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Do you typically see blood with pouchitis

Going to start with apology for long post but I am seeking out some advice so I need to give you some history. My 14 year old daughter has had her pouch now for 2.5 years. She had her ileostomy for 6 years with no issues. The first 2 years with her pouch were relatively uneventful. No more blood in her bowel movements. She felt well and her biggest complaints were mostly gas pains. At almost 2 year mark she started complaining of stomach aches and feeling like she wasn’t completely emptying when she went to the bathroom. She saw blood in the toilet a couple of times. At that point, I followed up with her surgeon and they set her up for a rectal dilation that was done under sedation. He said it was a considerable stricture she had at anastomosis. She was quite sore recovering from that but after healing she felt much better with her bowel movements and stomach aches resolved. Her normal # of bm in day is 6-9, depending on what she eats. About 3 months later she started with the stomach aches again so I followed up with both g.I. & surgeon. Labs were run and her fecal calprotectin was at 99 and her other levels were in normal range so they thought it was a stricture. Saw blood on occasions but never mixed in with stool and she was told that she may be straining and that it is not pouchitis  because she would be going to bathroom many more times than she does. So, her surgeon set up for dilation again. This time he said that the stricture was not that bad , it was not like the previous one. He also said that her pouch looked healthy & didn’t have obvious signs of inflammation. He recommended she start pelvic floor therapy which she just has started. She felt better after that dilation but still has continued to complain of these ongoing stomach aches in center of her stomach area on occasions. Now last week, she tested positive for COVID but was complaining about these stomach ache about a week prior to testing positive. She has had stomache pretty much whole time at a 6 pain level. She is seeing the frequency of blood increase and I am freaking out because to me blood = inflammation. She went from a perfect healthy 4.5 year old girl to a very sick girl in the span of 6 months and had to have her colon removed at the age of 5 from severe refractory UC so I am somewhat traumatized by that whole experience and do not take any of her symptoms lightly. I called both doctors yesterday and GI asked me if I called the surgeons office- I said I hadn’t because I felt it is GI related.  I had asked if they can set her up to be scope and at this point they do not think she needs it. Her surgeon responded that they thought it was GI related. GI responded later that let’s see if she feel better after recovering from COVID and if not they would treat her with antibiotics - Cipro.  I am so nervous that she has I inflammation in her  GI. tract or in her pouch and no tests are being run or anything.  All I know is that she is generally not well. Her covid symptoms were mild- mostly cold symptoms which I think she is feeling better from. She has also had less bm’s the past couple of days I am thinking because she has not had appetite and is not eating as she normally does. Not sure of what to make of symptoms or what she even has. I am asking you fellow jpoucher who have had more experience with this and what your thoughts are. Please advise.

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