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Hi Gang!

As you can tell from the title, believe it or not, after having three major surgeries since June 2012, I need yet another one. From years of horrible, agonizing pouchitis, I had my J pouch and rectum removed and a K pouch created in June 19th, 2012, thinking it would solve all my problems and I'd go on my merry way, but as we all know, that was not going to be the case. The nipple valve leaked constantly, and it was a battle just trying to get the catheter to go in so I could empty the pouch. So, although still recovering from that surgery (out of over a dozen surgeries, GI or otherwise, it was, by far, the longest, at 10.5 hours, and the most agonizing I'd ever encountered, took me months to start coming around) I thought it wise to get it fixed ASAP.

My surgeon, Dr Zane Cohen, agreed to repair it, and on April 4th, 2013, I went under the knife yet again. I went into it expecting to awake with a fully functional nipple valve, but instead, I awoke, looked down and saw a permenant end Ileostomy, the one thing I was desperately trying to avoid getting in the first place. You see, way back in the early 90's, after my toxic megacolon, I had a temporary loop ileostomy, until I had the first step of a three step j pouch. I absolutely hated it with a passion. It would constantly leak, my stoma and peristomal area covered in painful, bleeding ulcers, not to mention the mental aspect of having my well toned body now deformed (I use to be in really good shape in my early 20's, a 100 years ago!). I was so happy the day they removed it and had my final takedown, little did I know.....

So, back to this decade, I see this new ileostomy, and almost instantly went into a deep depression. I managed to hold things together for about 24 hours until I finally lost it and cried uncontrollably for three days. Never had I been so depressed, up until that point at least. BUT, Dr Cohen insisted my nipple valve was badly damaged and beyond repair. He had decided an ileostomy would be of much greater benefit to me then a disfunctional K pouch, but at first, I couldn't see that, all I saw was a bag that would ruin my life. Of course, with the passage of time, I grew to accept it, and, after learning of the new supplies now available, it's not so bad. I've now adapted my wardrobe and lifestyle to work around it and aside from the occasional leak, I've gotten use to it (because I have no choice).

Then, shortly afterwards, I began with constant nausea, vomiting, and constant pain, so I go back to Dr Cohen, and discover that, again, I needed another surgery to repair a few serosal tears and remove several adhesions that had caused my bowel to kink, causing constant obstructions. Under protest, on November 22nd last year, I go under the knife again, praying it was the last for a very long while, and for a few months, I thought I was all over, but then....

Just as I was planning my return to work after being on disability for two years, the exact same symptoms start all over again. About two months ago,mi was getting ready for bed, and within seconds, was vomiting all over the bedroom floor. Dr Cohen did day the adhesions could grow back, but I never imagined it would happen so fast. The only difference this time is it feels higher up in my GI tract, what's left of it (have only 13 feet of small bowel left, everything else is gone). So, I'm booked to see my surgeon on June 2nd (that the first available appointment) to discuss my next surgery (AGHHHH!).

With each previous surgery I would always get through it knowing it would be my last, but given my recent history, I don't have the luxury of assuming that anymore,many it's really beginning to bring me down. How much more can I take? Seriously, what did I do to deserve this? I find myself sinking into a deep depression. It's like being locked in a dark room, screaming at the top of my lungs, with no one to hear me. I never thought it would get this bad, and admittedly, I'm having trouble coping. I try my best to stay positive and smile, so those I love don't worry too much, but the truth is, beneath my smile, lies a frown, and a dark hole I can't seem to crawl out of. All I can do is pray it actually works this time. I miss, deeply, my old life, and life's simple pleasures, things, in the past, I would simply take for granted, but no more. I can't trust my own body, and am stuck in limbo. I can't make any plans for the future because I don't know if I'll be able to fulfill them, it's extremely frustrating, and is enough to bring me to tears, almost on a daily basis. Combine all that with life's stresses (watching my elderly parents fall apart, and having to care for them, something I'm thankful I'm still able to do, I owe them everything) and I just want to crawl under a rock and die.

I'm sorry to dump all this on you, but you're the only group who knows how it feels, I only pray none of you ever have things this bad. Thanks for letting me vent, and thanks for being there, you're all my saviour,

Eric Confused
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Hi Eric,
I am so so sorry that you are having to face all of this. You have definitely had more than your share of illnesses; reading your post about brought me to tears. I can only imagine how you are feeling, when I was diagnosed with UC, I was really depressed and cried a lot. I was really sick and hospitalized for UC twice and cried constantly but I kept trying medicines, diets, supplements, etc. anything to keep my colon. It was a very long, very sick five years. I had numerous flare-ups so could never make any plans or commitments either. When asked to make plans, my reponse was always, "that sounds like fun if I'm not sick." Finally, after receiving recommendations from 4 doctors and my final doctor telling me that he will no longer prescribe prednisone because it was causing too much damage to my body (I was diagnosed with osteopenia after 2 years and then my next bone density test after that showed another 10% bone density loss in the next 2 years, I was having trouble with my hip, my vision and aches/pains in my joints; not to mention that I am one of those people who completely swell up on prednisone so pretty much looked totally fat for 5 years!) I decided to go ahead with colon surgery. That was 10 weeks ago. I think I cried daily for the first 4 weeks and then off and on for the next several. We couldn't figure out an appliance that would work, my skin was red, raw and bloody. The bag just flat out hurt all day long, it was terrible. At about 8 weeks, my skin started to heal and we figured out the right combination of things to use so it is finally working. I am scheduled for the reversal on Friday.

Although your situation is very extreme compared to mine, I just wanted you to know that there are people who understand your depression and how devastated you have felt. I am glad you are getting used to your permanent end ileostomy and I hope that your body starts to heal so you can start living a normal life. Although I'm not quite sure what to say, I just want you know that I am thinking about you and praying for your recovery. Please hang in there and good luck with your next surgery; I pray that this will be your last and your body will be healed.

