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: 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.See 1 more doctor answer
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.
Reactive lymph nodes: Are benign lymph nodes that are responding to inflammation or other insults
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.See 1 more doctor answer
Bowel Prep: There are several medications and preps that can be prescribed to clean the colon or prep the colon before surgery. Some surgeon's do not prep the colon before surgery as there is some evidence of no benefit to this practice.
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.
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.See 1 more doctor answer
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.
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?
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.
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.
Yes: If unable to remove the lesion endoscopically you need to have it surgically removed as colon polyps are believed to progress into colon cancers.
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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