time for laparoscopic colon surgery over open surgery? I have diverticulitis and my doctor mentioned that surgery is a very real possibility for me. I was researching surgeries and couldn't figure out what the recovery tim
Recovery time varies: Recover time will vary depending on many factors including age, general health of the patient, infection control, smoker or not, blood sugar control, the exact type of procedure, and post-operative and follow up care. Discuss it with your surgeon and get their opinion as to what they feel is a reasonable recovery time for you. ...Read more
Does colon surgery recommended for a person suffering from extreme bloating, flatulence, passing gas?
Tough to say: Can't make such an evaluation from your symptoms. Lots of things can cause that including gallbladder. Speak with surgeon tofind out and GI doctor. ...Read more
My bowels movement is ok but is it normal to feel bloated with gas but unable to pass gas? What do I do? Just had a colon surgery 2 weeks ago.
My problem is flatulence I can't control my gas even properly I am recommended to have colon surgery by my doctor could it make me safe completely?
Colon surgery:tumor size=2cm. Pathologic staging (pt3, n1b, mx).2/17 lymph nodes show metastatic. Margins of resection free of carcinoma. Need chemotherapy?
Yes: Chemotherapy regimens based on the drug Fluorouracil (5-fu) have been part of the treatment for high-risk stage ii or stage iii colon cancer. Many clinical trials have shown that these regimens improve overall survival primarily by reducing the high risk of recurrence within the first two years after surgery. ...Read more
Is it normal to see inflammation on the colon after colon surgery for cancer? Ct scan reviled inflammation 2 months after,
Yes: Colon resection and anastomoses in some patients will take a few weeks to heal. Some are due to small leaks in the connection that do not require reintervention. But if symptoms are present reevaluation is needed. There might be a seroma or fluid collection. ...Read more
Could u recommend colon surgery for a person having redundant colon and suffering from flatulence, ibs, & over passing gas?
62 yo female w/ stge 4 colon ca has frequent urgency to release stool or pee. She had colon surgery a yr ago. Why the freq bathroom trips?
Depends: What portion of the colon was removed at surgery? Removing the lower colon & rectum can result in more frequent bowel movements. I do not know if there are medications that she is taking that may affect her, or history of radiation treatments. Review with her doctor. Colonoscopy may be indicated. ...Read more
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