Wednesday, April 24, 2013

Surgery Day

It's finally the day of my surgery.  I woke up feeling excited for the healing process to start but scared to death of this major surgery that is about to take place. 

I'm just happy Matt is here with me and that we will be meeting my family in a little while at the hospital.  I'm most scared about trusting the nurses after surgery to take care of me, I know, I definitely have control issues.  I made Matt promise me that I would never be alone while I was in the hospital, what a great husband I have.  I had to wake up very early to take one last shower and to wipe down with the special antibacterial soap and wipes they gave me.

I then put on my comfies and gave the cats and the dogs one last hug...Well the day has come whether I'm ready or not. Wish me luck! 
One last quick picture of my belly before surgery, the last few moments of a scar free belly!

Tuesday, April 23, 2013

Clear liquid diet day...surgery is tomorrow

I can't believe that today is my last day with my colon (large intestine).  Weird to think that in less than 24 hours my surgery will start.  Tomorrow I will loose my entire colon which is 5 feet long!  Not to mention that they must remove my appendix as well, it's connected to your colon.

Good riddance you malicious colon!
My home for the next week!
Legacy Good Samaritan Hospital
 
So today I am on a clear liquid diet, no fun when you are already weak, malnourished, anemic, and dehydrated consistently.  FUN FUN, NOT! We stocked up on popsicles, juices, Gatorade.  I hate that you can't drink anything red or purple, the red colors are always the best flavors. Right!!
 
So I will be spending the day with my Bella, she goes to my mom and dad's house tonight and will be on "vacation" there for a week until I come home from the hospital.  My kitties are snuggled into me as I speak, they know somethings up I think.  I have been doing some packing and they want to lay on everything I put in my bag which is a big problem.  I was instructed that everything I pack must be fresh laundered, aka it must go directly from the drier into my hospital bag. 
 
I also have to wash the sheets and bed linens today and I can only take them out of the drier and put them on the bed right before I get in.  Before getting in bed I have to wash with special soap tonight and then put on jammies straight out of the drier as well.  The surgeon is really addressing and working to prevent infection because my immune system is not working up to par.  The worst part is I am not allowed to be around my kitties after the shower tonight! They usually both sleep on me.  I am going to miss them tonight, I can't get comfortable without them smothering me, HA.
 
 Surgery is tomorrow!  It has come up so fast.  When we scheduled surgery it felt like it would take forever to get here.  Now it's tomorrow!
 
 

You can now follow my blog with bloglovin!

<a href="http://www.bloglovin.com/blog/7165315/?claim=zn9m29kruqn">Follow my blog with Bloglovin</a>

Monday, April 22, 2013

Surgery Wednesday

I can't believe that surgery is the day after tomorrow.  I'm ready, I know that this is what I have to do to get myself better.  Yet, at the same time, I am scared to death.  Praying for a calm mind and body the next few days. 

Ive been a good girl, drinking my Impact specialised nutrition drink (pre-op for high-risk patients prior to major surgery).  Drinking what fluids I can and resting up.  I have all my clothing laid out already and we have moved the bed from our spare bedroom to the downstairs living room at our home so I have a place to rest downstairs so I don't have to do much walking. 

Tonight is my last meal. Tomorrow morning until midnight i am only allowed to have clear liquids and then nothing to eat after midnight. 

Wednesday morning I check in at 6am for a 8am surgery.  It's coming up so fast, am I ready?



Pinned Image

Wednesday, April 17, 2013

Surgery one week away! Pre-Admission Appointment Today

Had my Pre-Admission Today.
Went down to Good Sam's today.  Traffic was horrible getting there, and then we got lost in the parking garage...but we figured it out and got there.  Just remember level H has the sky bridge to the main building. 

The nurse we met with today was great!  We went over EVERYTHING.

Pre-op skin preparations (antibacterial wash the night before with clean sheets and PJ's then I have special wipes to use after another antibacterial wash in the morning).


Pre-op nutrition: My meals for the next week...
 
Because I'm a "high risk" patient due to low weight, malnourishment, and very low caloric intake recently they prescribed IMPACT, I'm to drink 3 of them a day for the five days prior to surgery.  I was told that they also help your immune system and help prevent infection and help wound healing.

