I didn't know what an ostomy was until I woke up...

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Okay, so, I guess I'll start out by telling my story. Sorry about the length but it's been a crazy year.

I'm 21 years old, always been healthy, don't smoke, drink, or do drugs. In August of this year, I started having horrible cramps and diarrhea. Sometimes there was blood in the stool. I went to the doctor and she prescribed me bentyl for the cramps and told me the diarrhea was probably caused from stress. The bentyl helped for one day then the cramps flared up again.

So, I went back to the doctor 4 days later. They did blood and stool tests then put me on flagyl because they thought it was some kind of bacterial infection (even though the tests all came back negative).

Later in August, I went into the emergency room because I was so dehydrated. They pumped me full of IV fluids and sent me on my way with instructions to continue the flagyl.

September 2nd, I had to go back to the emergency room because nothing was getting better and I continued to have horrible cramps and uncontrollable diarrhea. They gave me IV fluids, more bentyl, more flagyl, and potassium. I was released 5 days later and told to take prednisone along with the rest of my prescription cocktail.

To my surprise, I kept getting worse. I started vomiting, couldn't keep anything down (not even water), and started losing weight. About a week later, I was admitted into the hospital again. This time, my GI doctor decided to do a sigmoidoscopy. My dad begged him to do a full colonoscopy but the doc said no because he was afraid my colon might rupture. They finally diagnosed me with Ulcerative Colitis and started me on Asacol, lots and lots of Asacol. I spent another 6 days in the hospital getting pumped full of IV fluids and antibiotics then went on my way.

My cramps kept getting worse and worse until I couldn't walk or do anything for myself. I was constantly in pain. My husband had to help me change clothes and realized that my stomach had turned gray. That really scared him so we made another trip to the emergency room. There, they did an Xray to find out that my colon was indeed ruptured. I was CareFlited to the nearest large hospital where they performed emergency surgery to remove 90% of my dead colon. It was actually ruptured in 2 places. I was in septic shock and had 3 different funguses in the abdomen. My surgeon said it was the worst he's ever seen and told my dad and hubby that I probably wouldn't make it. I was put into a medically induced coma for 5 days because I was on Xigris and they said I'd be in too much pain to be awake.

The first 2 days after surgery, my heart rate stayed steady at 175-180 because of all the infection. One of my lungs collapsed during surgery so I had a respirator tube down my throat. On top of that, I had 3 pic lines (neck, arm, and pelvis), 3 tubes coming out of my stomach to drain the infection, and a tube going up my nose to keep anything from going into my stomach. My body was swollen to twice my normal body size and I kept running a pretty high fever. I had a freezing blanket on top of me for 48 hours to try and break the fever. I was also handcuffed to the bed so I wouldn't pull out the tube in my throat. I was getting 1 mg of dilotids every 30 minutes. Mind you, this is all what my family has told me because I was completely out of it. My husband won't talk about it anymore because he was pretty sure that he was going to lose me.

After 5 days, they finally woke me up and took out all of the tubes except 2 of the pic lines. After a couple more days in the ICU, I was finally transferred into a normal room. I was non-contact (which meant that everyone who came into my room had to wear gloves and a gown so I wouldn't get another infection). I haven't done a final count but I had a team of about 20 doctors. I was told I was the youngest person in the hospital and had the most interesting case. Oh, I forgot to mention that a couple days after surgery, I had a wound vac put into my into my 10 inch incision to suck out all the infection. (A wound vac is when they put a sponge into your incision, then hook it up to a mini vaccuum to suck out all the fluids.) They had to change the sponge every 3-5 days and let me tell you, that was the worst pain I have ever been in. My dad couldn't stand to stay in the room because I would scream and cry. When they took it out, you could see pretty much all of my insides. My husband always stayed in the room to hold my hand through it all but he said it took everything he had to not get sick. I've been told having a wound vac is worse pain than labor.

