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Old 10-20-2012, 10:13 PM   #1
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Question 32 with bowel seepage after giving birth

I'm 32 and had my first baby this January. He was a big boy, weighing in at 9lbs 6 oz and I suffered a fourth degree tear after an episiotomy. I'm seeing a doctor who specializes in this stuff and we are trying diet modification and pelvic floor PT right now. I won't lie - sometimes I can be lazy about my fiber intake and PT and I've been wondering about the sphincteroplasty surgery. My doctor steered me in this direction (diet and PT first) b/c she tells me the long term outcomes of the sphincteroplasty are not very good. I read about it tonight and she's not kidding - it really doesn't look good - AT ALL. Basically I'm wondering how bad I am - comparatively speaking, and what kind of results others had after getting the surgery. Are you happy? Would you do it again? I get slight seepage obvious in my underwear a couple of times a day and have full blown incontinence about every other month which usually happens when I'm on a walk or a run (but I'm usually close to a bathroom so if one wasn't near it might be more often). When I'm not up on my fiber sx are worse. It seems horrible, but fortunately I got a perfect bouncing baby boy out of it, so that keeps me from complaining too much. Any insight would be so very much appreciated! Thank you!

 
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Old 10-23-2012, 01:01 PM   #2
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Re: 32 with bowel seepage after giving birth

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Originally Posted by tryingtofixit View Post
I'm 32 and had my first baby this January. He was a big boy, weighing in at 9lbs 6 oz and I suffered a fourth degree tear after an episiotomy. I'm seeing a doctor who specializes in this stuff and we are trying diet modification and pelvic floor PT right now. I won't lie - sometimes I can be lazy about my fiber intake and PT and I've been wondering about the sphincteroplasty surgery. My doctor steered me in this direction (diet and PT first) b/c she tells me the long term outcomes of the sphincteroplasty are not very good. I read about it tonight and she's not kidding - it really doesn't look good - AT ALL. Basically I'm wondering how bad I am - comparatively speaking, and what kind of results others had after getting the surgery. Are you happy? Would you do it again? I get slight seepage obvious in my underwear a couple of times a day and have full blown incontinence about every other month which usually happens when I'm on a walk or a run (but I'm usually close to a bathroom so if one wasn't near it might be more often). When I'm not up on my fiber sx are worse. It seems horrible, but fortunately I got a perfect bouncing baby boy out of it, so that keeps me from complaining too much. Any insight would be so very much appreciated! Thank you!
Hello~Sorry to hear you are going through this. My injury happend 3 yrs ago, so I completly understand what you are going through. I have decided to put surgery off until my little guy is bigger. My issues are leakage after bowel movements and gas incontience. I don't have any major incontinence as of yet. Did you have any testing done to check the damage to your sphincters? If I were you I would suggest going to a board certified colorectal surgeon for a consultation. Sphincteroplasty's can have a good outcome. It does require that you do daily Kegels to keep those muscle strong for the rest of your life. Seeing that you are only 9 months out from your injury, you are still healing and will probably see some improvement after the 1 year mark. I saw some improvement, but it took a long time, about a year and a half. I wish you the best and hang in there. Enjoy your little one, as they grow up way to fast . I hope this info has helped you, you are not alone.

 
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Old 01-23-2013, 09:26 PM   #3
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Re: 32 with bowel seepage after giving birth

I recently saw on AOL that there is a new device that is inserted inside your skin on your back which alerts your bowels if you are going to have a movement...They said that 13 million women are affected by this same problem...One women who has been on it as more or less experimental and is 55 years old said that it works 90% of the time for her....

What I speak about is for the bowels and not urine...Either way, good luck to both of you...Take care....ILD.....

 
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Old 11-18-2013, 03:05 AM   #4
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Re: 32 with bowel seepage after giving birth

Quote:
Originally Posted by DML1121 View Post
Hello~Sorry to hear you are going through this. My injury happend 3 yrs ago, so I completly understand what you are going through. I have decided to put surgery off until my little guy is bigger. My issues are leakage after bowel movements and gas incontience. I don't have any major incontinence as of yet. Did you have any testing done to check the damage to your sphincters? If I were you I would suggest going to a board certified colorectal surgeon for a consultation. Sphincteroplasty's can have a good outcome. It does require that you do daily Kegels to keep those muscle strong for the rest of your life. Seeing that you are only 9 months out from your injury, you are still healing and will probably see some improvement after the 1 year mark. I saw some improvement, but it took a long time, about a year and a half. I wish you the best and hang in there. Enjoy your little one, as they grow up way to fast . I hope this info has helped you, you are not alone.

 
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Old 11-18-2013, 03:12 AM   #5
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Re: 32 with bowel seepage after giving birth

HI DML,

Since u have a 4th degree tear you would off already had sphincterplasty ??? so ur going to have it again im told the rates for this are 50/50 google it as I did 2 yrs ago im so sorry ur suffering its no fun I had a repair/colostomy 1 1/2 yrs stoma reversed hernia repair 3 weeks ago so im im a lot off pain my baby is 3 next yr my tear was unnoticed as well hugs xx im still not fixed xx

 
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Old 12-06-2013, 03:22 PM   #6
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Re: 32 with bowel seepage after giving birth

I had my baby in June and also had a fourth degree tear. Now I have incontinence, but only with gas and liquid stool. My OB sent me to a colon/rectal specialist and he did an ultrasound of my sphincter. It should be a circle, but instead is a half circle. He is encouraging a sphinteroplasty.

Right now I'm pretty scared of the idea. My recovery from the fourth degree tear is still fresh in my mind and it was terrible. I'm not sure if I think surgery is worth it, but I've heard that you tend to lose muscle definition as you age, and I don't want this to get worse...

It's good to know that other people out there have the same problem, though. It's hard to talk about with other people.

 
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Old 01-14-2014, 05:57 PM   #7
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Re: 32 with bowel seepage after giving birth

Quote:
Originally Posted by Ilovedollhouses View Post
I recently saw on AOL that there is a new device that is inserted inside your skin on your back which alerts your bowels if you are going to have a movement...They said that 13 million women are affected by this same problem...One women who has been on it as more or less experimental and is 55 years old said that it works 90% of the time for her....

What I speak about is for the bowels and not urine...Either way, good luck to both of you...Take care....ILD.....
This device is called Interstim....it looks promising. I am actually in the process of seeing a colorectal surgeon to see if this device is something that might help me. I was actually born without an opening to my anus. I had the mechanism, it was just covered by skin. After having my first child, I suffered a 4th degree tear and again after my second child. I opted for a C-section with my third and it has went downhill from there. I hope you find answers and good luck with everything.

 
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episiotomy, incontinence, pelvic floor muscle dysfunction, sphincteroplasty



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