We went over anesthesia and my difficulties previously, anesthesiologist will contact me this week. 

Pain management

Day of surgery directions, I'm the first case in the main operating room.  This will be so nice, can't get pushed back. 

Keeping my lungs clear post-op with a incentive spirometer

Advanced directive

Current medications and current health status

Then we did some lung tests, blood pressure, temp, glucose tests, and blood work for the anesthesiologist. 

Left with a bag full of "goodies" and I start my IMPACT tomorrow, lets see if I can get it all down and I'm praying that it stays down :(

Thursday, April 11, 2013

Surgery schedulded for April 24


In less than two weeks I will have a laparoscopic colectomy with ileorectal anastomosis...Surgery is scheduled for April 24th at 8:00 am.

I will be having my surgery at Legacy Good Samaritan in Portland. I have never even been inside this hospital and actually did not really know where it was located. So today we drove down and went on a little self directed tour today.

My Surgeon is GREAT... 

Nervous, scared, excited, it's still sinking in... Gotta keep on being strong...

Wednesday, April 10, 2013

Total colectomy with ilecorectal anastomosis


A: Normal anatomy
B: After Total colectomy with IRA

I will be having a surgery called a total colectomy with ilecorectal anastomosis.  The surgeon will remove my colon and then attach the end of my small intestine (my ileum) to my rectum.  There will be no need to have a ileostomy bag becauses of the ileorectal anastomosis (IRA), thank goodness!!!


Saturday, April 6, 2013

Zombies

We must be watching too much of the Walking Dead because we were laughing about the fact that if a Zombie apocalypse happens the walkers will be so disapointed when they rip me open and find that I'm pretty empty!! I will be a snack, haha

Friday, April 5, 2013

Thursday, April 4, 2013

Colon HAS to come out

I met with my favorite surgeon today for a "second" opinion.

First He shared with me the results of my latest sitz marker study. The radiologist report stated "minimal to no movement after day one" and re-confirmed my diagnosis of"colonic inerita" for the third time. By the way we took xrays until day 7 and stopped there because they had moved so very little.  I can tell you that those markers could easily stay on their vacation in my colon for the next month!!  All doctors have told me that I have colonic inertia and this surgeon described it as an "atonic colon".

Next he discussed all the tests that I have had done, diets I have tried, and medications tried. He stated that I have had an extensive amount of tests run and have been really put through the ringer with the massive amounts of testing. He stated that my doctors have done a very good job of ruling out ALL other possibilities (they have tested every organ in my abdomen and checked for problems in my entire body). He even said that I had more testing than necessary to confirm this diagnosis!  

He stated that with all my tests, things I have tried and the sitz mark study that he is 100% positive that surgery is my ONLY option.

I asked him about an ileostomy (as the 1st surgeon had suggested an ileostomy as an option) to make sure that removing the colon will relieve my symptoms. He said that there is NO reason to do that because the tests show "without a doubt" that the rest of my body is "working excellent" and that my colon has stopped working.

He explained that I am the "ideal candidate for a total colectomy with with ileorectal anastomosis" because of how healthy all my other organs are and that I passed all of the outlet tests very well.

We discussed post-op recovery and life after. Looks like I will need to stay in the Hospital for 3 to 5 days, and recover at home for 3 to 6 more weeks after that. 

We go back to the colorectal surgeon recommended by my GI who specialises in treatment of pelvic floor dysfunction and outlet problems (she did all my testing for these issues, that thankfully I'm free of) next week to hear her opinion after the latest sitz marker study.

Then we will be deciding on a surgeon and setting a date.

I'm so scared for surgery, the pain mostly. But surgery is what it's going to take to get me on the path to recovery then I'm going to "man up" and dot it.

Meeting with surgeon today for second opinion on colectomy options

I'm getting more nervous by the minute!! I thought I was ready for surgery but it turns out I'm freaking nervous!!! I don't think I'm going to handle this appointment today. I'm freaking out. Crying all day.

