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Just Had J-Pouch Reversal Surgery-Now I'm Having Lower Abdominal Pains-Is This Normal?

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Ulcerative Colitis
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Posted 1/6/2009 1:28 AM (GMT 0)
I struggled with UC from 1994 - 2008. I finally gave in to the fact that I would need to have my colon removed. I had an ileostomy (colectomy) on 10/13/2008. I wore a bag for 10 weeks and went in on 12/30/2008 to have the reversal surgery done. I have been home since last Friday 1/2/2009. The Dr says everything went well, however I have severe abdominal pains in my lower abdomin (sp.). I have been taking Imodium & Gas-X, but little relief. Is this normal? Any suggestions? If anyone can help me I would greatly appreciate it. Thanks.
Posted 1/6/2009 1:37 AM (GMT 0)
If the pain is severe, call the doctor or go to the hospital. You'll normally have pain after surgery, but if it is really bad, may indicate a leak or something else. If you get a fever or start vomiting, then definitely go to the hospital, could be a blockage or ileus.
Posted 1/6/2009 2:06 AM (GMT 0)
GISGuy31, thanks for the quick response, I called my surgeon and as usual he was not the most responsive. His nurse said to take Gas-X (which I've been taking w/little relief). I've had no fever and no vomiting (knock on wood). I've had approx. 8-10 BM's today. The last 2 or 3 the deposits in the toilet have been much darker. I don't know if that means anything. The pain is not on a level of 10, but it's more a deep constant pain of 5-6. Not fun. I thought this surgery was going to take my pain away (not just my colon).

Posted 1/6/2009 2:31 AM (GMT 0)
My be bloating, which is common after surgery and should subside after a few weeks. Just look out for a fever or blockage...that would indicate something more urgent. You should be feeling much better in a month. I've been off 6 weeks and am just starting to feel better, just enduring the butt burn now. 2 more weeks and I'm back to work.
Posted 1/6/2009 2:55 AM (GMT 0)
Hi,

Hmm...I didn't have much pain like you describe after my takedown, I know some gas pain is normal (sorta) but you shouldn't be having tons of pain. You may want to post over on www.jpouch.org at that forum and see if more people there have advice for you, but pain is never a good sign!

Mark
Posted 2/5/2009 9:31 AM (GMT 0)

Dear Snow

Hi. Sorry to hear about the pain you are undergoing. I had the J Pouch surgery in 2005 and the second stage in March 2006. Initially the bloating symptoms are there and at times some bleeding too. But the pain should not be severe. Please check that there is no symptom of incisional hernia, which normally is caused after this surgery, as it happened with me. I suggest you should wear a binder/abdominal belt to avoid incisional hernia. In case you suspect leakage in the pouch, you may consider pouchogram. I am sure you would be fine after a few days and would not require pouchogram. Please avoid hard food and chew your food properly. Take some anti acidic medicine to avoid gas/wind formation. Please take a second opinion if the pain persists.

WIsh you a speedy recovery.

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