Anyways, I stayed in the hospital for 23 days because my heart rate and white blood cell count kept going up and down. I had an ultrasound done on my heart and found out that the sac around my heart was swollen so I was put on Korig and Lisonopril. I don't remember what this procedure was called but a pulmonologist came in, stuck an ice pick into my back, and drained a liter of fluid from the sac around my lungs. It's called sympathy fluid or something like that. There's so much more that I don't care to remember (5 blood transfusions, being dropped by a physical therapist, etc.) but this is a rundown of the more serious stuff. Oh yeah, I also have an ileostomy and I've lost 56 pounds. I do love being super skinny, haha.
Anyways, here are my questions:

1. Am I ever going to stop losing my hair?! I'm so annoyed by this. Supposedly, it's because of the medication but right now, I'm only taking Asacol and tapering off of Zoloft (I've never been depressed before but 23 days in the hospital can do that to you).

2. Will I be on Asacol forever?

3. Is there anybody out there with about 6 inches of their sigmoid colon left that has had an ileostomy reversal? If so, how'd it go? Do you have normal bowel movement? Is it worth it? The doctors said I may not even be a candidate for a reversal but if I am, it'll at least have to wait a year.

4. Will I ever be able to eat fruits and veggies again? I've tried eating a couple bites here and there, but I always end up throwing up. I miss them so much.

5. Does anybody have any recommendations on how to keep your ileostomy bag from itching under the wafer? I keep it clean and everything and it doesn't leak; I just have really sensitive skin.

6. Do most people have a colonoscopy to diagnose UC? My dad thinks that I should have had one my 2nd visit to the hospital because even if my colon did rupture, I would have been completely cleaned out and already on the operating table.

Sorry about the length again. I'm just so shocked that all this happened in a matter of 3 months. I'd love any feedback :)
 
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sorry to read that you've been through such a horrible time but glad that you are on the other side :) I went through a very similar experience with a 4 month stay in hospital earlier this year so I can sympathise with you!

Dont worry about your hair! after the stress that you've been through and mal nutrition it is to be expected, and as you recover it will soon grow back.

as for your ileostomy itching, I use a stomahesive powder which you put on your skin before applying the wafer, which does help and it also protects the skin aswell.

Hope your recovery continues to go well!
 
Sorry you've been through such a rough time! Hopefully you're feeling better and having a peaceful recovery. I can't answer all your questions, but I'll give it a shot!

Your hair will stop falling out. As Martin said, you've been through a lot of stress and your body is reacting to that. Once you get settled, it should slow down.

You might be on Asacol forever, it depends on how well you're doing after your recovery period. I was supposed to be on maintenance drugs after my colostomy surgery, but after they did a colonoscopy they found no traces of the disease so I'm currently med free. You'll have to discuss it with your doctor.

I can't answer the resection question as my stoma is permanent.

You should be able to eat fruits and veggies. Just remember to chew them really well!

For the itching, I'd recommend the powder that Martin mentioned, or try different brands and see if their adhesive is better for your skin. All of the major companies will send out freebies for you to try.

Finally, I can't answer your question about UC since I have Crohn's and don't know much about UC and it's method for dx.

Keep us posted on your progress! I hope you start to feel better very soon...just take it easy :)
 
ok firstly, please watch the following video, http://youtu.be/y0Jfapk_khM.
I had my surgery in may and have completely got my life back, i'm not going to go for the j-pouch because I won't have the life i want/have back if I'm constantly back on the loo! i have been canoeing, cycling, camping, abseilling cli9mbing, toboggoning, swimming etc. i can eat anything, I just started with small amounts and chewed realy well, and gradually added new foods. you had a really hard time, it will take a while. i had the itching, it is just a case of finding the right bag, i use microskins. There are so many bags1 when you get on your feet start experimenting to find your ideal bag. take it slow xxxx I'm here if you need anything
 
First of all, welcome!!! :welcome:

Secondly...Thank God you're still alive at all! I almost died myself, so, wow does that change ones perspective!

1. Am I ever going to stop losing my hair?! I'm so annoyed by this. Supposedly, it's because of the medication but right now, I'm only taking Asacol and tapering off of Zoloft (I've never been depressed before but 23 days in the hospital can do that to you).
I would guess that your hair loss is less to do with the medication, and much more to do with what your body has been through. It is not unusual to lose hair a couple months after surgery. Please try Biotin 5000mcg to help with that, and it will help your nails as well.

2. Will I be on Asacol forever? Depends on your diagnosis. Since they think it's UC...if you have no colon..you shouldnt have to stay on it!