I'm not OK with hearing I need surgery, even though I already know it. I'm a mixed bag of emotions, most of the time I have been ready for surgery and had a bring it on attitude. But now I'm scared! Very scared! I don't want to be cut open again... The pain!!

It's getting real now that I'm most likely going  to be picking a surgeon in the next couple of weeks and then scheduling surgery after that. I'm freaking out!!

Monday, April 1, 2013

Wednesday, March 27, 2013

Sitzmarker day 7

Went back to St. Vincents today to get my final xray taken.  The receptionist now not only knows my name (first and last), but she knows how to spell my last name!!  Every person I talked to asked why I was still coming back. So I had to explain that the rings will still be sitting in my colon a month from now because I only "go" once a month with help of super does of medications that make me super sick for days.  They were all very suprised to hear this... Is my problem really this rare?

Took the xray and I asked to see it.  The rings did not move but a centimeter or remained in the same spot.  On one had this was devistating but on the other hand it just confirms the fact that my colon is not working.  Having this concrete evidence makes the idea of surgery less scary (well maybe not) because at least we know for a fact that my colon is dead!!

Monday, March 25, 2013

Sitzmarker Day 5

All markers still retained. Over half were grouped together in the beginning of a ascending colon (right side) and a few were scattered beyond that and were making there way into the transverse colon there were three in the descending colon.

The xray tech started to freak out because she had never seen this many markers retained by day 5. Weird (maybe she's new).  Called the ER and asked if they thought I should go imediately there because of how full my colon was (backed up all the way to my small intestine. So I explained my situation and that this is "normal" for me. She made me wait to get the OK for me to leave from the head radiologist and the ER, took forever!!

Once I was finally able to leave the head radiologist he said that my doctor would call and let me know if I needed to take another xray. I guess it's up to her if i continue xrays. I hope not. I hope i'm done, sick of having to leave my class with a sub all the time.

Dr.'s nurse called and said that she was on spring break and that the on call Dr. would call me shortly.  The next day we got the call.  I need to take another x-ray on Wednesday March 27th.  One week after i ingested the capsule with the 24 markers.  Normal transit time is 24 to 36 hours. 

This xray did give us the evidence we were looking for. Now after the next x-ray and when she returns on Monday April 1st I need to make a follow up with her to discuss my options.

Saturday, March 23, 2013

Sitzmarker Day 3

Update on sitzmarker study:
Went and had my seccond xray done on today for day three of the sitz marker test.

On day one the markers had just left the small bowel as they should have, but on day three they just sat in the beginning of my asecending colon (they didn't move much if at all).  Your ascending colon is the very first part of your colon after just leaving the last portion of the small intestine.

Going back on Monday (day 5) for another xray to see if they have moved at all. 

Thursday, March 21, 2013

Who she is

She's banged up,
physically and emotionally.
Literally and metaphorically.
But every day she walks outside
with a smile on her face
because that's who she is.

Sitzmarker Study Day 1

Today I had my first xray taken (day one). Its pretty sad that the office staff and xray techs know me by first and last name! They can even SPELL my last name, haha!!  This truely testifies to the amount of testing and hard work i have put into getting better.

Markers were "right where they should be"!  Meaning that they all made it through the stomach and small intestine already... So far so good.

Wednesday, March 20, 2013

Sitz Mark Study...What is it?

The Low Down on the Sitzmark study...
The test is used to diagnose severe constipation or other colon disorders. You are given a capsule to swallow that passes naturally through the digestive tract just as food and waste do. You will then have X-rays taken on day 1, 3 and 5.

The SITZMARKS® capsule contains 24 “radiopaque” rings – this means that each individual ring will show up on an X-ray. You can see the rings inside the capsule before you swallow it. The capsule itself dissolves, releasing the rings inside your digestive tract. By counting the number of rings still present in your digestive tract after each X-ray, your doctor can diagnose your condition and recommend treatment options.

