My recent Surgery

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Car_Fan

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Well I’m new here my name is Carl and I’m 21 years of age from the UK and I have a bit of a lengthy essay about this so bear with me! hehe.

I first started suffering from crohnes at the age of 19, however I lived with for 2 years back and forth to the hospital and my GP before I started dramatically losing weight at the latter part of 2007, I went from 10.5 stone before all the problems started to 7 stone and I’m 6ft. I was sent back into the hospital for further tests. A CT Scan, Barium follow through and a white cell scan. They all confirmed the inflammation had caused my lower intestine to fuse to my large intestine, it also confirmed there was a lot of inflammation around the ileum (a common place I was told for crohnes to attack).

Anyway I was admitted to hospital and put on intravenous steroids (hydrocortisone) to be precise and all this time I knew not much would improve without some sort of surgical intervention. After being in hospital for a week I was discharged and I spent the next few weeks in the house trying to recover.

My condition took a turn for the worst, over time the large and small bowel found its way down to the bladder, fused with it and it ruptured it was agony passing water and it wasn’t until I felt air pass out after the water I knew what had happened other wise it would have put it down to a server water infection.

I was scheduled to see my GP and specialist around the time it happened at my local hospital and doctors surgery, I took a bottle of my urine in to show then and they knew thinks were bad with out so much as needing to even test it.

It was Tuesday the 15th of April when I seen the specialist, he immediately said we need to get you in for surgery I had sepsis and I had it for a while the only other alternative would be to avoid surgery and let the sepsis continue causing organ failure but I knew id need surgery and wanted surgery, I knew it would be the only thing to give me a chance of recovery and quality of life because medication wasn’t going to magically un-join my mangled intestines.

I went down to theatre on Thursday the 17th after talking to the surgeon and anaesthetists, they explained exactly what they were going to do but I still felt a bit nervous I can relate to another member(freddo) saying it’s a very lonely journey the ride on the trolley knowing your edging closer to maybe a solution or catastrophe(at least that’s what was going on in my head)

The anaesthetist gave me option of pain relief either an epidural or a machine that feed me morphine at the press of a button, stupidly I choose the epidural. When in the anaesthetics room they prepped me for the small tube in my back and they started easing it in but there were problems…. It caught a nerve and each movement sent electric like shocks all through my body despite the whole area being numbed prior to this It hurt like hell and eventually I said I want the morphine and the anaesthetist agreed, after the tube was removed I was sent under(almost like a feeling of being drunk and euphoria if you can get past the slight stingy sensation as the cold anaesthetic enters into your veins bit it was no biggy at all).

I remember waking up and having to give the nurse a pain scale of 1 to 10, 10 being the worst I was around an 8-9 and pressing the morphine button like it was going out of fashion (even though it only administers 1mg every 5 minutes to avoid you overdosing it made me feel better in the mind and the pain eventually resided. I was taken up to the ward and it was the first time I had a chance to look at what was attached to me. Unfortunately it was a lot worse my insides that what I would have in thought so in order for my large intestine to heal I need a temporary illiostomy stoma bag, they couldn’t simply stitch the holes back up as the surgeon said they were the size of 50 pence pieces (about an inch wide) so they needed a cutting away and resection, I also needed some of the bladder taken away which meant a catheter was placed into the bladder taking the unfortunate route of going up my you know what(id be later told id have this in for no less than 12 days to allow my bladder to heal and it would only be removed if the x-ray gave the all clear). I had a tube up my nose into my stomach draining bile out which was taken out next day as well as your usual drips and oxygen mask….

My days of recovery went fantastically well, the stoma wasn’t and issue and I was healing well. Getting in and out of bed and the physio terrorist dragging me out to walk was agony, sheer agony, I had to contend with drips on me, a catheter hanging off me as well as two blood and bile bags connected to 2 unforgiving plastic tubes that run from one side of my body to the other internally stitched in place where they enter the body at the left side. As the days went on the drips were removed as well as the drain bags and once I got over the fact I no long had the morphine things got easier.

