![]() Mozafar M, Shateri K, Tabatabaey A, Lotfollahzadeh S, Atqiaee K. What Is an Ileostomy?.Ĭrohn's & Colitis Foundation. ![]() Evaluation of chronic diarrhea and irritable bowel syndrome with diarrhea in adults in the era of precision medicine. Patient and Family Guide to Ileal J-Pouch Anal Anastamosis (IPAA) Surgery. ![]() University of Pennsylvania Health System Division of Colon and Rectal Surgery. Low sodium is common and typically diagnosed with lab testing, so be sure your surgeon is aware if you are found to have low sodium. Low sodium: Sodium can be lost via diarrhea and should be replaced with electrolyte-containing fluids such as Gatorade or Pedialyte.Avoid caffeine, fruit juices, and drinks that add to gas in the stomach (carbonated beverages and those used with straws). Dark urine indicates an increased need for fluid, while clear and nearly colorless urine indicates adequate hydration. Dehydration can be best judged at home by the color of urine. Dehydration: Frequent bowel movements can lead to dehydration.Dense and starchy foods, such as potatoes and pasta, can help firm the stool. Diarrhea is typically improved with medication such as Lomotil or Imodium along with dietary changes.This is a typical outcome of the procedure and may not resolve after the recovery is complete, but you can try to avoid foods known to cause gas. Foods that normally cause gas may cause worse flatulence after J-pouch surgery.But don't skip meals, which can lead to loose and irritating stools. Small meals: Some people with J-pouches find they can only tolerate multiple small meals rather than three large meals per day.Pregnancy: The pressure of the fetus in the pelvis, where the J-pouch rests, can cause difficulty with bowel movements and continence. Both the colon-rectal surgeon and the obstetrician will play a role in helping the pregnant mother to have the best possible control during the first trimester when this problem is the most significant, and determining the best type of delivery.Need for ostomy: In serious cases where incontinence becomes an ongoing issue, the J-pouch isn’t healthy or non-functioning, or the patient is unsatisfied, an ileostomy is the treatment of choice.This could lead to a J-pouch that has ulcerative lesions. Crohn’s after J-pouch: Crohn’s disease can happen anywhere in the digestive tract while colitis is limited to the large intestine. If Crohn’s lesions only appear in the colon prior to surgery, it could logically be diagnosed as colitis, only to find that the lesions are later found in other locations.Sexual dysfunction: Erectile dysfunction is a known risk of the procedure for men. For women, infertility due to scarring around the ovaries is a known potential complication, as is painful intercourse.Pelvic abscess: This is a pocket of infection that develops in or near the J-pouch site and requires medical and potentially surgical treatment.Diarrhea: Technically speaking, diarrhea is six or more loose stools per day, and for some, that level of loose stools is better than their previous level of control. For others, this is worse than previous, but during the initial few weeks of recovery, diarrhea is common and expected.Incontinence: While the purpose of the J-pouch is to help the patient be in control of when they move their bowels, some patients experience incontinence during their recovery. Few experience incontinence that lingers past the recovery phase.Pouchitis: An inflammation of the pouch, this condition can be painful and is typically treated with two medications: Flagyl and Cipro.This can be prevented with a barrier ointment on the skin. Without the colon to perform this function, some patients experience burning at the site of their stoma or around the anus that is commonly referred to as “butt burn”. Skin erosion: One function of the colon is to absorb excess acid from the intestinal tract.This narrowing can result in small bowel obstruction, difficulty with food or stool moving through the digestive tract and difficulty with bowel movements. Stricture: Areas of surgical incisions, including the small intestine, J-pouch, and anus can experience a narrowing due to scarring.Over time, patients who were malnourished before surgery often become better nourished once diarrhea subsides. Decreased nutrition: Frequent diarrhea can lead to fewer vitamins, minerals, and calories being absorbed by the body.
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