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hey guys,

23 male here. i had a colectomy 8 months ago due to severe uc. i have an end ileostomy, and i am getting jpouch surgeries down the line. my surgery was an urgent laparoscopic surgery.

since my surgery, i noticed that i feel full very easily even though my meals arent that big and my stomach distends quite a bit after each meal. i wake up flattish and in the nighttime i look very bloated. my digestion feels very slow in general. output is fine.

im getting very tired of dealing with these symptoms and they are taking such a toll on my mental health because i used to be very athletic and fit before i had surgery. i dont enjoy food anymore and im losing quite a bit of weight too because of how little i eat. i wish i could feel like myself after the surgery but i just feel terrible

1. has anyone dealt with this and found a solution?

2. i was wondering if these symptoms are indicative of adhesions?

3. if i suspect adhesions, can i ask my surgeon to remove them during my jpouch creation surgery? i know surgery creates adhesions but i feel like i should get rid of the ones i currently have if i have any

thanks i would appreciate any help cuz my goal is to get my health back.

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Your symptoms could be from a variety of things, but one possibility is indeed that adhesions are narrowing your bowel in one or more locations, turning your digestive transit into an unpleasant adventure. It is much easier to persuade a surgeon to cut (“lyse”) adhesions when surgery is happening for other reasons (versus surgery just for lysis of adhesions). You absolutely should report your symptoms to your surgeon and ask if he can correct any potentially causative adhesions while he’s in the neighborhood. Good luck!

@Scott F posted:

Your symptoms could be from a variety of things, but one possibility is indeed that adhesions are narrowing your bowel in one or more locations, turning your digestive transit into an unpleasant adventure. It is much easier to persuade a surgeon to cut (“lyse”) adhesions when surgery is happening for other reasons (versus surgery just for lysis of adhesions). You absolutely should report your symptoms to your surgeon and ask if he can correct any potentially causative adhesions while he’s in the neighborhood. Good luck!

Thank you for your help Scott, I appreciate it! I will definitely report my symptoms to my surgeon and ask if he can correct any adhesions that I may have while he’s operating.

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