
Colorectal Surgery Done. Getting Lower Abdominal Pain, Losing Weight. What Is The Cause And Cure?

Thanks for writing in.
The cause for problems in passing stools can be due to two reasons.
1. The surgery itself. Due to the combination of all 3 surgeries there is likelihood of peristaltic problem. The intrinsic sphincter function may also be altered. However, there is no surgical cure for it now. Biofeedback training which you have already undergone is the only option. Hormonal deficiencies especially thyroid dysfunction can also contribute to the problem.
2. The loose motions with altered morphology are due to partial obstruction. After every anastomosis, there is always narrowing of the lumen that can predispose to obstruction. Thereafter stools accumulate causing alteration in flora leading to severe loose motions, which are difficult to control. Black stools are due to upper gastrointestinal bleeding. The source will be in either the stomach or duodenum. This can be confirmed by endoscopy. The abdominal pain is due to partial obstruction.
Regarding the cause for obstruction a CT scan will help in the evaluation. Depending upon the findings a decision for revisional surgery can be taken.
However all your hormonal parameters need to be brought within normal limits before contemplating surgery. This needs to be done at the earliest before you develop XXXXXXX intestinal obstruction which may then necessitate an emergency colostomy to relieve the accumulated feces thus preventing the septic process to start.
I hope this answers your query. Please do write back in case you have follow up queries to ask or if you need further clarifications.
With regards


Thanks for writing in.
The presence of a duplication cyst signifies a congenital anomaly. Therefore, there is a possibility of a problem in the motility of the rectum and neural control of sphincter function. If the cysts are line ended duplication cysts then they may not require intervention.
For the defecation problem, you need to undergo physiological studies like electromyography, motility studies and defecography to identify the exact neuronal lesion.
Surgery at that site now would not be advisable.
Regarding relief of symptoms if studies reveal loss of sphincter function and motility then a colostomy temporarily would be helpful.
For the stomach, only symptomatic treatment after endoscopic confirmation is presently indicated.
I hope this answers your query.
With regards


Thanks for the feedback.
Tramadol is an analgesic. That is not the drug of choice for your problem. In view of alteration of stool colour to black it is advisable to take antacid preparation. Omeprazole in dose of 20 mgm twice a day would help you out. This could be combined with a sucralfate containing compound to be taken three times a day after meal. But remember it is advisable to get a endoscopy done before you start any medication.
I hope this answers your doubt.
With regards


Thanks for writing in.
The heavy bleeding which you are experiencing is due to hormonal imbalance. It will stop by itself. The only thing you need to be concerned is your hemoglobin levels which may fall steeply. Keep a watch over it and start prophylactic hematinic preparations.You can stop tramadol and start an antacid preparation instead.Stress usually causes amenorrhoea rather than heavy bleeding. Therefore in your case it mainly hormonal in origin.
I hope this answers your querry.
With regards

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