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Crohn's Disease Forum » Surgery » Stoma Subforum » Pain with new stoma. Concerned.


02-24-2014, 09:55 PM   #1
brad1025
 
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Pain with new stoma. Concerned.

Well I've had a ileostomy about 6 weeks ago. But today I woke up pain on the right side where my stoma is and it was pretty bad. But as the day went on my stomach just started hurting more and more. Now I'm vomiting. I'm pretty sure it isnt the flu. Any info would be greatly appreciated.

Last edited by CrohnsChicago; 02-25-2014 at 10:49 AM.
02-24-2014, 10:09 PM   #2
Trysha
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Hi Brad
Sounds as if you should be heading for the ER
have you talked to your docs yet?
Don't let this continue without getting some medical help
Let us know how you get on.

Feel better soon
Hugs and best wishes
Trysha
02-24-2014, 11:34 PM   #3
brad1025
 
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Thank you and I think I'm gonna go i haven't felt like this day of my ileostomy surgery.
02-25-2014, 10:50 AM   #4
CrohnsChicago
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Yes, the ER is definitely a good idea at this point. Good luck I hope you start to feel better after your visit
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02-25-2014, 11:15 AM   #5
vonfunk
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Yes, head to the ER. It could be an obstruction, severe abdominal pain followed by eventual vomiting have generally been my symptoms.
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02-25-2014, 11:18 AM   #6
brad1025
 
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I don't if its a obstruction because I'm output but its really watery
02-25-2014, 12:34 PM   #7
glum chump
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Watery output is also a sign of blockage. Keep yourself hydrated and head to the ER. If the pain is subsiding, you could try laying on your side with a hot water bottle and gently massaging your abdominal area.

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02-25-2014, 12:41 PM   #8
UnXmas
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I had watery output when my new ileostomy became blocked. In fact the doctor I saw told me that watery output, especially in sudden gushes, can indicate a blockage or partial blockage. Pain around the stoma, stomach cramps, nausea and vomiting are other signs, and in particular stomach pain that is relieved once the watery output comes out.

Have you begun introducing foods with fibre back into your diet? This was what caused my blockage, some ileostomies just can't tolerate them, especially if your stoma is new and swollen from surgery still.

Blockage or not, I think it's wise to go to the ER, I hope you have by now. Please let us know how you are doing.
02-25-2014, 12:43 PM   #9
brad1025
 
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I'm still in pain just not as bad the output is still like water with a greenish color
02-25-2014, 12:47 PM   #10
brad1025
 
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I'm still in some pain around the stoma it really burns to. And the output is still water but its green. It kinda smells stomach bile. Idk I was doing so good now its like everything is falling apart and I don't want to call my surgeon it just feels like I brother him. He still has me on percisets. I took them for the pain and there really not doing anything. They never really have just made me feel funny
02-25-2014, 12:53 PM   #11
UnXmas
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If you don't think it warrants going to the ER (it sounds like you haven't been?) perhaps you can contact a doctor another way? Here in the UK we have NHS helplines you can ring to tell you whether you need to go to hospital, and also emergency/out-of-hours GP services. Do you have anything like that where you are?

When my ileostomy was blocked, these were some tips I learned for things you can do at home: Drink a hot drink, a fizzy drink or chew gum, as these get your digestive system working without burdening it with food. Lie in a hot bath or hold a hot water bottle to your stomach as the warmth relaxes your muscles. Massage the stoma. Try changing position; draw your knees up to your chest or lie on one side then turn over onto the other. Finally, try taking the bag off (lie in a hot bath to avoid mess if there's output) as if the stoma has swollen the bag might be too small and be restricting it.

But remember you might not have a blockage, it could be something else entirely. I hope the pain continues to ease, but take care.
02-25-2014, 12:58 PM   #12
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Do you have a high temperature or feel achy and shivery? This could indicate an infection. Sometimes they occur even quite a while after surgery. If the wound is infected on the outside, the area may feel warm, be red or swollen or itch, or there may be pus-like discharge. If there's an internal infection there may be nothing to see, but this can still be serious. If you're temperature is high, I'd advise seeing a doctor right away, as it may be taken care of very easily with a course of antibiotics, whereas if you leave it it could spread.
02-25-2014, 01:03 PM   #13
brad1025
 
