Re: Tina-How do I know if it's obstructed?

From: Christine M. Smith (smithy@maine.rr.com)
Sun Nov 14 10:08:54 1999


Hi Gina:

How many times in your reading have you seen "adhesions" listed as the possible reason for GI problems? Maybe a few lines (usually as a cause of obstruction, listed among other causes, with very little discussion) Remember, they don't even list adhesions as a possible surgical risk on the informed surgical consent! My impression is that they like to keep some things secret. :<)

Chris S.

Gina wrote: >
> Hi Tina,
> In all my research thus far on constipation and
> impactment, nowhere have I seen the words "atonic colon".
> What is that? Why isn't it mentioned anywhere? Guess
> I have something new to look up now!
>
> I am having at least a week or more between BM's now
> and my Dr. doesn't seem concerned at all. Even with
> laxatives, high fiber, water, etc. BUT I also have no pain
> on BM's, no abdominal pain lately from this, no bleeding.
> I do still have some nausea, that's about it. Other than
> no BM I wouldn't even know I was constipated. Weird!
> Gina
>
> At Mon, 08 Nov 1999, Tina Shelby wrote:
> >
> >Hi Gina,
> >
> >I just wanted to take a minute and respond to your questions about bowel
> >obstructions and the length of time between your BMs.
> >
> >Normally if someone is obstructed - there is a definite pattern on x-ray to
> >indicate that an obstruction is present. I must also add - that no test is
> >100% accurate and obstructions can be missed. From what I have gathered
with > >talking to GI surgeons - a patient may have a partial obstruction as
> >evidenced by the patients symptoms - ie vomiting, sudden onset severe
> >abdominal pain, fever, elevated white blood count, dirrhea at first and
then > >nothing - but x-ray may not show the partial obstruction.
> >
> >I don't remember if you have GI specialist - but if you are having >4days
> >between BMs fairly consistantly - you need to have a colonic transit test.
> >This consists of taking a capsule a day for several days. These capsules
> >contain rings that are seen with x-ray. You get follow up x-rays each
day to > >track the rings movement. If they do not pass in a specific lenght of
time - > >you are also dealing with an atonic colon.
> >
> >I am sorry to say - but the treatment for this is having the colon removed.
> >
> >Hope this helps some
> >
> >Tina
> >
> >At 07:01 AM 11/1/99 -0600, you wrote:
> >>Hi everyone,
> >>I am 7 weeks post-op from my 2nd surgery. I was Dx with
> >>adhesions a few weeks after the surgery (just from my
> >>symptoms, and adhesion-prone history). The pain I had
> >>associated with the adhesions is bearable actually, and
> >>not as bad as it was when it was Dx'd. I know I have them
> >>in my pelvic area and also some reformed adhesions on my
> >>upper right abdomen/intestine area (I can feel the pulling
> >>and pain in there more than anywhere else, and that's where they removed
> >>the adhesions on my last OP).
> >>
> >>I have had severe bowel problems since this 2nd surgery.
> >>I have been in the ER twice because of no BM, yet alot of pain. Both
> >>times I was told I was constipated/impacted and sent home with enema and
> >>laxative instructions. Eventually
> >>things would move again, but never back to normal and only for a day or
> >>2, then I'd go another week to 10 days with no BM and the pain increased
> >>with time.
> >>
> >>I don't vomit, but do feel nausea and lessening of appetite as time goes
> >>on. I don't get fevers. I just get alot of pain which makes me sweat
> >>almost constantly. I do pass gas, sometimes painfully sometimes not.
> >>
> >>Am I being a hypochondriac thinking I might have a bowel
> >>obstruction high in my upper intestines? I mean this long after surgery
> >>my bowels should be working normally again, barring any problems
> >>correct? The last time I was in the ER I had an xray done. I hadn't
> >>moved bowels in 6 days. The xrays showed stool only in the upper
> >>intestines and nothing at all in the lower intestines. Why wasn't it
> >>moving down into the lowers? Why didn't they think it was obstructed?
> >>
> >>I get alot of pain when I eat, my stomach and chest hurts bad. I have
> >>no heartburn yet they think I might have an ulcer because of the pain
> >>and nausea with all meals. Every time I eat, it's a struggle not to
> >>throw up, for hours after. The pepcid (40 mg a day) seems to help with
> >>that, but not always.
> >>
> >>Just curious what your opinions are on this?
> >>Gina
> >>


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