Doctor insights on:
Pain After Colorectal Diverticular Surgery
Other Options: A colo-rectal surgeon will probably offer a lateral subcutaneous internal sphincterotomy. If you have not seen one, then it is time to consider an appointment with one. ...Read more
Good: The risk is to age, but overall medical state. Heart and lungs most importantly. ...Read more
Four Dr's consulted say 50-75% chance husband has malig tumor on appendix 5x2cm. Poss PMP. Who is best for surgery? Gen surg, colorectal, or onc surg?
This: This is a practice that is still debated in the surgical literature with surgeons and evidence on both sides. A bowel prep refers to cleaning out the colon of stool prior to an operation (usually on the bowels) or colonoscopy. There are a variety of bowel preps used and it often depends on the practice of your surgeon. Reasons given for doing a bowel prep include; avoiding contamination of the operative field, infection, better anastomosis (sewing bowel back together), better visualization (for colonoscopy), and more pleasant for operating surgeon. Reasons against include increased infection, complications related to the prep, patient comfort. There are a wide variety of bowel preps currently in use. Most involve drinking either a large volume of liquid or a small volume of a liquid which sucks fluid into the colon, both producing a watery diarrhea. Some bowel preps have included antibiotics with the thought it would lessen infectious complications. The data is not clear. Many surgeons simply recommend a clear liquid diet for a day or two before surgery to limit the stool in the colon. There are also studies which have shown bowel preps to be dangerous by either causing electrolyte imbalances, dehydration, or actually increasing infection. As of yet there is no right answer and usually the choice of bowel prep has to do with the surgeon and their experience as almost any can be supported by some evidence. Many surgeons do colorectal surgery with no bowel prep. A colonoscopy does require a bowel prep for visualization. Speak with your surgeon about their practice. By far the most comfortable for the patient is to consume clear liquids for a day or two. ...Read more
What's the % of recurrence of a stage iiic colorectal cancer removed by surgery folowed by regional chemo and is possible to recur in a distant organ?
See below: Stage iii colorectal cancer 5 year survival ranges 35-65%. Yes, it is possible to have a recurrence as well as distant metastases. Make sure you have a close follow up with your surgeon, so that any recurrence or metastases can be detected and treated as early as possible. Good luck! ...Read more
I see colorectal surgery in a few days for a consult today I noticed yellowing of the finger tips what could that mean digestive wise?
Hard to say: Usually "yellowing" of the skin represents a problem with the liver system, but it would be rare to see isolated yellow of the finger tips without yellowing of the eyes or tissue underneath your tongue first or just generalized appearing "yellow" or jaundiced. Otherwise you also have to consider anything your hands may be exposed to, like smokers, there smoking hand is usually "yellowed". ...Read more
I am worried in-state doctors do not specialize in fap-related colorectal surgery. Does it cost a lot more to get treatment at a center out of state?
Insurance-dependent: Many insurances companies may cover out of state procedures differently than locally, so first move is check with your insurance company. Most colon & rectal surgeons who are board-certified will have had extensive experience with fap during training, so ask them what their experience is. Some general surgeons may also be experienced, but always check. ...Read more
Colorectal doc said need surgery for external hemorrhoids causing feeling of muscle/ball that has to be pushed in after each bm. Is surgery really nec?
In general: It is best to obtain this type of guidance from medical providers who have examined you and know your history. The providers on HealhTap basic are here to provide medical education - not second opinions. You may wish to ask your surgeon to help arrange a second opinion evaluation by another colorectal surgeon. Good luck. ...Read more
Colorectal doc said I need surgery for external hemorrhoids (also have internal ones). NO bleeding or pain, just feel like need to push in muscle after BMs. Is surgery really nec or are there other options can be tried first? Hear surgery very painful
Most operations: Involve some pain, but usually controlled well with pain meds. If you are unsure about your doctor's recommendation, you should get a second opinion. ...Read more
Having surgery for colorectal cancer? How much of the colon does the doctor take out? Will I have normal bowel function after?
Depends on location: Colon cancer is usually treated with wide removal of the segment of colon involved along with the lymph nodes draining that segment. The ends of the remaining intestine are reattached with staples or sutures. Bowel function is usually altered minimally unless there is more than one cancer and the entire colon is removed and sewn to the rectum. In that case, you might have frequent bms. ...Read more
Colorectal cancer surgery and colostomy? Why does the doctor have to do a colostomy as part of colorectal cancer surgery? What is it exactly (a hole in my abdomen?) and how long will I have it?
Some ostomies are for ever and other temporary. For low rectal cancer a temporary may be use to proted the new conection alowed to be healthy. If the cancer is to low involving the muscle to control the stool a penmanented ostomy is need.
Yes a stoma is a open in you abdomen that alowwed a small portion of teh bowel to come out and it is cover by a ostomy bag. ...Read more
I have a boil about 1 inch from my anus. It is at the site of a former fistula surgery. Should I wait for it to come to a head or seek immediate attention. If so, family doc or colorectal doc to lance?
I have a recurrent colorectal cancer. Just finished with chemorad. Waiting to go for surgery however doctor mentioned stenting uterus during surgery.
I think you mean stenting ureter, not uterus!
ureter will be stented in cancer operation to avoid any injuries to the ureters.
during cancer operation they do a lymph node dissection and they stay wide away from the colon for a good clean margin and to surround the cancer lymphatic drainage. And if there is a local spread to surrounding tissue, ureter will be vulnerable for injuries. ...Read more
Can you recommend colorectal sugeon and gastro dr. In louisville, ky? My surgeon insists bleeding not from abscess surgery. Gastro ignored abscess.
Susan galandiuk, M.D. (502) 583-8303
lowell katz, M.D. (502) 584-6666. ...Read more
Is post op. Adhesions after colorectal surgeries have anything to do with the surgeon skills or just the patient tendency to develop adhesions?
Probably the patient: Even the best surgeons may have patients develop adhesions--particularly if they are dealing with things that are infected. ...Read more
Colorectal surgeon says bleeding since abscess surgery for 4 months ago not related to surgery. Husband just had colonoscopy and treated for crohns.
Not sure? Ur asking: Perianal abscesses are common with crohn's, often pre dating diagnosis. Bleeding is commonly from ulcers in colon, but also common after anorectal surgery, due to friable scar tissue and daily trauma from bms. If u are asking is the bleeding from his surgery, his surgeon says no, so no cause for alarm. ...Read more
I have been diagnosed with diverticular disease, extensive diverticulosis. Is there any conservative treatment for this? Would like to avoid surgery.
My question refers to what's commonly known as sulphur burps. However I have already had 2 major surgeries and diagnosed with diverticular disease.
Sulphur Burps: Are as a result of excess air in the stomach and the smell is caused by sulphur reducing bacteria breaking down sulphur containing proteins in the food you have just eaten resulting in the production of hydrogen sulfide (H2S) which smells like rotten eggs. Nothing directly related to diverticular disease. ...Read more