READING THE RESULTS: information from: (http://www.sitzmarks.com/)

If over 80% of the markers are passed by day 5, colonic transit is not grossly abnormal. If the remaining markers are scattered about the colon, the condition is most likely hypomotility or colonic inertia. If the remaining markers are accumulated in the rectum or rectosigmoid, the condition is most likely functional outlet delay, e.g., internal rectal prolapse, anismus.
  1. If 5 or less markers remain, patient has grossly normal colonic transit

  2. If most rings are scattered about the colon, patient most likely has hypomotility or coIonic inertia.

  3. If most rings are gathered in the rectosigmoid, patient has functional outlet obstruction.

Update after meeting with colorectal surgeon

Met with a colorectal seurgon today at St. Vincents who siad that in order to feel better I needed to get rid of my colon. She said that I have had extensive testing, and have exhausted my non-surgical options.  There are no more medications or therapies to try.  We have tried them all.  Ugh, I was holding out for a mirical drug to come along and fix me!

She explained that there are two surgeries for me to consider.

First is an ileostomy where they leave the colon in place. If my pain and symptyoms disappear then we would proceed with taking the colon out.

The seccond is colectomy with ileorectal anastomosis.  This path would consist of removing the colon and attaching the small intestine to my rectum.

Before we begin discussing specifics of either surgery she wantes me to complete yet another sitzmarker study to confirm the diagnosis of colonic inertia, she wants an updated look.  The last sitzmarker study was done in August of 2012. 

So off I went downstairs at St. Vincents once again to the raidiology/x-ray department.  By now they all know me by my first name! They greet me with "Hi Chelsea, why are you back?"  Ha ha...wait that means I have spent way too much time at the hospital, dang! The things I find funny these days. Anywhoo, I  took the pill for the sitzmarker study imediately following the appointment so there are 24 radioactive markers floating in my belly.
The seurgon we saw today is a highly regarded colorectal surgeon.  She is very straight to the point and does not mess around. We are also going to go to my previous seurgon that performed my gallbladder surgery for a "seccond opinion". He is one of the best seurgons in the US.

Saturday, March 16, 2013

Colorectal Surgeon

Pinned Image
 
I'm counting down the days until I meet with a colorectal surgeon.
 
I'm trying to be optimistic and realistic at the same time.
 
I'm looking for answers and a solution.
 
A new medication, therapy, diet...anything...I need a next step. 
I just want to be better, to feel better, and to start living again!

Saturday, March 9, 2013

ER Nightmare

Last week I was having a very high heart rate and ended up in the ER to get things checked out. I was feeling faint and very weak. I could barrly stand up and my vision was going blurry.
Heart rate monitor hooked up and normal heart beat just very rapid. Blood pressure very high.

Then the nurse tries to take blood. What a disaster!! She put the needle in, it was one of the butterfly ones and the blood would not flow past the butterfly part even with her digging around, it was a nightmare!! Then it gets worse, she hit a valve in my vein and my vein blew the needle out of my arm and blood started squirting all over me, the nurse and the room. She tried again 4 more times over each arm, digging around and couldn't get any blood to come out. I almost vomited on her at this point, and was not a happy camper.

Another nurse came in and after another 3 sticks and a lot of digging around he finally got the blood to come out drop by drop and eventually we got enough to run the tests.

Blood work shows severe anemia, low electrolytes, low potassium. Gave me an iv (very hard to start) in my hand. Nurse tells me I'm dehydrated (duh) that's what happens when u can't keep food or water down because your colon is so freaking packed with weeks of stool!

We are all  pretty sure the anemia is due to the face that I've been living on "soft" foods and very low calories.  They say the high heart rate was due to the anemia and dehydration.

Today it really hit me that I can't live this way! I can't live in pain, being so bloated that I have stretch marks on my belly and my belly button pops like a pregnant woman's.  I can't eat or drink because I'm so backed up, I am miserable all the time.

I was such an active person before, I rang long distance, triathlons and lots of classes at the gym and I loved it. I'm praying for my return to my "normal" active self!!

Friday, March 1, 2013

Colonic Inertia. What is it???

Pinned Image
Colonic inertia is when the colon does not work properly to propell fecal matter through it due to a lack of motility....

Here are my favorite links that explain what Colonic Inertia is:

http://www.constipation-remedies-for-all.com/colonic-inertia.html

http://www.youtube.com/watch?v=CSjA4ceg0m0&feature=player_embedded

http://www.aboutgimotility.org/

http://www.med.unc.edu/

Tuesday, February 26, 2013

When doctors don't know what to do next...

