Doctor insights on:
What Is The Cause Of Severe Hypotension In A Person With An Ileostomy
If I have temp ileostomy for severe spastic redundant colon, will the spastic loopy part still cause pain and nausea even if nothing is going through ?
Hypotension is defined as "low blood pressure". Blood pressure is measured as two numbers and expressed as systolic blood pressure (sbp) / diastolic blood pressure (dbp). The sbp is the pressure that is generated when the heart squeezes. Dbp occurs when the heart relaxes. 120/70 is considered normal in adults. Less than 100/60 (of either number) can ...Read more
I have severe redundant bowel due to chronic gas distension, in both widths and length, causes massive pain and nausea, would temp ileostomy help?
Need more info: Which part of your bowel is redundant - large or small bowel? How do you know? How long have you had symptoms? If the excess bowel is the large intestine, sometimes a bowel resection can help. I have never performed an ileostomy for this problem, I have done colon resections with a good bit of success. Have you seen a surgeon to discuss your options? ...Read moreSee 1 more doctor answer
What would be the cause of a woman in her mid 40's Intestines turning into mush resulting in an ileostomy placement that is not revirsible? Possible?
Unkown: The doctor who did the operation would be the best soiurce to tell you. Usually it would be because of a compromise in the blood supply. This would be from narrowing of the blood vessels or a twisting of the intestines some way ...Read more
Many possibilities: Many things can cause a leak--poor blood supply, too much tension on the anastomosis, poor nutrition, use of immunosuppresants such as steroids, infection, distal obstruction, etc. A recent large study from Germany showed a leak occurs in around 10% of cases. Sometimes it's treated with bowel rest and drainage of the fluid, sometimes it requires another operation. ...Read more
SubColectomy w/Ileostomy Placmnt in 01, Abdominal Dishences frm c.diff infec causin rectum removl. Ileostomy revisn X2 in 09. Reversal Possible now?
Maybe: It depends on whether or not the rectum was removed or not. There's no reason to think you have a sphincter problem, and if that's true, along with the presence of the rectum, you may be able to get reversed. Without most of the colon, likely to have frequent BM's. see a colorectal surgeon for a more complete eval. Hope this helps! ...Read more
CT entrography done but did not show cause for partial obstructions with ileostomy. What next still in pain and still obstructing if eat solids.
Talk to surgeon: That certainly is intolerable so bug your doctor until it gets done. ...Read more
What causes an anastomotic leak after an ileostomy reversal surgery? Does a surgeon usually perform an Exploratory Laparotomy to correct?
Variety of causes: Anastomotic leaks can occur for a variety of reasons and are a known complication of GI surgery. The primary concern with anatomic leak is the passage of stool into the abdomen with the formation of abscesses and possibly systemic infections. The treatment for this is often to operate, find the leak, and wash out any stool that may have collected in the process. ...Read more
I have severely redundant colon that pushes up into my stomach, excruciating pain and nausea if I had temp ileostomy would I still have same symptoms?
Temporary relief: While redundant colon can cause symptoms especially when it displaces upward toward stomach, ileostomy is only temporary relief. Minimizing bowel content reaching distal colon can help for a while but in general the redundant bowel is subject to torsion or twisting and rather then having the problem of bloating and pain one can go on to develop necrosis of bowel requiring emergency surgery. ...Read more
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