Doctor insights on:
Ileostomy And Flatulence Gas
I just had a ileostomy reversal and am dealing with bloating and gas, what can I do to relieve the pain of the build up of the excess?
I have severe redundant bowel due to chronic gas distension, in both widths and length, causes massive pain and nausea, would temp ileostomy help?
Need more info: Which part of your bowel is redundant - large or small bowel? How do you know? How long have you had symptoms? If the excess bowel is the large intestine, sometimes a bowel resection can help. I have never performed an ileostomy for this problem, I have done colon resections with a good bit of success. Have you seen a surgeon to discuss your options? ...Read more
What would help to get read of bad smelling burps and gas my husband has them but he has a ilieostomy so his bag will fill with gas fast any help?
Depends: How long has he had the ileostomy and why was it performed? Early after surgery may need to avoid strong smelling foods (broccoli, asparagus, etc), and there is intestinal adjustment early after surgery too. Recent use of antibiotics can affect bowel function and he can try probiotics or yogurt. Call and ask your doctor or surgeon for dietary recommendations based on his specific situation. ...Read more
I had a total proctocolectomy with j pouch ileostomy about 5 years ago, and ever since I've had a huge increase in flatulence. How do I control this?
I am sure you were provided of a list of food that is good for you, and the one that are not so good.
I know you are supposed to eat enything you want, but not without consequences.
stay away frommilk, and milk product, stay away from red meat, fry greassy food, and row vegetables, eat multiple small meals, chew your food well, eat slowly. ...Read more
Not really: A loop ileostomy is an ostomy where both upstream and downstream ends of the bowel come through the same opening in the abdominal wall. It can be different in terms of what segment of bowel is used. It usually allows for a simpler closure of the ileostomy and a shorter recovery time following pouch surgery. ...Read more
Controllable: An ileostomy is placement of the end of the small intestine out of an opening made in the abdominal wall. Most of these will drain or empty spontaneously, without any control. A valve can be constructed at the opening of the intestine (stoma) which will allow no drainage unless a catheter is passed into the opening--we call this a "continent" ileostomy. ...Read more
Yes: There is primarily one type of ileostomy commonly performed, the straight or brooke ileostomy. I am not sure if many are performing a koch pouch ileostomy anymore, which is a type of pouch used under the skin. ...Read more
Yes: Lomotil is one of several things that can be used to slow ileostomy output. Imodium (loperamide) is also effective in most patients. Fiber can also slow and thicken the output. You should work with your gastroenterologist or surgeon to manage the output and make sure there isn't something going on to make the output increased. ...Read more
Can I conceive if I'm under weight? I'm 4"11 80 lbs and 27 years old with an ileostomy and irreg periods. Trying for almost a year.
I have a temporary ileostomy from a total colectomy, how common are hematomas and infections or other problems in the reversal surgery site?
Ileostomy reversal: Although it varies slightly depending on exactly what kind of reversal will be done, surgical complications such as infection and hematoma are rather unusual these days. If you follow your surgeon's advice, they are unlikely to happen. If you have any problems after the surgery, be sure to contact the surgeon promptly. Good luck ...Read more
Dr says he will do an ileostomy reversal by inserting a tube which he'll connect my stoma to 1 end & rectum to the other. Is that how a reversal is?
No: An ileostomy is a safety valve in the proximal intestine to prevent intestinal content from reaching a stitch line in a lower segment of colon near the rectum where a tumor has been resected and the ends of colon stitched together. This safety valve can then be closed. When the stitch line has healed. The ends of the ileostomy are mobilized and resutured. ...Read more
Went into hospital with double pneumnia & a week later, I woke up wearing a colostomy bag and was told they had to perform an ileostomy placement. Y?
Wow.: I imagine that was quite a shock. I am sure that ileostomy isn't part of the usual treatment of pneumonia. I think you need to inquire further when your doctor makes the rounds, if still hospitalized. Maybe you had a bowel emergency as well such as obstruction or necrotic bowel after loss of blood flow. If you were extremely ill in ICU that could be possibly connected. Perplexing. ...Read more
Following an ileostomy & panproctocole tomy I have lots of mesh in my lower & upper abdomen. Is it adviseable to use a rowing machine for excersise?
I had an ileostomy 20 years and have polyps removed every other year. The surgeon inserts a lot of packing. Do I remove packing? Will it disintegrate?
No large intestines, few inches of small. Can Dr do ileostomy reversal? Says I have more anal than he thought, will use 4 what I lack in intestines??
Unfortunately, there really is no way to know until the time of surgery. Estimates of usable remaining bowel, which may be noted on prior operative reports, is still an educated guess.
Assume that your stomach ends somewhere above your belly button, and draw an imaginary line between that and your anus. If this distance is greater than the "few inches" of small intestine, it may be a challenge. ...Read more
If the entire large intestines and rectum are removed followed by creation of Brooke Ileostomy... How much of the rectal stump is usually left, if any?
Depends: The amount of rectum remaining will vary from person to person depending on the reason for the surgery in the first place. Is the procedure planned for inflammatory bowel disease? colon cancer?, trauma? Some other condition? The best person to ask is the surgeon and or surgical team. ...Read more
Reconnect intestine: This generally refers to the removal of an ileostomy (loop of intestine attached to the skin so stool can drain into a bag on the abdomen) and reconnection of the ileum to the colon or intestine (or in some cases creating an ileal pouch). It really depends on the exact circumstance of the ileostomy and what else was done. ...Read more
Koch + J S W pouch: This is a complex subject and I understand your confusion. The conventional continent ileostomy is called a koch pouch and its opening is located on the abdomen. Other surgeons have described a variety of other procedures where the end is attached to the rectum using an lido-anal pull through technique with a pouch formed using a variety of configurations known the j, s, or w pouch modifications. ...Read more
A cover that fits: There a wide variety of different ostomy covers available. Most importantly get one that fits well. Other consideration could be appearance and material (that may reduce noises). ...Read more
Easy: If the rectum is still open thru there or thru the ostomy ...Read more
Crohn's disease: A continent ileostomy uses about 18" of your intestine to create the internal pouch. If you have a chronic inflammatory process that can effect other areas of your small intestine in the future your risks of future surgery and having too little small bowel for nutritional support increase. If the small bowel is normal then continent ileostomy can be considered. ...Read more