Doctor insights on:
Oily Stool After Colectomy
After colectomy, in first few weeks there is a frequent secretion of stool. Why is this? And colour of stool is that of what i eat. Why so?
Bowel irregularity: A change in bowel habits is normal after colectomy. This varies according to the segment removed and most change returns to normal in several weeks. Removal of some sections of the colon can cause a more prolonged chane (ie. Removal of the right colon along with the ileocecal valve). We usually advise our patients to maintain a low fiber diet for a week or two after colon rersection and give thing. ...Read more
You don't : Say how many days post colectomy. Usually after colon resection you may see some blood with the first 1-2 bm's but after that you should not see blood. If you are you need to call your surgeon promptly and be evaluated. This can be very serious if not dealt with propmtly. ...Read moreSee 1 more doctor answer
After colectomy, till how many days is white mucus released from anus? After how many days is the temporary pouch for stool collection removed?
Indefinite, depends: The lining of the colon and rectum always makes mucus but it gets hidden in the stool. Without stool passing through the rectum the mucus is more apparent. Timing for closing the colostomy depends on the conditions that lead to surgery and the degree of difficulty of the surgery. Generally 3-6 months in most patients. ...Read more
Had colectomy and chemo 8 years ago. Still going 10-20 times daily to bathroom. Pouchitis sporadic problem. Any way to decrease number of stools?
Yes: Pouchitis? I assume your colostomy gets inflamed. Begin with diet and start a low fiber diet. If no better after 1 or 2 weeks try bulking agents ( fibercon or equivelent). It's counter intuitive so first try no fiber then trying more fiber to see which helps. If still a problem consider small amounts of Imodium (loperamide) regularly. Look into all your medicines and make sure diarrhea is not induced. ...Read moreSee 1 more doctor answer
I had colectomy before 3 months. I don't have a good control on my stools. How to make my muscles of rectum stronger?? I USED to take omnacortil.
Maneuvers: Kegal and PC muscle strenghteningGet a more detailed answer ›
Got total colectomy 4years ago, dairy gives my very running stool. Im hooked on crinkle cut chips! stool is very yellow. Iron is low. Any advise ?
Use lactaid: That will help with dairy intolerance. Stools yellow sounds like fatty stools, try fiber wafers or immodium to slow down the transit. You need to make sure iron deficiency isn't from anemia, get stool blood test to rule out, if negative than you need supplemental iron. ...Read moreSee 1 more doctor answer
I've noticed vitamins/medications coming out in my stool post colectomy. How can I be sure that birth control pills are fully absorbed and effective?
Yes: It depends on the reconstruction. If you have a j pouch and the contents are moving through rapidly and you have not adapted, a patient may have many stools per day and the area around the anus may be raw. Local treament with creams to the area are helpful. If it remains, your doctor can add things to thicken the stool or medicine to slow it done until you adapt. Good luck. ...Read more
Yes, for Certain dx: Constipation, common problem that is managed by medicines and diet the vast majority of the time. For certain conditions (colonic inertia, megacolon- where patients aren't going to the bathroom for >5days) surgery is an option. Often entails removal of the colon and sewing the small bowel to the rectum. Done laparoscopically. Tremendous improvemnt in quaility of life when properly selected. ...Read moreSee 2 more doctor answers
If it is an elective: Operation, only rarely, depends on location of abnormality for which the colectomy is being done. If you need to have a complete procto-colectomy, yes, you would need a permanent colostomy. In all other cases, a colostomy would usually be a temporary one, even if necessary. If it is a right hemi-colectomy or an ileo-colectomy, chances of a stoma are very low. Ask your surgeon for specifics. ...Read more
No bag: A colostomy is performed when the bowel is resected and there is a significant length of proximal colon and minimal or no length of distal colon to bring the ends together as with an APR. When a stoma is present, irrigations should be started on a daily basis and a square pad placed over the stoma. With daily performance the colon will eventually function only when irrigation employed. ...Read more
None: Vitamins and minerals are absorbed in the small intestine and not the colon. So unlikely to develop vitamin or trace mineral deficiency. An electrolyte abnormality may ensue but the patient and the doctor would know this as the symptoms would not go unnoticed. ...Read moreSee 1 more doctor answer
Which one is better - colectomy or remicade (infliximab) for left sided colitis? Advice from 2 different gis.
Hard to say: It all depends. Surgery is usually reserved for medically refractory toxic disease or dysplasia/surgery. Most patients with severe disease will have an opportunity to respond to medications such as Remicade (infliximab) or cyclosporin before surgery is performed. Colectomy is curative but having an ipaa also presents problems. ...Read moreSee 1 more doctor answer
Can an Ileoproctostomy be performed after a subtotal colectomy with Ileostomy placement has already been done?
Yes: After removal of all colon to the peritoneal reflection or just below, there is a stump of distal bowel that remains. In many cases the surgeon can anastomosis proximal bowel to the anal stump at the levators . (the muscles of the rectal sphincter). If an exiting ileostomy is present, a pouch can be formed and anastomosed to the region just above rectum. ...Read moreSee 1 more doctor answer
I had a colectomy 4 months ago and now have a hernia the size of a grapefruit it has been starting to hurt, especially when I cough.
What do you suggest if my husband had a partial colectomy a month ago due to diverticulits..but now he is having internal hemmorhoids?
He should talk: with his surgeon and determine what is causing his hemorrhoid flare. Usually his surgery should not be a cause of hemorrhoid flare unless he has been constipated or having frequent diarrhea due to his surgery. Again his surgeon should be notified and evaluate your husband ...Read more
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