3. Is there anybody out there with about 6 inches of their sigmoid colon left that has had an ileostomy reversal? If so, how'd it go? Do you have normal bowel movement? Is it worth it? The doctors said I may not even be a candidate for a reversal but if I am, it'll at least have to wait a year.
I'm afraid my sigmoid has gone to the great sigmoid heaven in the sky. Some UC patients have a 'j' pouch done. This may be a possibility for you someday. But the J pouch is not successful in Crohn's patients. So they need to be sure it really UC, not Crohns Colitis.

4. Will I ever be able to eat fruits and veggies again? I've tried eating a couple bites here and there, but I always end up throwing up. I miss them so much.
Yes you Will!!! Easy does it while you are recovering!

5. Does anybody have any recommendations on how to keep your ileostomy bag from itching under the wafer? I keep it clean and everything and it doesn't leak; I just have really sensitive skin.
Need to know what you are using, step by step, what brand, any sprays, rings, etc.

6. Do most people have a colonoscopy to diagnose UC? My dad thinks that I should have had one my 2nd visit to the hospital because even if my colon did rupture, I would have been completely cleaned out and already on the operating table.
There is a possibility that yes, you couldve ruptured during the colonoscopy. However, I have to ask, did they do a CT scan, and MRI, anything at all? You didnt say where in the colon that you ruptured? But yes, I do think they shouldve done a colonoscopy, and gone as far as safe with you.
 
Oh my goodness, what an experience. I'm so sorry for you going through that. Welcome to the forum - I suspect you'll have a lot to add here.
 
Hi IHateColons:

Welcome to the forum, and welcome to the world of stomas! What a horrific ordeal you've been through. I'm glad you had your husband with you as support---I can only imagine how terrifying it must have been for him and your dad.

Everyone else has given you some good advice. I had hair loss after surgery as well: I took Biotin that Misty recommended and also Vitamin B supplements. The hair loss is usually a shock/stress post surgery and is a condition called Telogen Effluvium. It is reversible. My hair fell out in huge clumps and I was left with almost no hair. Then, after about six weeks, it stopped falling out and started growing back.

Go easy on the fruits---you might be able to better digest them after three months. Are you able to handle bananas? I still peel my apples before eating to avoid blockage, and as others have said, chewchewchew! The only fruit that I avoid is pineapple.

Get lots of rest---you've been through a lot.

Take good care,

Kismet
 
wow what a story! you've been through so much and very lucky to be alive by the sounds of it! thankyou so much for sharing. (i too am 21)
Anyways, here are my questions:
1. Am I ever going to stop losing my hair?! I'm so annoyed by this. Supposedly, it's because of the medication but right now, I'm only taking Asacol and tapering off of Zoloft (I've never been depressed before but 23 days in the hospital can do that to you).
hair falling out is a common side effect after any surgery that involves a general anesthetic, i had surgery to remove the large intestine in july, my hair fell out until around week 9 post surgery, being underweight contributes as well.
2. Will I be on Asacol forever? i can't really answer this, but usually if you have been in remission for a while, there may be talks with your dr on the possibility of reducing or switching to other medication- after my permanent ileostomy surgery i was taken off all medication and so far i've been fine, everyone is different, they may want to keep you on it as a precautionary as your UC got very bad very quickly, but this is something to discuss when you have settled and recovered.
3. Is there anybody out there with about 6 inches of their sigmoid colon left that has had an ileostomy reversal? If so, how'd it go? Do you have normal bowel movement? Is it worth it? The doctors said I may not even be a candidate for a reversal but if I am, it'll at least have to wait a year. can't really help you on this, but take your time! enjoy being well for a while, you may decide you want to keep your stoma :)
4. Will I ever be able to eat fruits and veggies again? I've tried eating a couple bites here and there, but I always end up throwing up. I miss them so much. yes but try not to rush it before you're ready, i would wait until at least week 12 post surgery as this is when the majority of scar tissue on the inside will have healed up. be careful with fruit and veg (on the blockage list) and chew everything extra well. you will probably notice that fruit and veg come out pretty much how they went down. for now try fresh fruit juices, smoothies and even tinned fruit :)
5. Does anybody have any recommendations on how to keep your ileostomy bag from itching under the wafer? I keep it clean and everything and it doesn't leak; I just have really sensitive skin. i found this a problem, there was days when the itch was driving me crazy, i now use a skin barrier spray by coloplast, it dries instantly and it forms a waterproof layer on the skin before the wafer is stuck down. or if the itch is coming from where the stoma joins the skin you may want to try barrier rings, which are sticky rings that fit really snug around the stoma before the bag goes on this makes sure output does not make contact with the skin at all and can be helpful whilst your stoma is still shrinking.
6. Do most people have a colonoscopy to diagnose UC? My dad thinks that I should have had one my 2nd visit to the hospital because even if my colon did rupture, I would have been completely cleaned out and already on the operating table. sounds like it would have been too dangerous to do, repairing a rupture or having part of the intestine removed in a rushed emergency situation is never a good thing. not everyone is diagnosed this way. i was told i needed my whole large intestine removed after having an MRI scan and i had not had a colonoscopy in around 5 years and asked if i should get one first- the surgeons reply was, 'when we've opened you up, i'll have a good look'.

