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Hello, My 17 year old daugther Lily, had Jpouch surgery a few months ago after being in the hospital for 2 weeks with severe flare. Steroids and Remicade did not work.  She had a scope a week ago and everything checked out to be healed up well and she will have take down surgery this Wednesday.

 

She has not had a great experience since the first surgery and I am hoping and praying things will start to look up after this next one. She has had trouble putting weight back on and has no appetite. Her output is liquidy about half of the time. She gets upset stomach after she eats which seems strange to me since the stomach wasn´t involved. Enzmyes seem to help. She is on imodium which doesn´t seem to help much. Metimucil helps but seems to come out right away.  What concerns me most is the amount of discharge she has. Sometimes pink mucus, sometimes more ¨fleshy¨. The dr doesn´t seem too concerned but I´m worried it´s pouchitis or cuffitis. (My husband thinks I need to stay off the internet because I´m driving myself crazy!)  The surgeon will be doing a scope to check for these things before surgery.  She also has a strong urge to ¨go¨ which just started recently.

 

Any thoughts appreciated.  Lily has been handling all of this much better than I have, she is really unbelievable and even has a sense of humor about it, even naming her stoma!  I am strong in front of her (or at least try to be) but when I´m alone I am a wreck.

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The output from my disconnected J pouch was not crystal clear, and at first would be tinged with pink. It settled into the light tan mucusy color that is indicative of normal bowel mucus. It never had an odor. 

 

I was 19 when I had my surgeries, but I never had stomach pains, and was ravenous after, and gained back my weight  pretty easily.  Never needed Immodium or Metamucil. I have a suspicion some people have longer small bowels allowing for more absorption. However, I never had stomach pains with my UC flares, either, even at the end with a friable, pan-colitis colon.   My docs could never believe I didn't have pain. Bloating, urgency, yes, but never pain.  

 

My daughter has Crohn's, and even before a flare, she always has had a more sensitive and "affected" stomach. She gets her stomach's signals confused, too. She's always called humger pains *real* pain (would as a small child say her stomach hurt, but she was really just hungry and it would disappear when she ate). She also gets stomach aches when she doesn't drink enough or when she starts to feel like she has to move her bowels. Everything that isn't status quo with her "stomach" automatically gets called "pain."   Even now she'll say these things periodically, but her inflammation markers are perfect, her fecal calprotectin is <15, and she has once a day perfectly formed stools. 

 

I also named my stoma. She was "Babs."

 

 

 

Last edited by rachelraven

She will feel better after takedown. It may take a little while while she heals but things will improve. I had a very tough recovery after my first step surgery. Basically for those four months I felt like I got hit by a bus. I couldn't gain weight and my ileostomy ran like a faucet. That takes a lot out of a person. Once I had my reversal, things greatly improved. The weight came back on (and then some!) and I had much more energy. Oh, and the mucus is totally normal (even with some blood) along with the urge to "go". Best wishes for your daughter to have a very speedy recovery from her takedown surgery. 

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