How's the D Post Resection Surgery?

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Kind of gross but just curious - for all those who have had a bowel resection, what is your experience like with post-surgery bowel motions after resection? Did it take a while to get to normal? How long? I had a hemicolectomy and am having (sorry) foamy D - my internet reseach suggest that is a problem (malabsorption?) but i suspect my intestines will adapt, surgery was only 3 weeks ago - anyone else have similar?
 
It's me again. I also had a Hemicolectomy for my first surgery. It was probably just my personal Crohn's situation, but I was never the same after. My D increased and over time became terrible, waking me up 3 -4 times a night.

I have read of others who get back to normal after this surgery. Maybe it depends on exactly how much colon was removed, and the extent of Crohn's in the remaining colon and rectum.

The right colon is where most of the water in stool is absorbed. So the body does need to adapt. Plus, the removed Ileocecal valve may play a role.

Sorry to tell you my bad news - I hope your D settles down soon!
 
Thanks for your reply. Yes, my D has increased, but I have hope that it will all improve because I haven't only had D, so something must be able to work at some time. But yes I have been woken up several nights 2 or 3 times with D, but that was even closer to the surgery a few weeks ago when I first got home, so I'm hoping that it will not come back like that to stay permanent. of course if you have thoughts about this or similar expeirences, I'm all ears for the input!

Yes it must be so dependent on the individual, you certainly seem to have had it rough. i hope you have finally found some relief!
 
I've had 2 resections - right side hemi '98 & resection of neo-terminal ilieum 08.
Permanent D is a result of these two operations,both times it took about 3 months for my gut to 'settle down'.Only my opinion but i think every patient varies as to how the gut then 'performs' post op' & it will depend on what section of bowel has been removed & how much.
I've had to take Loperamide for 12 years due to these operations.
Hope you find things settle down for you asap.

e13 boy Serovera AMP Loperamide(due to short bowel)
21 yrs of CD 9 operations
Failed meds Steroids,Azathioprine,6mp,pentasa
 
A couple things, one is talk to your doctor about this since there is a direct treatment option in the form of cholestyramine. The issue a lot of us face after resection is bile dumping into our colon which irritates it and causes the D to occur. Cholestyramine is a resin that chelates (binds and sequesters) the bile acids and helps to prevent the D from occuring (it also lowers your cholesterol). The other option is to try one of the tri-cyclic antidepressants in a low dose. The one my doctor recommended to me for this particular issue is desipramine since it has the greatest slowing effect of the three in addition to the pain relieving properties for GI symptoms at low doses.

For me personally, the desipramine is a life saver. The cholestyramine sits pretty heavy in the stomach so it is hard to adhere to it, especially since you cannot take any medication for an hour before or 6 hours after you take it. Its just a pain in the ass to take, at least for me. With desipramine, I take it before bed, have a great nights sleep and then my D and associated pain are well managed through the day. The only issue I had were vivid dreams the first week which went away shortly after.

I highly recommend talking to your doctor about both of these options since they both work exceptionally well at managing post resection related D and the pain associated with it.
 

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