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What Causes Abdominal Cramping Post Colon Removal?
Question: Sigmoid colon removed (24") healthy and a mistake; prior I had no gastro pain; inability to go to the bathroom, except not regular daily; infection leaving hospital; entire ab covered in mesh. Rather than end to end, surgeon connected colon to side of rectum with strips of mesh. I have what feels like pulling which causes "toothache" pain in rectum and pressure when I walk.
Eventually am able to have a BM, but it takes up to two weeks. The mesh, for hernia repair abuts to stomach and I cannot take a lot of food in at once.
The cramping due to slow movement of bowel and the piercing in rectum are so painful, but, the focus is on making sure I have no blockage. Who would look at the pain where colon was removed (right above navel) and the connection of colon would be where in the abdomen? I had absolutely no reason for this surgery; no gastro issues, however, a supposed prolapse which surgeon said, later, I could have done PT. I'd like to know if there is a doctor who specializes in one person who has had this procedure plus the hernia repair, which, I have noticeable pain. How can a profession just dole out meds without checking every area I specify and how would they?
Eventually am able to have a BM, but it takes up to two weeks. The mesh, for hernia repair abuts to stomach and I cannot take a lot of food in at once.
The cramping due to slow movement of bowel and the piercing in rectum are so painful, but, the focus is on making sure I have no blockage. Who would look at the pain where colon was removed (right above navel) and the connection of colon would be where in the abdomen? I had absolutely no reason for this surgery; no gastro issues, however, a supposed prolapse which surgeon said, later, I could have done PT. I'd like to know if there is a doctor who specializes in one person who has had this procedure plus the hernia repair, which, I have noticeable pain. How can a profession just dole out meds without checking every area I specify and how would they?
Brief Answer:
To rule out Anastomotic Stricture
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Ms
I do understand your concern and difficulties.
Going by your description following would have been the indication of Surgery
1. Rectal Prolapse with with Redundant (Long ) Sigmoid colon
2. Incisional Hernia
I assume excision of Sigmoid colon would have been required as it would have been longer than normal which would have lead to recurrence.
The Surgical procedure that was done is excision of Sigmoid colon and Rectopexy (As the colon requires support , one end of mesh is sutured to Sigmoid colon and other end either behind to Sacrum or to the front to abdominal wall).
The function of Sigmoid colon is Storage of go fecal matter, removal of which is unlikely to result in slowing of peristaltic activity of intestine. Analysing your symptoms, the likely cause of your symptoms is due to
1. Acid peptic disease : It would be Co existing with your condition.
2. Cramping and pain in rectum with delay in passage of stools following possibility needs to be considered
* Anastomotic Stricture : There could have been narrowing at site of previous anastomosis causing partial narrowing of lumen
* Anal fissure (small ulcer at anal opening )
I would suggest you the following
1. Ensure good intake of water : 2 to 3 liter a day
2. High fiber diet
3. Laxatives like Lactulose will be helpful
4. Thorough examination and reassessment by GI Surgeon. You would also require Contrast Enema study to rule out stricture . Gastroscopy would also be required if upper abdominal pain does not respond to antacid
5. Acid Suppressant like Pantoprozole will be helpful
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best regards
Dr Deepak Kaltari
Consultant Surgeon
To rule out Anastomotic Stricture
Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Ms
I do understand your concern and difficulties.
Going by your description following would have been the indication of Surgery
1. Rectal Prolapse with with Redundant (Long ) Sigmoid colon
2. Incisional Hernia
I assume excision of Sigmoid colon would have been required as it would have been longer than normal which would have lead to recurrence.
The Surgical procedure that was done is excision of Sigmoid colon and Rectopexy (As the colon requires support , one end of mesh is sutured to Sigmoid colon and other end either behind to Sacrum or to the front to abdominal wall).
The function of Sigmoid colon is Storage of go fecal matter, removal of which is unlikely to result in slowing of peristaltic activity of intestine. Analysing your symptoms, the likely cause of your symptoms is due to
1. Acid peptic disease : It would be Co existing with your condition.
2. Cramping and pain in rectum with delay in passage of stools following possibility needs to be considered
* Anastomotic Stricture : There could have been narrowing at site of previous anastomosis causing partial narrowing of lumen
* Anal fissure (small ulcer at anal opening )
I would suggest you the following
1. Ensure good intake of water : 2 to 3 liter a day
2. High fiber diet
3. Laxatives like Lactulose will be helpful
4. Thorough examination and reassessment by GI Surgeon. You would also require Contrast Enema study to rule out stricture . Gastroscopy would also be required if upper abdominal pain does not respond to antacid
5. Acid Suppressant like Pantoprozole will be helpful
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best regards
Dr Deepak Kaltari
Consultant Surgeon
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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