this has all happened so fast for you! but you are coping great! take care of yourself and rest rest rest! :)
all the best, hannah.
 
WOW! That is a harrowing story. Your husband sounds like a gem and it's great you have support from him and your dad. Hope you are feeling better and better every day! When was your surgery? And where are you located? I ask because sometimes the advice you get will depend on if you are in the States, UK, Canada, etc.

The others have given you some good advice above. Here's my two cents, below -

1. Am I ever going to stop losing my hair?! I'm so annoyed by this. Supposedly, it's because of the medication but right now, I'm only taking Asacol and tapering off of Zoloft (I've never been depressed before but 23 days in the hospital can do that to you). Yes! You will stop losing it once you level out on your meds and start getting the proper nutrition. I assume you are having your levels of vitamins and minerals tested regularly?

2. Will I be on Asacol forever? UC is usually treated "bottom up" meaning they start with the least-powerful drugs need to keep you in remission (as opposed to Crohn's which is usually treated "top down" - starting with the big guns and working down). Asacol is very safe and relatively mild on the spectrum of IBD drugs with few side effects. If it keeps you in remission, stick with it and don't mess with it!

3. Is there anybody out there with about 6 inches of their sigmoid colon left that has had an ileostomy reversal? If so, how'd it go? Do you have normal bowel movement? Is it worth it? The doctors said I may not even be a candidate for a reversal but if I am, it'll at least have to wait a year. Have your docs talked to you about J-pouch? You would need to have your entire colon removed to get a J-pouch. Check out the UC subforum and ask around over there for experience with J-pouches.

4. Will I ever be able to eat fruits and veggies again? I've tried eating a couple bites here and there, but I always end up throwing up. I miss them so much. As the others say above, yes, you will, but take it very easy and very slow during recovery. It might be several months until you can do fruits and veggies again that are not canned or cooked to death. Patience.

5. Does anybody have any recommendations on how to keep your ileostomy bag from itching under the wafer? I keep it clean and everything and it doesn't leak; I just have really sensitive skin. Try out other brands. Your ostomy nurse can help you with samples, or ask directly with the manufacturers.

6. Do most people have a colonoscopy to diagnose UC? My dad thinks that I should have had one my 2nd visit to the hospital because even if my colon did rupture, I would have been completely cleaned out and already on the operating table. I was originally DX with UC thru a flex sig (later re-DX with Crohns). Hard to say whether you should have gotten the full scope then - the docs were probably right in not wanting to risk rupture. No doc ever goes in saying, "Eh, what the heck, if she ruptures we can just remove it."

Sorry about the length again. I'm just so shocked that all this happened in a matter of 3 months. I'd love any feedback :)

Keep the questions coming - we are a very talkative group over here in the Stoma Subforum!!

- Amy
 
I can't believe the treatment you received. I am so sorry you have had to go through all of this. I hope you are on the path to be well now. Welcome to the forum.
 
Wow how awful and sudden! I'm so glad everything worked out ok. Everyone has given you really good advice. The only thing I could add is that it took me about 9 months until I could eat fresh veggies and fruit. I've been able to eat salads too! I still have to be carful not to overdue it though. Just relax and take your time with everything. You will feel great soon and yes your hair will grow back too. Welcome to the forum:) It's been such a HUGE help with my stoma. Thank God for everyone here:)
 

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