Ahhh finally, the day is over !:batty:
Thanks everyone for your support! It means so much :ghug:
Diversion Colitis is basically as Dusty described.
When the colon is shut down (for ileostomy or colostomy) it begins to "die" in a way (atrophy) and causes a colitis that is recognizable by eye. It's supposedly very distinct in character.
It also causes symptoms...symptoms that mimic Crohn's !!
This is why, we now believe, that Gab has been "flaring". Her low grade fevers, abdominal pain, and extra fatigue recently were caused by this diversion colitis.
I was furious when I heard this because, in my mind, we should have been forewarned when she got her ileostomy. Also, I think they should have been watching out for symptoms; especially since we believed she was flaring.
I don't understand still why they don't discuss this before a problem arises, but I am glad I know now, and she is still able to have her take down surgery.
When we were first told about it was after her colonoscopy. Our regular Nurse Practitioner from the GI's office requested us to stick around so she could talk to us. She said that she wanted to forewarn us that when we went to see the surgeon that there was a 50/50 chance he may be canceling the surgery and giving her a treatment for the DC for around 3-4 weeks until it healed. Of course, we were not happy!
So in-between that consult and the surgical one, I researched this and saw that for individuals that are candidates for a reversal than treatment is usually to just let it heal itself once the fecal matter begins passing through the colon again. And I also read everything that Dusty posted as well. Thank goodness the surgeon thinks that way as well ! :batty:
Anyhow, she was cleared !! :ylol:
The only hang up the surgeon seemed to have is he can't/hasn't decided how he will cut her. His options are going directly through the stoma, going in laproscopically, or cutting her through her existing vertical incision. If he goes in through the incision (which I believe he will...he's not happy with how her existing scar healed because of the high dose steroids she was on then and he wants to fix it for her) she will also still have the open hole where the stoma was that will have to heal from the inside out over a couple of months.
I also learned some new information today regarding patients with previous steroid dependance. The NP was explaining that Gab will have to have a "big dose" of IV salumedrol (sp?) pre surgery, and possibly a short term taper afterwards. She explained that any time in the next 2 or so years that Gab is put into any high stress situation (such as surgery, death of a loved one, etc..)that she needs to be put on a short term taper. This is because her body is more than likely not to let its adrenal glands kick in when there's stress and it could be dangerous to her. I had no idea !! I thought once we were finally able to wean her after a year and a half that she was in the clear because she was "done". NOPE ! So, I'm sharing this with all of you for future reference
(Note: Gab was weaned from 120 mg prednisone a day down to none over a year and a halves time) I'm not sure exactly if this has to do with dosage or not, I just know it has to do with "high dose steroid dependency".
It's like we always say...you gotta love to hate that little miracle drug !
I prefer to HATE it at this point ! :ylol:
Thanks again everyone! I'll update again on surgery day!!
Sorry this is so long but I wanted to explain those few things with the DC and the steroids
much love!
~T~