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Old 10-14-2003, 09:01 AM   #1
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viperhope HB User
Post diet post colectomy surgery

A good friend of mine has been having trouble with getting a diet figured out post colectomy surgery. Only a few foods will sit well with him, but not always. Nothing is consistent. There is also the discomfort of gas with discharge.
Has anyone else had this problem and if you have figured out how to get back to being "regular" , that info would be greatly appreciated. I realize every patient is different, but any info would be helpful.
Thanks!

 
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Old 10-14-2003, 08:35 PM   #2
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I have had a colostomy for 2 years now. Therefore my situation is slightly different than your friend's in that my rectum was removed. In a colectomy a part of the colon is removed and the two remaining parts reconnected.

The colon's "job" is to reclaim up to 90% of the water content and some of the salts and minerals in the feces. When part of the colon is removed then that job may not get completed as much as before and the stool may be watery and may also still contain more "food" for the bateria that produce gas.

My problem with gas is that it all goes into the colostomy pouch and I have to "burp" the pouch. I sometimes wake up at night with a Goodyear blimp on my belly. I have found also that although I never smelled like a rose in that department, it is a lot worse now. Your friend may have found that as well.

Solutions are few. I take "Beano" at the beginning of a meal and a "GasX" after the meal. I let carbonated drinks sit in a glass for a few minutes before drinking it to let some of the CO2 escape(if swallowed it has to get out either by burping or passing through to the other end). I also find that acidophilus capsule once a day helps.

Certain foods are harder on the gut than other of course. Beano helps digest legumes such as beans as well as cauliflower and brocolli but nothing helps for onions or green peppers.

Since my operation I have found that it took over a year till I am somewhat regular in that most feces is produced in the first few hours after waking up but some days that rule of thumb goes out the window. I have tried fiber supplements but they give my a stomach ache. Instead I like to have a sandwich or toast with Rye bread that has whole or cracked seeds in it. That helps move everything along I find , and doesn't upset my stomach.

My situation is different than your friend's but I hope some of this helps.

 
Old 10-15-2003, 07:26 AM   #3
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Well I have the same problem as your friend. I had surgery in June and my last chemo three weeks ago. I want to know if I will ever be somewhat normal again. Fried greasy foods are a nono for me, I learned that. I hope we get somemore answers here. I need to know too.

 
Old 10-15-2003, 07:34 AM   #4
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Thanks jaydees for the input. The gas w/ discharge has been my friends biggest concern. I'm going to look into the beano and gasx for him. It's been a few years since his surgery. They took most of his rectum but left the anus so he doesn't use a bag. It is great to hear that you got regular. Did you have to really restrict your diet or keep a detailed log to figure it out?

I also found this mdanderson link that looks worth a try. I'm going to help my friend with this. Hope it helps others.
[url="http://www3.mdanderson.org/depts/hcc/summer99/surgarticle.htm"]http://www3.mdanderson.org/depts/hcc/summer99/surgarticle.htm[/url]

 
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