Doctor insights on:
Ileostomy Pain Around Stoma
Plz don't defeat purpose of this website by tellin me 2 ask my dr or surgeon. My? is what does it mean when a stoma from Ileostomy turns black?
Usually ischemia: That usually means that the stoma has a reduced blood supply, causing what we term ischemia. It may only involve the lining of the stoma, which usually gets better on its own after the swelling goes down. If its the full thickness of the bowel wall, it may need revisional surgery. You should ask your surgeon as well. Hope this helps! . ...Read more
If my ileostomy stoma is not sensitive to pain, why is the tissue inside of my stoma so painful, when I have no skin breakdown outside of my stoma?
I've had an Ileostomy 4 over 13yrs after having SubColectomy & most of my small intestines removed. There's a 2nd stoma developing @ Ostomy site? Why?
See your Surgeon: This is a very complicated surgical history. You need to follow up with your surgeon. ...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
Have 1st visit @Mayo Clinic next week due to removal of ALL intestines & rectum w/ileostomy. Faild Revrsl. Stoma has 3 holes instead of 1... Why?
Very complex: The folks at Mayo are literally the world's experts on complex colorectal problems. They will take a complete history and physical examination and may get more tests before making a recommendation. I would listen to whatever they say! ...Read more
I have an ileostomy. Prescribed bentyl (dicyclomine) 10mg up to 4x a day for post surgery stoma spasms. What is chance of side effects some as constipation?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Laparoscopic: Surgery is minimally invasive surgery through 3-4 small incisions using special lighting, camera & small instruments to perform an abdominal surgery. In this case to remove a person's ileostomy and bag and repair or reconnect the small intestines internally. Would be done under full general anesthesia. ...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 moreSee 1 more doctor answer
2 weeks to 1month: Ileostomy is usually performed for obstructing cancer or blockage. Also for ulcerative colitis. After having an ileostomy the incision will heal from the inside. The sutures will last about 1 month. Watch your diet and fluid intake. Too much output from ileostomy can make you dehydrated. ...Read more