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Reply to "Third week of unexplained illness. Any ideas?"

@Brellis posted:

Hi,

my name is gabriella and I got my jpouch in november last year (2019). Since then my pouch has been working really good except some smaller issues.

but for 2 weeks ago I started feeling really naseous (I have felt nasea from time to time but this is a lot More and for longer). Im so naseous to the point I feel I could almost vomit.
I also got a stomach ache both in one area that I had some ache at before at times (think maybe adhesion) but also More in the middle of my stomach a bit over my bellybutton.

Im also feeling a bit under the weather. Feeling like I have a fever but I dont.

The other thing that really bothers me is my toilet visits. Usually I have pretty firm stool and do take a laxative every other day. I also know that If I eat too much pasta and bread I Will feel constipated.
But since two weeks back my stool has been more watery and so yellow/orange. I have not eaten anything strange...

Has anyone any idea what this could be? Can a partial blockage/obstruction last for over 2 weeks? 😫

i can also note that my stomach is gurgling a lot...

@Brellis. A partial obstruction can last for quite a while, though most seem to clear up in a day or three. Some partial obstructions caused by strictures are more or less permanent unless they are dilated or surgically repaired. This might be what you have, and if that’s the case vomiting would be a sign that things have gotten serious. It’s also common for stool to become less solid when the solid material is backed up. I hope you’ve stopped your laxative completely for now. In general it’s probably safer to use stool softener and/or psyllium (or just plenty of water!) than the more aggressive laxatives, but you have to be especially careful when you might have an obstruction. The key risks with obstruction (other than misery) are dehydration and bowel rupture. Are you getting enough fluid absorbed (i.e. are you peeing light-colored urine at least a few times per day), with enough left over to saturate whatever solids are backed up)? It’s also possible for “simple” constipation to behave this way, and patience and fluid are the key things to do.

Another common cause of nausea is gastritis. That might also cause the pain you’re feeling, but I wouldn’t expect it to loosen your stool so much.

You might also have a persistent GI infection, which could cause all of these things. If your doctor agrees with this possibility you could get tested for C. diff and perhaps some other candidates.

@Kushami mentioned pouchitis in response to Fredrik, but I haven’t heard of nausea being so prominent in pouchitis, so I’d guess it’s unlikely.

Good luck!

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