Take care,
Wendy
Eric:

I am so very sorry.

I'm going under again at the beginning of May (hopefully). It will be number 12 and I know for a fact it won't be my last. Some days it's all I can do to force myself out of bed. I truly understand the depths the darkness can reach, and I am so very, very sorry.

No magic wand here -- don't we wish? Just a lot of support and many prayers being lifted.

Gin
oh, Sweetie, I am so sorry...When?????
If I can I will be there to hold your hand...going to drop in on Cohen this summer for instructions to rehitch my pouch to the wall...hang in there kid, there is an end in site even if you do need regular tune-ups you can still have a real life with some joy and fun...I will not let you slip into the hell of depression...now is the time to buy yourself a kitten...something to give your days laughter and joy.
If you wait for me to arrive I will buy you a bundle of joy myself!
Keep your strength and energy up...and never give up the good fight..
Cyber hugs until I can get there to give you some myself
Sharon
Thanks everyone! I could really use those kind words, for the past three mornings, I've awoke to a burst ileostomy and my entire abdomen and all my bedding completely soaked in watery stool. It's not so bad during the day, but when I lay in bed, something is obstructing my bowel, forcing it to flush out many litres of water, so fast, I just can't wake up in time and it bursts. I do have rubber sheet (thank god, it's a brand new mattress) but what a horrible way to wake up. I was in tears, it's so frustrating and humiliating, and I'm not sure how much more I can handle. It's not like I have a choice, but that next surgery can't come fast enough. I'm becoming an insomniac, afraid that I'll wake up covered in stool again. I'm going to try to get an extra large bag so I can at least sleep. I've tried every trick in the book to slow it down, but nothing is working, and I'm at my wits end, and, naturally, Dr Cohen is away, I swear that man books his holidays around my illness! I know what you're thinking, but I've tried bananas, mashed potatoes, Imodium, Metamucil, and every else, but nothing stops it. I think either one of two things has happened,

1) my bowel broke free and is now folding in on itself, kinking it, when I lay down.

2) the adhesions have grown back, again, kinking the bowel.

I've tried sleeping sitting up, but I just can't do it, even with all the sedation available, I just sit there wide awake. I sleep, at best, three hours, I'm exhausted, I only pray I find a resolution to this. I've been trying to avoid the hospital like the plague, I'm so sick of being stuck in a dark room being poked and asked the same questions 100 times (the joys of a teaching hospital), but, one more day of this and I see no choice, I just can't keep this up, I'll die from exhaustion! I'm at a loss for words, I'm hanging on by a thread, I only hope it doesn't snap! Confused
Eric,
When my first k pouch was leaking constantly I gave in and attached an over-sized diaper to my abdomen to cover the whole region...Just wrapped it around myself (I was skinny enough to do it then but you can buy the adult kind and use them)...at least when it bursts you won't have to clean up all the bedding and you will get some rest...Also sleeping with a blue pad under you and a towel around you but the diapers are disposable and easier to deal with...I tried the towel + garbage bag but it made me sweat and itch...there is something call Montgomery ties that are like a 12 inch square with 2 laces attached to either side...I used them to hold my abdomen together when my suture line dehyssed...you can use them to tie the diaper on tightly...It is not the sexiest thing in the world but much better than a soiled bed every night...
As for thickeners, try probiotics, tapioca, mashed carrots or sweet potatoes a root veggie called Topinambour in French...turns everything in your gut into a jello-like texture...bad for K pouches but great for ileos.
Good luck sweetie and try to get some sleep, your body needs it and so does your mind
hugs
Sharon
Eric, no one should ever have to suffer through the things you're going through right now. I wouldn't wish it on my worst enemy. I've only had 3 surgeries in total and I myself still deal with obstructions and stupid adhesions. I can't possibly imagine the scar tissue and pain from 7 surgeries or more. I know enough about it with 3. Yuck.

When I had my 1st step of 2, I recall the frustrations of dealing with the temp ileo. Ugh.. I feel your humiliation and frustration with the leaking bag and irritated skin and blah blah the list goes on. I'm sorry to hear about the lack of sleep also. I have trouble enough as it with a semi-normal functioning Jpouch. It's a rare and treasured thing to sleep for more than 5-6 hours at a time! Whenever it happens I'm always scrambling around like a mad man trying to do exactly what I did the day before. To no avail of course...In the end, each night and each day is different it seems.

I know the feeling all too well of that dark hospital atmosphere with 100s of people always disturbing you and poking you, prodding you, pushing on you, etc. Ugh what a nightmare that I always just wanted to wake up from. I'm sure you're feeling the same way at this point and rightly so! You deserve rest and peace of mind in all of this.

Vent away my friend. Vent away. We're all here to listen. We're here to help comfort one another. And we're here to vent with you in all of this insanity called life.
I am so sorry for what you have experienced. You are right, this is the only place to go where people really understand the physical, emotional and dealing w/the doctors. I will be praying for you. I see a counselor for chronic health issue. I know it is not easy and sometime one feels so overwhelmed. Been there several times. God has helped me make it this far and I know he will continue. I still have my up/down days b/c I am human. Having a step-daughter that has been paralyzed since right before her 15th b'day has taught me a lot b/c she has so many other issues than just not being able to walk. Other times it does make it more difficult b/c her situation is seen right away where ours is something that most don't even realize b/c it is not seen on the outside. I am so glad I started getting on this site so at least I can correspond w/ones that do understand although there are some that have experienced more than others. I continue to get upset b/c one doctor says one thing another says something different about the same issue. I am so confused with all of it and tired of even having to deal w/talking about it.

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