I'm at the end of my rope. Feeling desperate, screaming for help, searching for a treatment. NOTHING is helping and DOCTORS DONT KNOW WHAT TO DO!!!!

Just finished meeting with my doctor where he said he does not know what more he can do for me.  We discussed my motility disorder (I have had almost all studies done that can be done on my GI and the only one that i failed was the sitz marker study.)

We have tried miralax, stimulant laxatives, amitiza, reglan, and others nothing is helping. On miralax I am currently taking over 15 doses per day and nothing.  It just sits in my colon and collects there for weeks. 

My doc proceded to tell me that there is noting else out there we can try!! WHAT? NOTHING?...There has to be SOMETHING TO TRY!!!

He said to continue trying to use miralax and stimulant laxatives.He stated that he is a Miralax guy and that is his favorite thing to treat intractible constipation. But I'm left thinking "what if that doesnt work and makes be bloat even more and makes me super nautious????"

He said to just live with the pain, bloating, nausia, vomiting and my toxic colon.  How can i live with a huge distended belly and look like im preggo and ready to pop!  How do I live with the pain of not having a BM for 3+ weeks. How do I live if I'm constantly natious and vomiting when I try to eat.  Besides that he has had me on such a large dose of Miralax that every waking seccond im having to force the stuff down and it dosent even help!!! Also i have to take at least 8 stimulant laxatives for them to do anything and they make me horribly sick for days.

I have been praying over this a lot lately.  I have recently gaind back the strength I need to fight for myslef. This is not the quality of life I want, especially when i know in my heart that this is not the life I'm ment to live.  This is meerly a bump in my road.  

Do I go back to the colorectal suergon that performed anorectal and pelvic floor testing (which i passed with flying colors) to see if she has a more aggressive approach, medications or other treatments. Do i go to a different GI?  At least we have a real diagnosis so we can move forward with a real treatment. I want a full and happy life. 

Pinned Image

Friday, February 22, 2013

Amitiza, could it be my miracle...?

I have been on amizita for three weeks. So far I'm more bloated then before but no movement yet. I will keep at it because I have tried everything else. I was very woozy with my first dose but I was also pretty dehydrated and did not eat anything with it. Today is going better and I feel just fine after taking it. I'm hoping and praying that this works. Miralax doesn't work anymore, gi had me on an entire bottle daily, plus 5 ducolax a day and that just was not working at all!!! I feel so hopeless and frankly a bit lost in life.

Thursday, February 7, 2013

Small Bowel Study

Lucky me...I just had a small bowel study done.  Before the test started I was already looking so very pregnant. People at the hospital would open doors for me thinking i was about to have a baby....not what i needed to happen, i started to cry......This test was HORRIBLE... I had to drink so much barium liquid and I was nautious before I started drinking.  I would drink a little, then sit with the barf bag in my lap and my face pushed into the bag waiting for it to all come back up, then drink some more, hold the barf bag up to my face and wait for it to get better...it never did. But I just forced myself to drink it through the nausea. 

Once I had gotten it all down my abdomen became even more distended and my belly button began to pop out.  There was so much in my abdomen that it became hard to breathe and super painful.

Then they had me up and walking the halls in the gown and special socks.  Luckally the gowns can wrap around me twice because I was freezing walking the hallways. They had me take xrays at the start and then every 20 minutes to watch the barium go through my stomach and small intestine.  They noted the time to see if my stomach was slow to empty but luckaly my tummy did it's job in the correct amount of time.  Once the barium reached the end of the small intestine a doctore cam in with a special instrument that was like a paddle with a seethrough center, he pushed, poked and prodded on different areas of my abdomen to get xrays of all the main structural pieces of my small intestine.  This was so very painful but did not last long. 

Test showed a normal, healthy stomach and small bowel with a normal transit time. 

Wednesday, January 30, 2013

MIRALAX....I HATE YOU

Wouldn't it be wonderful if what the doctors prescribed actually worked for me... I'm praying...