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Talk to my doc he wants me to go into the hospital at least get the pain managed and he will be in to meet me
02-26-2014, 03:37 AM   #14
UnXmas
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Glad to hear - hope your pain is under control by now.
02-26-2014, 11:42 PM   #15
nogutsnoglory
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Yes hope you have gone to the ER. Sounds like a bad partial obstruction. Keep us posted.
02-26-2014, 11:52 PM   #16
brad1025
 
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It was partly blocked. I really hope it doesn't hurt me getting rid of this bag. My skin has had it. It hurts so bad
02-27-2014, 12:10 AM   #17
nogutsnoglory
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How much longer do you need the ostomy? I thought it was only a 6 week thing? Your skin should return to normal after you reverse. In the meantime are you cutting to an 1/8 inch around stoma and using a ring to protect the skin?
02-27-2014, 06:52 AM   #18
UnXmas
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It was partly blocked. I really hope it doesn't hurt me getting rid of this bag. My skin has had it. It hurts so bad
Did you see your doctor?

If you've not done so already, cut out all foods that are known to potentially cause blockages from your diet. I've had to do this as mine blocked so easily. Let me know if you'd some information about what you should and shouldn't eat.

I hope you're feeling better now. When I had a partial blockage, my stoma continued to hurt and I still got stomach cramps for several days afterwards, though they diminished gradually over that time. The doctor I saw said this is common, so don't worry too much if you continue to get pain for a while (especially when there is output coming out) as long as it's getting better and not worse.

What skin problems are you having? That sounds like a separate issue from the blockage?
02-27-2014, 11:03 AM   #19
vonfunk
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I'm getting my reversal due to my history of obstructions, so getting shouldn't prevent you from getting rid of the bag. I'm generally sore for a few days afterwards and for the first 24-48 hours following my output is basically water.

Like UnXmas above I've got a list of things that I need to avoid, oatmeal and potatoes are the ones high on the list for me (although I'm totally fine with potato chips).

If you know how long it takes for food to pass through your system, it can be fairly easy to track down the culprit, make a list of everything you ate in the day before the obstruction, if it happens again do the same thing and look for similarities. For me it took about 5-6 hours for a meal to pass, so narrowing it down wasn't too hard.
02-28-2014, 06:34 AM   #20
UnXmas
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I'm getting my reversal due to my history of obstructions, so getting shouldn't prevent you from getting rid of the bag. I'm generally sore for a few days afterwards and for the first 24-48 hours following my output is basically water.

Like UnXmas above I've got a list of things that I need to avoid, oatmeal and potatoes are the ones high on the list for me (although I'm totally fine with potato chips).

If you know how long it takes for food to pass through your system, it can be fairly easy to track down the culprit, make a list of everything you ate in the day before the obstruction, if it happens again do the same thing and look for similarities. For me it took about 5-6 hours for a meal to pass, so narrowing it down wasn't too hard.
You find potatoes a problem? I'm surprised, unless you mean jacket potatoes with skin. Mash, boiled potatoes, even roast potatoes I'm fine with. It's only the skin I avoid.

I know that different people tolerate different foods, but with foods liable to block an ileostomy, there are clearly some which are likely the worst offenders for almost everyone, and some considered very safe. I would have put skinless potatoes in the safe category.
02-28-2014, 01:33 PM   #21
vonfunk
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You find potatoes a problem? I'm surprised, unless you mean jacket potatoes with skin. Mash, boiled potatoes, even roast potatoes I'm fine with. It's only the skin I avoid.
.
My issue with potatoes is because I have a parastomal hernia, potatoes travel slowly through my GI tract, once it gets to the herniated portion it just stops moved and remains there like concrete. It only gets moving again after I've been pumped full of morphine and the doctors physically push my small intestine back through the hernia in the muscle wall to where they should be to provide space for it to continue moving. I've no issues with eating the skins, non-soluble fibre isn't much of an issue at this point for me.
03-24-2014, 05:41 PM   #22
brad1025
 
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Well I got out the hospital friday. Little over a week in there. The surgeon cut me open and made the decision take out my colon and keep the bag for up to a year.
03-25-2014, 10:07 PM   #23
nogutsnoglory
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I'm sorry to hear that Brad but glad that it is temporary. Wishing you a speedy recovery.
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