The only problems after this was not related to the surgery as such, I had stool left in me (weather or not they could prep me properly due to the joins and holes in my insides remains a mystery or weather or not it was basically emergency surgery so it was rushed who knows) how ever I was passing what felt like granite during my weekend release at home not to mention the catheter tube giving me a constant sensation of me needing to urinate all the time it drove me mental.

I was back in hospital the Sunday night and at 4am next morning I brought it to the attention my catheter bag wasn’t filling, they changed the bag and tube to see if that made a difference and I went back to sleep. Waking up time my bag was still woefully empty and I felt I needed to go, I sat in my chair and my leg wobbled and it was constantly on my mind I keep asking the nurses when I was going down for my x-ray and this went on for about 4 hours until I was told at noon I may not get the x-ray that day as they ‘don’t do them that particular day, only Fridays’ but I was assured id get it at the latest next day if they couldn’t ‘fit me in’ I was livid and obviously in distress, the pain was creping up.

Normally if the catheter was blocked they would jet the tube with a bit sterile water to unblock it problem solved. However due to my bladder having surgery on it this was impossible they couldn’t and wouldn’t go near any procedure like that until after the x-ray gave the all clear so I was in a no win situation. Sadly it got to the point where I couldn’t take it anymore and while changing to a leg bag catheter in the toilet water started agonisingly bypassing the thin tube as I sat on the toilet trying to control it but it was past the point of no return, I now had to sit 2 hours needing to pass urine until my mother who arrived for visiting pushed for me to go down and get the emergency x-ray they had to fit me into outpatients. On the bed in the x-ray room dye was pushed up into my bladder (filling it more) and I had to move my body on the x-ray table so the Dr could get good pictures all the while needing to pass water. After I had finished the bag was reattached and I couldn’t pass the water and dye out my system the Dr had to use the syringe to pull out the dye and blockage then reattach the catheter tube, I got back on the ward and in my chair and my god sheer relief and total relaxation I passed water freely for the next 3 hours until I was told It was safe to remove the catheter thank the lord. I also had the staples removed and given the all clear I was healing up nicely and I had made a good recovery. I was discharged the next day with all my medications for pain relief and also medication that I’m thinking helps keep this thing at bay.

I’m feeling great and I do think my situation goes a bit beyond your standard resection procedure so I wouldn’t worry about it if you’re going in for surgery any time soon I no longer have the pains I suffered with Crohns, I had some complications with mine due to the bladder being brought into it but the quality of the surgery and the surgery its self never caused me an issue as such its put me on track to have some quality of life back and for that I’m eternally thankful.

Questions are welcome and sorry for it being a bit long, I though if I’m going to make a post about it I may as well try and include every thing I can.
 
hi carl, welcome to the forum from another uker, and thank you for sharing your traumatic experiences with us - i hope thats all in the past now & you continue healing with good health in front of you.

reading your post, i was painfully reminded of my own terrifying surgical procedures & complications many years ago. none of my surgeries were straightforward, and the fear i remember as acutely as if it were yesterday.

when you finally get home after something like this, minus tubes, minus NIL, minus nurses checking on your obs constantly - its a weird feeling isnt it? one on hand i was elated to be out of hospital as it proved i was going to survive after all, but on the other hand i was scared to be away from the ward, and the whole thing seemed surreal. thank goodness, that feeling does pass.. and normal life resumes.

good to have you here - i hope you get as much from this forum as i have - its great :)
 
Hi Carl, wow what a story...i thought i had it bad with my complications. It's been a tough ride by the looks of it, Dingbat is right, it gets better quicker than you'd think. I'm about 2 months post surgery and i feel 1000% better than i did before the surgery, not perfect but better.

Your story reminded me of just how much i hated the catheter and I got to tell you, i really feel for anyone who has to deal with stoma bags. I had one placed over my infected surgery wound to collect pus etc and it wasn't a pleasant experience.

Reading your story brought back some bad memories but it also reminded me just how much better i feel. Good luck with the recovery.
 
Thanks guys and i can so relate to those feelings of getting home from hospital i was up and down eager to get home and felt an initial happyness as i walked through the door then an hour later down and all over the place trying to get a grip on reality, but i guess its normal its been 2 and a half weeks now since the operation and im feeling good and all those unstable moods have passed.

