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Surgery


Wed, July 21, 2010 8:58 PM

Hi i am 27 and have had crhons disease in my illium for 10 years now. i have managed to get by without surgery and deal with the flare ups. Now my doctors are saying i really need the surgery while i am somewhat healthy, because i have strictures. I meet with the surgon Aug 16th. what questions should i ask? What do i need to know. I know laporscopic (sp?) is available, not sure if its covered by my ins. ANyone who has had this surgery i would love to hear your story, about recovery and how is life after surgery? thank you!

FPO melis
Joined Jul 21, 2010

Wed, September 01, 2010 6:46 PM

 Reply posted for Melis.

You'll be starting up the paperwork and you'll be meeting with an anesthesiologist who'll inform you on how they'll sedate you, you'll require pre op bloodwork, and you'll discuss pain control with the surgeon/anesthesiologist. The surgeon will give you the lowdown on what they will do to you and cover every possibility that might arise. You'll be warned of complications, etc.

Very important to discuss postoperative pain control. You may have the option of a drug pump with a button you can push or an epidural which is a nerve blocker so you won't feel pain in your abdomen.

Good luck!

FPO laura 6mp
Joined Aug 31, 2010

Fri, August 20, 2010 7:53 PM

 Reply posted for pglaspey.

Part 3

Oh I am 43, my first flare up was about 2 and a half years ago. It went away right before I was scheduled for a colonoscopy. I did not go. Thought everything was good. If I had followed through back then I might have avoided the surgery. Who knows.

Final thought. While surgery is no cake walk and a hospital stay really sucks, looking back on it dealing with the flare up was much worse than the surgery and hospital stay and recovery combined.

I went back to work full time 5 days after I left the hospital (I work at a desk so lifting stuff is not an issue, or walking around too much)

Here are a couple side effects I experienced through this whole ordeal

I lost 40lbs.
I stopped drinking soda (I drank a lot of soda daily)

I dont know if this helps you, but I think it helped me a bit to go through the experience again...

Good Luck.

FPO pglaspey
Joined Aug 20, 2010

Fri, August 20, 2010 7:52 PM

 Reply posted for pglaspey.

Even though I am limited in my movement due to my healing stomach incision it is mainly mild discomfort. I stopped the meds after a couple days because I felt stoned and was not sleeping well and could not go to the bathroom. Those problems resolved themselves a day after stopping the pain meds (I would take one occasionally when I was feeling uncomfortable or before bed).


I had my staples out last week and have a couple spots which still leak. I met with my GI specialist and have been given prevalite to help with the loose bile and my bowel movements. I have not taken it yet. Will try it tonight. I am only supposed to take it once at night if I have 2 or more loose bile movements in a day.

The biggest problem I have right now is my bandage. The lower part where the tape hits my skin is raw. I will take it though over the pain I had when I was flaring up with CD.



Anyway so far so good, I am just taking it a day at time trying to be careful not to do anything to slow or reverse the incisions healing process.

I am scheduled to start medicine to keep CD in remission about 3 months after my surgery. I am not looking forward to that. My father had same surgery when he was 18 and has not had a problem since (40+ years).

But I will probably take the medicine. I really do not want to go through surgery every again.

FPO pglaspey
Joined Aug 20, 2010

Fri, August 20, 2010 7:51 PM

 Reply posted for Melis.

I had emergency surgery about 3 weeks ago. They removed a foot and a half of my small intestine. I actually went in for a colonoscopy but that failed because I could not drink all the colyte the night before I started vomiting after the first 2 glasses.


After I woke from the failed colonoscopy, they started giving me some liquid for a cat scan and I started vomiting immediately after the first sip. They had to put a tube through my nose into my stomach (that was the worst part of my hospital stay, I pulled it out four times), they finally gave me some morphine and we were able to get it down. They had to use it to remove the bile in my stomach, and they also used it to give me the liquid the next morning for the cat scan.

The results of the catscan showed serious blockage in my small intestine and the doctor told me surgery was the best option although he did say we could try some drugs but there was no guarantee they would help. I had been in serious pain for over two months at this point and I opted for the surgery immediately.

So they scheduled it the next for the next morning. The surgery itself was, well I dont remember it, other than rolling in, they sedated me quickly.

Next thing I knew I woke up in my room. I had a morphine tab I could hit every 6 minutes and I probably over used it. I was never in extreme pain mostly just uncomfortable.

I was in the hospital 6 days after the surgery. It is really noisy in the hospital and I had a hard time sleeping the first few days, until I asked them for some sleeping medicine and told them to quit checking on me every 30 minutes at night.

I was sent home with instructions that I could shower. I should take the pain meds every 4 hours, and anti biotics twice a day. I also should change my bandage once a day.








FPO pglaspey
Joined Aug 20, 2010

Thu, September 02, 2010 1:27 PM

SurgeryHey, Im 21 and just had part of my small and large intestine removed. I was just diagnosed in Feb. with Crohns, so everything has been progressing quite quickly, but the surgery went very very well. I also had my surgery done in Jacksonville and, although I didnt care for the surgeon, he knew what he was doing and I was back home in five days. Other than my issues with the catheter, everything went smoothly. No issues with any major pain or pain meds. Def. have someone around to help out, but if you go Lap. then you probably wont need too much help. I managed to move about on my own the day after surgery as long as I took it slow. Mostly, Id suggest knowing all the ramifications of surgery. What its going to do to regularity, food sensitivities, and that kind of stuff. But if you really have no choice about the surgery, that stuff can wait till after. Go into it relaxed and it helps when you wake up. Oh, last thing, if you have the catheter for more than two days, like me, Lidocayne will be your best friend.