My GI told me to take 10 to 15 capfuls (each capful is 17grams) of MiraLax per day, every day!!! So far 14 doses a day and no BM!!! Most people only take one capful per day.  All it does is sit in my colon and build up there causing me to become even more distended and more nauseous. 

This won't cut it, we need a different solution. 

Thursday, January 24, 2013

My angel

Intuitive and Healing Pets...My own angel!
 
He has truely been my Angel, he spends as much time as he can near me, on me, sleeping with his head on my cheek. He looks me in the eyes and love on my face and I feel him saying "I love you more than anything". It's so unconditional, pure, and without any expectations. He acts this way mainly towards me, he loves my husband but not like he does with me. (can I say i like it that way? haha) He came in my life right when I was starting to get sick and has stayed literally by my side every day and supported me through the hardest of times, through the pain and misery. 

Wednesday, January 16, 2013

Colonoscopy and Endoscopy

Went in for yet ANOTHER colonoscopy and endoscopy... What horrible tests, well the worst part for me was the "clean out".  It took over 4 colon preps for me to get any movement in my colon and did not even have a "need to go" moment.  I was worried that the prep would not work so I started "cleaning out" a few days before. I am on a mostly liquid diet and still unable to eat much if at all. 

The first thing I remember after the tests, even before my eyes could open was that I was crying and in so much pain!! My belly was sore and i had extreme pain throughout. 

Right after waking up my bottom was in intense pain as well and i figured it would just go away (maybe my bum was a little irritated).  A week or so went by and the pain got so much worse...called the GI doc and his nurse informed me that I most likely have an anal fissure caused by the colonoscopy....um... excuse me? You guys caused this??? Now I usually dont get mad easily but when my bum is in so much pain all the time and they caused it...i got mad. Dr. prescribed rectiv (nitroglycerin based gel) 4%. Took four days to get it prescribed (Dr. is "busy"). That made me super frustrated. Every time we have a question or concern and we call it usually takes about a week before we get any answer from the Dr's. nurse.  But we figured out the direct number to the nurse and now we always get an answer and a much quicker answer.  Just don't call them every day and bug them they don't like it!  But, to get an appointment with the Dr. you have to wait at least 4 months.
Anyways, I put the prescribed dose on and immediately got sick with a HORRIBLE head ache, it was so bad I passed out and ended up sleeping for 6 hours straight and missing a full day of work. Husband called the doctor and come to find out they can't make the 1% cream anymore for some legal reason, so they had to prescribe the 4% cream.  What's even worse is I was told to use an INCH of the 4% when you only should use a small pea sized amount of the 1%. No wonder I got sick. Not only was i using like 10 times too much medicine but for my extremely low weight it made things worse.... call me crazy (sarcastically) but I feel like this whole thing could have been prevented if the GI Dr. was not so rough on my bum in the first place. 

Structurally everything looked good.  NO abnormalities.  And not any closer to answers.  AAAHHHH!

Tuesday, January 15, 2013

What's been going on with me

Where this story starts…

I was admitted to the ER with severe upper right abdominal pain, fever and chills with nausea and vomiting. Classic symptoms of gallbladder disease. 

In the ER I underwent testing for suspected gallbladder disease as I also responded with the “Murphy’s sign” during my abdominal exam. 

Next I underwent testing. I completed a chest/abdominal X-ray and an ultrasound. Both the X-ray and the ultrasound were unremarkable and the decision was made to move forward with a HIDA scan. 

The HIDA scan revealed a low gallbladder ejection fraction which indicated chronic cholecystitis. I have been dealing with intermittent pain in this area for about the last year which my physician determined to be biliary colic. Previously the pain has been manageable with OTC painkillers and rest.  This was the first instance of severe symptoms. 

My medical team determined that the best course of action would be to remove my gallbladder. I was given anti nausea medication and IV fluids and met with surgeon. We scheduled my surgery for the following morning and I was sent home to rest. 

Leading up to surgery went like clockwork (arriving at the hospital, check in and prep) until my surgery was pushed back almost 6 hours. I don't even remember being wheeled into the OR, they gave me an injection in the read room to help me relax because I was super nervous!!   

