Colorectal Surgery - Duke University Medical Center

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What is Pouchitis • Pouchitis is a poorly understood inflammation of the J-pouch. • A small number of patients will experience this. • Symptoms include: • Feeling that you constantly need to have a BM • Diarrhea • Pelvic pain • Bloody stools • Fever • Loss of appetite • Feeling weak and tired How is it treated • Your doctor may use medications such as: • Antibiotics • Steroids • Non-steroidal anti-inflammatory drugs • Probiotics powder • If you have multiple episodes of pouchitis, your doctor may recommend regular pouch irrigation 26
Pelvic muscle exercises Please do not start these exercises until your doctor says it is ok Why do I need to do these exercises • You will use these muscles after surgery to help you to hold your stool, especially when you stand up, cough, or sneeze. How often should I do the exercises • Do these exercises 3 times a day until you have good control of your urine during the day and night. How do I find the correct muscle • Tighten the muscles you would use if you were trying to hold your urine or stop from passing gas. You should have a sensation of lifting these muscles up and then relaxing to let them go down. • Do not tighten your abdominal muscles or your buttocks at the same time. What position should I be in • Begin by doing the exercises lying down with your feet elevated or your knees bent. • Later you can do the exercises sitting and standing as well. How do I do the exercises • Tighten the muscle and hold for a count of 5 seconds, work up to a count of 10. • Relax the muscles slowly and completely. Rest for a count of 3. • Repeat the tightening and relaxing. Start with a set of 5 repetitions and work up to 10 repetitions • Start slowly and increase gradually to avoid overstressing the muscles. 27
Page 1 and 2: Colorectal Surgery: Instructions fo
Page 3 and 4: Information provided by this pamphl
Page 5 and 6: Your surgeon has told you that you
Page 7 and 8: Abdominal perineal resection (APR)
Page 9 and 10: Ileocolonic anastamosis Sometimes y
Page 11 and 12: What is a colostomy This is an open
Page 13 and 14: • You will be told what medicine,
Page 15 and 16: What can I expect after surgery Whe
Page 17 and 18: Will I have to eat certain foods af
Page 19 and 20: When should I call the doctor • B
Page 21 and 22: Which Foods Make Stool Softer and M
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Colorectal Surgery - Duke University Medical Center

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