FPO stillfighting
Joined May 1, 2010

Thu, September 02, 2010 1:27 PM

SurgeryHi, Im 23 and just had the first of the two surgeries about 2 weeks ago in Jacksonville, FL -- my entire colon was removed & a J-pouch was created.  Honestly, I hardly had any serious pain.  I was on morphine through my IV for the first 2 days, but didnt take any pain meds once I was off and was able to go home after 4 days.  I had the surgery done laparoscopically, which Ive heard is probably best if you want to have kids some day.  It seems a little ridiculous to be concerned with scars - the three scars that would be visible if I wore a bikini are only a quarter of a centimeter.  Plus, I was told it speeds healing to have it done laparoscopically.  As an added bonus, the size of my tummy really went down - kinda like having a tummy tuck!  The surgery went super for me, and I hope it will be the same for you!

Recovery is going really well; luckily Ive had no complications or infections.  I have a temporary ileostomy until the 2nd surgery is done.  Its been easy to deal with & is hard to detect under clothes.  For awhile Ill have a lot of watery stool, but this is supposed to get better with time.  It really helps that I have a super supportive boyfriend too.  I suffered with UC for 8 years (with toxic C-diff bacteria as a side effect for over a year).  Surgery was definitely the best choice in my case!

 

FPO clairdelune
Joined May 2, 2008

Mon, July 26, 2010 11:56 PM

 Reply posted for Melis.

continued...

I'm not going to lie, I had a tough time in recovery. I'd recommend getting the epidural- ask for this. Helps a lot with the pain afterwards when you wake up. Make sure that the people giving you the epidural know WHERE the surgeon is planning to do the incision. I had to get a second one, because they put it too high the first time. My incision was done lower than where the intestine sat to make a lower, hideable incision. I was fine in the hospital when I was there, but then going home had a lot of problems tolerating the tough pain meds. I got sick off of practically every one they tried to give me. Some of which I had before, without a problem, but some I have not had before. Be sure to plan to have someone there to help you if you need them 24/7. I needed my Mom to help me sit up out of bed to go to the br in the night. It's hard to sit up without the strength of your stomach when it's all healing. Use pillows under your legs when you are resting in bed, it will take the pressure off your stomach muscles. 

Again back to the pain meds, I had a tough time with them and ended up back in the hosptial about a week after I had left. Stayed for about another week. Pretty much I was throwing up everytime I sat up, but we figured out that if someone used their full strength to sit me up, I would be much better. 

I don't want to scare you, but that's how it all worked out. And while it is up there as the hardest time I've had with my Crohn's, I would do it all again. The recovery suffering, which I think is rare actually, was still totally worth it. I have been symptom free all year. I just recently had a little flare (one year warranty? ha) but think I caught some kind of bug going around that everyone is getting. I wish you the best of luck and if you have more questions, I'll check back. Hang in there!

FPO imatrooper
Joined Sep 2, 2009

Mon, July 26, 2010 11:55 PM

 Reply posted for Melis.

Hi there. I am also 27 and had my surgery one year ago. I have had Crohn's since 2006 and it developed so bad I had to have most of my colon removed. I heard the same thing about having the surgery when you are as healthy as possible. I was in a bit of a flare myself. First of all, I would recommend making a list for yourself up until your appointment. My surgeon was great in sitting there and answering all of my questions with patience. You want to be completely trusting and comfortable with this person. They should give you plenty of their time and attention, it's a big deal! 


I also chose to do open surgery, because I wanted to conceal my scar when wearing a bikini. My scar sits right below the bikini line. And I was also worried that if they couldn't do it laproscopically they would have to go in for open surgery anyway. Ask about this, because I was told it happens sometimes. If you can, I highly recommend going to a surgeon that specializes in GI surgeries.  Ask about your specific type of Crohn's and what the outlook is after surgery. I know they told me that my particular type is shown to  be the least re-occuring. Ask if there's certain vitamins/ foods you should take before hand. Also, I set up my mom to give blood during my surgery (not for me, but to donate to the hospital's blood bank) since I might of ended up needing some (which I did not). 


FPO imatrooper
Joined Sep 2, 2009

Fri, July 23, 2010 2:50 PM

 Reply posted for Melis.

My 17yo daughter had surgery the first of July. She is now 3 weeks out and doing great! Our surgeon told us doing the surgery when you are at your healthiest is the best time to do it. Recovery won't take as long and you 're not going into  the hospital all ready sick.  She had hers as an open procedure, her choice. The doctor made one low abdominal incision. When she wears a bathing suit you can't even see it. Our surgeon has been doing this for around 20 years and he stated this was very successful for him. We could have done it laparoscopically but we chose open. Her remark was, "Why have 3 incisions when I can have 1?" She had a pain ball inserted at her incision site so she had hardly any pain. The pain ball is literally a ball filled with local anesthesia that gives you constant medication. You usually keep it for 3 days,  then they just pull it out. Doesn't hurt. If you have an open procedure, ask about that.  She was up and walking the day after her surgery, and eating regular food on day 2. We went home on our 4th post-op day with no problems. You need to get up and walk and soon as they give you the ok. That is the biggest help of all. You will need someone with you for a least 1 if not 2 weeks , because you are not going to be able to drive, whether it is open or laparoscopically. I wish you the best of luck.

   

 

                                                         

FPO terry5116
Joined Sep 11, 2009

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