After surgery the first thing I rember is waking up in extreme pain and crying for help. The nurses where really good to me and i could hear them on the phone to the seurgon saying things like, should she be in this much pain etc. The seurgon perscribed higher doses of pain meds. But at this point I could not open my eyes. Then the shaking began, my body was acting like i was having a seisure, it was shaking so violently that i could hear the metal portion of the bed banging against the wall behind me. My jaw was chattering like i was super cold but i was not. Next i remember the head nurse coming over and yelling at someone to get this girl a room, she's going to be here for a while. Then i was out.

I woke up again finally in a room, hours had passed since hearing the nurse ask for a room for me. I was suposed to go home the same day as my surgery. Up in my room the shaking and chattering teeth persisted and I was shaking so very violently. My husband addressed the shaking with the nurses and they said it sometimes happens from a reaction to the anesthesia. But then pain set in, pain much different from the gallbladder pain and/or the incision pain. It was strong and stabbing at times and in other ares it was diffuse. I could feel "air" trapped in my belly.  Finally i got to sleep after the nurses called the seurgon for stronger pain meds. 

In the morning i was given another round of pain meds and sent home.  I dont really remember leaving the hospital I just remember the crazy old man the wheeled me to the care.  Then waking up at home screaming in pain the next day.

My stomach had swollen up to the size of a beach volleyball, we called the seurgon and he said it should go away and that it was trapped co2 from the surgery. Another day passed and i was getting bigger and unable to eat, anything i drank or ate would come right back up.  Nothing was coming out the other end either...  Went in to see the seurgon and the first thing he said when he saw my tummy was "Oh my god! Your tummy is huge!" Like i already didn't know this, ha ha. I was sent for xrays which showed an ileus.

I had a paralytic ileus...

From mayoclinic.com:
"Paralytic ileus can cause signs and symptoms of intestinal obstruction, but doesn't involve a physical blockage. In paralytic ileus, muscle or nerve problems disrupt the normal coordinated muscle contractions of the intestines, slowing or stopping the movement of food and fluid through the digestive system.
 
Paralytic ileus can affect any part of the intestine. Causes can include: abdominal surgery, pelvic surgery, infection, certain medications, including pain medications that affect muscles and nerves, muscle and nerve disorders, such as parkinson's disease."

Docs switched my pain meds from narcotics to a non narcotic nasal spray to help controll the extreeme pain I was in, in case the pain meds were the cause.

The trapped air was in my small and large intestines and stayed there for almost a month. I was trying to eat but only could get down small amounts and still vomiting. Now every time I would eat or drink my stomach would sweel up and then would go down a little after a long period of not eating (usually night time). The pain was still bad. Very constipated and was perscribed miralax, i worked up to taking almost one whole bottle a day...and it didn't help. Going BM less than once every 2 weeks. Nausea and vomiting and horrible, weight loss continued down.

I was sent for every test imaginable..

Origionally GI doctor thought gastroparesis and so did I because of the symptoms.  Now we are leading towards a functional bowel disorder because the only test that has come back abnormal is the sitzmarker study. 


My GI doc has been great and has been diligent in trying to find answers! Sick of all the normal test results and no improvement in symptoms, at my last appointment my GI told me that this may be my new normal, something i would just have to deal with.  Infuriating!!!

Right now thanks to a liquid meal replacement called Orgain I have gained some of the weight back. I get intense cravings for food, I eat and then my body gets mad and I end up vomiting. I'm so tired of this "life".  My life is pain, work, sleep and repeat.

Lets get some answers...I still have some fight in me!!! I'm going to keep on smiling! I just keep remembering that I want people to see and feel God's grace through me.
 Matthew 5:16
"let your light so shine before men,
that they may see your good works,
and glorify your Father in heaven."

Tuesday, January 1, 2013

Being your own advocate

I have had over 20 tests already and we still have no answers.  My doctors really don't know what to do with me and its frustrating.  I have learned that you have to keep on pushing the doctors, asking questions, and doing your own research.  My GI has been great so far but he has no idea what is actually going on inside me.  So I keep pushing him.  I know this pain and bloating in NOT NORMAL, so I'm going to keep on fighting.