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Doctor insights on: Pregnancy After Total Colectomy

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Is it ever recommended to get a colectomy for constipation?

Is it ever recommended to get a colectomy for constipation?

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 more

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Dr. Sanjiv Kaul
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


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Colectomy without colostomy bag, can you tell me more?

Colectomy without colostomy bag, can you tell me more?

Total: Colectomy, sparing the rectum and attaching the last portion of small intestine to the rectum. Can still defecate thru the rectum but stools may be looser and mor frequent than with an intact colon. ...Read more

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Could getting a colectomy mean i'll need a colostomy bag?

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

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Could getting a colectomy mean I'll have to get a colostomy bag?

Could getting a colectomy mean I'll have to get a colostomy bag?

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

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What are symptoms of appendicitis after partial colectomy surgery?

What are symptoms of appendicitis after partial colectomy surgery?

Evaluation: Many things can go on: abscess, tumor, obstruction, hernia, bowel inflammation, etc. Best is to be evaluated by your surgeon or er. ...Read more

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After a full colectomy how many weeks do you have to wait to have sex?

Best to: Check with your surgeon, but i generally recommend no strenuous activity for 6 weeks after abdominal surgery. ...Read more

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What are the vitamin and mineral deficiencies due to having a hemi-colectomy?

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 more

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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 more

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Can an Ileoproctostomy be performed after a subtotal colectomy with Ileostomy placement has already been done?

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 more

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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.

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.

Not Uncommon: Not Uncommon, unfortunately. This is why laparoscopy is being used more and more for colectomies. For you, it is time to get the hernia evaluated and repaired with mesh. Consider laparoscopic approach, if possible. See your local, trusted general surgeon. Good luck! ...Read more

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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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My husband had a partial colectomy a month ago due to diverticulits..but now he is having internal hemmorhoids. Could these be related?

No: He probably had the hemorrhoids before, but without symptoms. He probably was taking pain killer that will make him constipated, which can make the hemorrhoids to enlarged and cause pain with occasional bleeding. He should contact his surgeon and be evaluated. ...Read more

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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

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Had a lap assisted right hemi colectomy 4 months ago. He had an episode of bleeding from his rectum about 1 month ago and is bleeding again. Why?

Had a lap assisted right hemi colectomy 4 months ago.  He had an episode of bleeding from his rectum about 1 month ago and is bleeding again. Why?

See surgeon : Cannot determine cause without looking. Could be as simple and innocent as hemorrhoids but too little information provided. Why was colectomy performed? Was it complicated? Has patient seen surgeon back in follow up. Recommend return to surgeon who performed operation. Also would suggest seeing a gastroenterologist. ...Read more

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What parts would a patient need to have in order to be a candidate for Ileostomy Reversal after having had subtotal colectomy w/Ileostomy placement?

What parts would a patient need to have in order to be a candidate for Ileostomy Reversal  after having had subtotal colectomy w/Ileostomy placement?

Rectum: As long as at least some of the rectum is there. the possibility for ileostomy reversal exists. Ask you surgeon about your specific case. If your not satisfied with the answer, consider another opinion from a board certified colorectal surgeon. Hope this helps! ...Read more

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Bloody stools post colectomy, should I be concerned?

Bloody stools post colectomy, should I be concerned?

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 more

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How should I prepare for a total colectomy?

Good bowel prep: Otherwise have good family support. I usually have patients take mag citrate 300ml times two starting 12 pm day before on liquid diet, morning of surgery a fleets enema. ...Read more

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What is the definition or description of: colectomy?

Colon resection: It can mean removal of part or complete colon with or without the rectum. ...Read more

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How can I doctors control pain after a colectomy?

Multiple ways: Intravenous patient controlled anesthesia is most common with narcotics. This can be supplemented with Iv Tylenol (acetaminophen) or Toradol with good results until oral meds can be initiated ...Read more

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What is the difference between a colectomy and a colonoscopy?

The suffix: When a word ends in ectomy it refers to removal of:an organ such as colon in colectomy and kidney in nephrectomy, When the word ends in oscopy it refers to examination of an organ with a device or scope such as in endoscopy, laryngoscopy, proctoscopy. Colonoscopy refers as such to examination of the colon with a colonoscope. ...Read more

Dr. Raj Kapur
747 doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...Read more