Merri Ellen

From: Tina Shelby (
Mon Oct 25 18:20:53 1999

Merri Ellen,

So sorry for taking so long to get back to your letter - as I told Chris - I have had to be away from my computer for a few days and am now trying to catch up.

I'm impressed with your GI specialist - the fact that he even recognized that adhesions can cause pain is encouraging. I don't know how old you are but the recommendation for GI workup in relatives of patients with cancer is around 10 years. In other words - if your mom was diagnosed with colon cancer at age 50 - it is recommended that the children start being checked at age 40.

Did you have to go through your last colonoscpy awake? The reason I ask is you express concern about him pushing the scope through areas of resistance. You should not know if that happens - or at least not remember it.

As far as Levibid - the GI docs in this area have stopped using it all together because in his words "its worthless" - We recommended using Levsin SL. Although you took it 4 times a day - you can also put one under your tongue for quick relief of spastic bowel problems. But again - keep in mind - if the internal colon structure has no obvious abnormalities - the catch all diagnosis is irritable bowel syndrome.

As far as adhesions forming inside organs - ie the colon after a colon resection - I never say never - but I will say I have never seen it nor heard of any that did. The most common complications from a bowel resection are a leak or bleeding. Adhesions can and usually do form around the outside of the resection site. So in your case it is very likely that that the bowel resection site may have an adhesive stricture on the outside causing bowel distention at the site - causing pain and bowel problems.

I will also add that yes it is possible for the scope to rupture the bowel - but that is usually not a problem unless IBD is present.

I hope this helps -


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