Crohns for 13 years and just got a Stoma.

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May 12, 2012
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Hello all i just joined.
I was 23 when i got diagnosed with Crohns. I recently turned 35 and just had my first Op. When i was first diagnosed it took me a few years to adjust to having it. In and out of hospital and long time off work. I was just recovering from a bout of depression when i was diagnosed with it so it was quite difficult.
That was in Sydney and in 2004 i decided i wanted to come and live in London. Sometime in 2005 i decided to take myself off all medication and whenever i had any symptoms of a flare up i would just fast for 1-2 days then go back onto soft foods etc until it was gone.
That worked fine until last Nov when i started to have flare up's again and i went through the whole med process of Prednisone, azothiaprene, mesalazine, colnoscopy, MRI etc. None of this worked and it was uner the kinfe for me.
After a 5.5 hr OP and therr sections of my bowel removed i ended up with all this: Sigmoid Collectomy, illocaecal resection, strictureplasty, colorectal & illocolic anastomas.
I was told before i went under that i could have numerous tubes and bags hanging off me when i woke up so just be prepared for it. Thats exactly what i had.
Anyway i had the Op on a Saturday and by the next Saturday i was back hope and hobbling around. Apart from having a Stoma bag now for the next few months i feel pretty good. Even though i was eating and drinking a lot i began to feel worse and eventually went to hospital for dehydration. I was in there for 5 days and they introduced me to St Marks formula. I make it at home myself and i add a little cordial to the mix and i have no problem with it apart from being a bit salty. Its hard to get the stoma output to be thick on a regular basis but i'm trying to balance it out with as much salt in my food as i can stomach. Plus lopermide a few times a day which i think helps. Its just hard to understand that when i'm thirty i cant drink normal fluids as it makes me worse. Thats getting hard to get used to.
So i'll quit jabbering on but i'm keeping a positive mind as i know from experince that being stressed about it all just makess it so much harder. Friends, family and an understanding of whats going on with your body are the best things you can have.
Dont let the illness beat you :)
 
Welcome to the forum, Matt. I'm impressed you can drink the st mark's formula. I find hydration solutions so hard to drink. I just dose up on a lot of loperamide to control my output.

I'm hoping you're feeling a lot better since your op?
 
I really dont mind the St Marks at all. I balance the salty flavor with cordial and its fine. Small cups drank fast a few times a day and 1l is gone in no time. I just have to get used to drinking that only. A chilled glass of fresh filtered water feels like a ribbon of silk going down my throat, i know its a bad thing but it feels so good. Just plain chilled water, what a pleasure.
How much Loperamide do you have a day? I have 2 pills 4x a day. Oh, do you have a stoma bag?
 
Just wanted to welcome you to the forum and our little group :) I don't have any advice for you as I have a colostomy and have no problem with my output...mine are like bullets sometimes....lol I know, however, that a lot of the people on here with ileos drink a lot of drinks with electrolytes in them like Gatorade. Can you tolerate those? I know that people with ileos are supposed to take in a ridiculous amount of fluid every day...
 
I have an ileostomy so yes. They said to take 2 tabs, 3 times a day but I just take it as I need it. I got told it was a fairly small dose anyway.

Why is a glass of normal water bad? I drink a bottle of lucozade sport a day which always makes me feel less dehydrated.
 
Welcome to the club Matt!

I have an ileo. I drink plain water and no longer take any meds for the output, though it is very liquid. The meds were screwing with my heart rate, so I stopped them. I HATE any of the sports drinks and other rehydration stuff, so I just drink a buttload of water. I've been able to keep dehydration away with water and eating crisps, bread, potatoes and bananas.
 
Welcome Matt! Normal fluids should be perfectly fine for you to drink. Along with powerade or other drinks that help with potassium and electrolites.

Newer stomas always have a higher output. This can last for a few months. Then the bowels settle down a good bit. As you have a colostomy, your output will thicken up. However, it will be soft of course. Your fluid intake will need to be fairly high during the initial months after surgery to counteract this.

Sounds like you've been through the ringer mate. We hope you are on the mend now after surgery. What sort of meds are you on to keep you in remission?
 
I cant drink normal fluids as it just goes straight through - i am supposed to drink double dose dioralite to reduce my hydration levels but im a bit of a crohns rebel so i dont often rmeember to!

I dont have a stoma but when i did i was put on liquid loperamide as it absorbs better - its vile stuff though.

My loperamide is up to 32 a day - although if i took that many id be sick as loperamide makes me sooooooo sicky.

I ate loads of jelly sweets to thicken up the output and marshmallows.
 
At the moment any kind of normal fluids just go straight through me. I was told that because of this it washes the salt out of my system and makes me more dehydrated. And i can certainly notice it. I do have small amonts of various normal fluids and i also have milk based vitamin drinks which fill me up and tend to stay in a bit longer. I'm seperating my food and my fluid intake too and trying to have smaller amounts or more thicker/binding foods on a regular basis. I also chew Lucozade glucose tablets which give me energy without the fluids and they are great especially whilst wandering about shopping and not needing the toilet so fast. It is starting to settle down and usually thickens right up late at night. Im only having to get up about once during the night to empty it which is great as i can get 2 rounds of about 3-4 hours sleep and i'm OK with that. Thanks for the help :)
 
Its not that i'm feeling dehydrated but my mouth gets quite dry and i feel like i need to drink to solve the problem but i think i'lll get some sweets to suck on and save drinking so much unnecessarily.
 
Hi Matt and welcome!!

I've never heard of St Marks?! What is it exactly?

I use Nuun, which is a sports rehydration tablet that you add to regular water. It has electrolytes and sodium. It's made for marathon runners and the like but it works great for me. I also like SmartWater.

Potato chips/crisps are THE ONLY thing that thicken up my stool if it is loose!

Good luck - you'll get used to things in no time!

- Amy
 

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