Walking about still tires me out alot more but my energy levels should pick up as the weeks go on.

The stoma bag hasn't fussed me as much as I would have thought what was one of the biggest issues on my mind before the operation soon became such a minor issue in a field of bigger things that affected me(example give me this stoma over than damn catheter anyway day of the week lol), the only minor gripe was stuff getting under the seal slighty on my skin and it started to burn and make the skin raw due to the stoma shrinking sligly since surgery(which is normal) but i had a visit from the stoma nurse yesterday and ive been given some items which has totaly eliminated that problem full stop so all is good. Anyone getting a stoma Temporary or otherwise i wouldnt worry, it sits there does its job and genraly for me has offerd very very little in complication, people are always around to support you in particular your very own stoma nurse who visits you(at least here in the UK) to see how things are going. I also get free prescritions as well as long as i have my stoma which helps me alot, as well as getting all my stoma bags and items deliverd direct to my door. Hassle free! so im open to questions from anyone who may have worries or doubts if they are going in for surgery and may require a stoma either permanetly or just while areas heal(in my case).

Infact id go as far as saying my only real grip at this moment is I seem to be getting the odd feeling now and again i need to go and use the toilet properly and I do get slight bad feeling over me like and mild panic that comes over me as the feeling starts, but it passes and every things back to normal, still 21 years of my brain telling me how to use the toilet isnt exactly going to go away after 3 weeks surgery has made that particular part of the body redundant.

Im currently on iron tablets and pentasa, the hospital also gave me paracetamol and Tramadol for pain relief but to be honest i havent really needed to use the pain relief drugs as the worsts now over and I hope and doubt id have to go through something as big as that operation again, it was down to the fact I had and lived with Chrones for 2 years and it was only recently diagnosed so it had the chance to run ramapant. All in all the hospital goofed up, i was supposed to have follow up xrays and tests that they never informed or told me about. By the time I recieved these the Chrones caused all the joins in the bowel which eventualy lead to it attaching and bursting the bladder, but it seems the surgery has corrected all of those issues sadly on my mind it may have been avoided.

Who knows, fact is im here, im alive and acording to the surgeon im very lucky, the sepsis never got a grip of me because I was on borrowd time I could feel my body failing and getting weaker so I guess the surgery was my salvation.
 
i think many people fear the idea of having a stoma, and its encouraging to read how well we do cope with one, if need be. particularly if it saved your life and/or brings a second chance of a quality of life.

just a little thought here - has anyone from the hospital mentioned B12 injections at all? depending on which bit of the bowel you had removed, it might mean that you no longer absorb B12 naturally, so its something to bear in mind. (i had most of my large bowel removed, and became very B12 deficient - no-one told me i'd need injections. i now have them every 3 months and my levels are fine now).
 
No mentions of B12 to me, although to my knowledge the only real part that was removed was some of my small intestine or atleast that was the bulk of what was removed. A majority of the large is intact maybe only minor alterations around where it was joined with the small and bladder, however i have an appointment with the consultant in the nearfuture so i will be sure to quiz him on this matter.

I do know they were going to have to give me a blood transfusion when i was in the hospital due to iron levels but my blood started picking up the next day and they decided to place me on iron tablets instead as my blood showed signs of good improvement. Ill be sure to mention this though to the consultant Dingbat, better to be on the safe side....
 
Wow, sorry to be Captain Obvious, but you have had an awful struggle there Car_Fan... fascinating but painful story. However it's good to hear you are on the mend - hope it continues that way - keep us posted...
 
Hey Car Fan Welcome to the forum. Quite an ordeal. I hope the worst is now past. The low iron levels may have been just a temporary issue, check with your doctor... Iron pills can play havoc with some folks, resulting in stomach ulcers even.. It's rare, but it can happen. discuss the possibilty with your doctor ,see if B12 shots may be a better option... or if you'll need iron supplements long term.
 
wow, awesome posts Carl!

i LOL'd at the PHYSIO TERRORIST comment, those people are evil! ;)
 

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