Doctor insights on:
Intubation Ileostomy Painful
Very briefly.: An indwelling ureteral stent is removed in one of two ways. A quick pull on a little string to pull it out of the urethra, or by using a flexible scope to enter the bladder and pulling out the stent with forceps. Both can cause bladder discomfort and some flank pain as it is quickly removed. Some residual pain can linger for a day or two. Pain can be variable with many feeling no pain. ...Read more
Entire Large intestines & rectum removed. Brooke Ileostomy created. Can Brooke Ileostomy later be reversed using the rectal stump?
Your PMD..: Your PMD/Surgeon will answer it better.....too many variables ......not disclosed. ...Read more
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
Its NOT a: "comfortable" step but its only taken when absolutely necessary! WHY are you asking and WHY here in the Health Tap "Chat Room"????? Just asking the question makes me think something is quite wrong! More info please! ...Read more
Turbinate surgery: It depends on what technique is used. There are minimally invasive procedures such as Coblation turbinate reduction ,endoscopic microdebrider turbinate reduction or an actual surgical excision of a portion of the turbinate. The first two aren't very painful, while the last one is a little more painful. Overall, relatively minor pain . That should not stop you to help you breathe better! ...Read more
Lasts 3-5 minutes: Sigmoidoscopy involves insertion of a flexible tube into your rectum, advanced anywhere from 35 to 70 cm. Air is used to inflate the colon during this process. If awake, you may feel distension from the air & pressure of scope passage. Everyone's threshold for discomfort varies so some don't feel sigmoidoscopy as uncomfortable at all while others register much discomfort from the same stimuli. ...Read more
If a patient had subtotal colectomy w/Ileostomy placement resulting in short bowel syndrome for over 13yrs, could they have their Ileostomy reversed?
It depends : This is a difficult question to answer without more data. Assuming they had some sort of small bowel resection and truly has "short gut," then reconnecting to a rectal stump will likely not improve the condition, as the rectum does not provide adequate nutritional absorption (mainly just water resorption). This needs to be discussed with a general surgeon along with radiographic evaluation. ...Read more
Depends/likely: There will be some pain after any and every surgery. However, the post surgery recovery period includes pain management with your surgery team and is usually very good. Okay to ask your surgeon about pain management after this procedure. The benefit of your procedure will be worth this small risk. Be well. ...Read more
3 months post op. Nissen/laprascopic, robotic, hiatal hernia repair. Recently experiencing painful, debilitating gas& diarrhea. Is this normal?
Not from the surgery: It is very unlikely that these current symptoms are related to your surgery. By far the most common cause of diarrhea is viral infection (enteritis, or gastroenteritis if it involves nausea/vomiting). With any diarrhea, weight loss, dehydration (feeling like you're going to pass out when standing), or fever lasting > 1 day would be cause for concern. Otherwise these things tend to resolve. ...Read more
If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.
YES: if one performs a left colectomy, even extending the dissection below peritoneal reflection, as long as there is a rectal stump, 1-2 cm above the levators, proximal bowel can be reanastomosed. One can creates a pouch from the proximal bowel to make anastomosis easier and have the pouch act as a partial reservoir for the liquid feces in the ileum that will be used for anastomosis ...Read more