Debilitating multisystem dysfunction from diverticulitis surgery

Posted by Devin @djfilipiak, 2 days ago

I am a 35-year-old male with a decade-long history of progressively debilitating multisystem dysfunction originating from catastrophic diverticulitis surgeries in 2016. I am currently in a state of assumed acute decompensation, characterized by rapid weight loss: Loss of +/- 30 lbs. in 4 months., functional urinary obstruction, and systemic inflammation (CRP 20 mg/L toward the end of an episode).
Recent imaging (MRE, Nov 2025) confirmed bowel loops tethered to the ventral abdominal wall. However, local General Surgery declined intervention (Dec 2025) due to the complexity of the "hostile abdomen," leaving me with an "inoperable" mechanical defect that requires tertiary-level reconstruction. This complex presentation is further complicated by a 'Double Crush' phenomenon, involving confirmed L4-L5 spinal nerve root compression (2020) exacerbating the pelvic neuropathic pain.
This period established the "Hostile Abdomen" and deep pelvic scarring.
Event: Severe Diverticulitis complicated by Colovesical Fistulas (Bowel connected to Bladder).
1. The Surgical Series (4 Surgeries in 2016):
• Laparoscopic Sigmoidectomy (Attempted): Planned ahead of time
(General Surgeon/DO). Procedure failed/converted.
2. Emergency Open Sigmoidectomy (Ileostomy):
• Performed by General/Trauma MD because original Dr.
was unavailable.
• Outcome: Sigmoid colon removed, temporary ileostomy bag placed.
3. Failed Ileostomy Reversal:
• Attempted by original Dr. (and Partner).
4. Final Colorectal Anastomosis:
• Successful reversal 8 weeks later.
5. Key Provider:
• Urology:
i. Managed the fistulas during this crisis (2016). Significance: He knows the deep pelvic anatomy was compromised early on. Even though this was the first person to dismiss my issues and my theories which are now coming true.
I am currently experiencing the following functional deficits:
1. Failure to Thrive (Nutritional Crisis)
• Rapid Weight Loss: Loss of ~30 lbs. in 4 months (230 lbs./199.4 lbs.).
• Early Satiety & Nausea: Eating triggers immediate nausea and "fullness" due to mechanical restriction. Diet is limited to soft/liquids (mashed potatoes, broth).
• Documentation: Primary Care confirmed "unhealthy weight loss due to lack of appetite" (Oct 2025).
2. Mechanical Tethering (Ventral Abdominal Wall)
• "Stuck" Sensation: Specific, localized pulling sensation at the 2023 Hernia Mesh site (periumbilical).
• Positional Obstruction: Acute episodes where bowel seemingly "locks up," requiring physical maneuvering (kneeling) to release the bowel loop (e.g., event on Dec 7, 2025).
• Correlation: Matches MRE finding of "small bowel loops closely opposed to ventral wall."
3. "Double Crush" Pelvic Dysfunction
• Urinary Retention: Inability to initiate voiding unless the rectum is empty ("Can't pee until I poop"). The struggle to urinate is constant. It is exacerbated by any gas or fullness in the colon. It is also worse during the cold or if I am physically cold, anxious, or shivering at all.
• Neuropathy: Retrograde burning in urethra ("flames gone backwards") and chronic left-sided testicular pain.
4. Systemic Inflammation
• Elevated CRP: 20 mg/L. Indicates active tissue trauma/inflammation (Autoimmune/Infectious causes ruled out).
• Hyperhidrosis: Profuse sweating secondary to sympathetic upregulation/pain.
• Fatigue: "Crash cycles" rendering the patient physically unable to work. Gabapentin has helped relieve this.
5. Symptom Classification Guide
• ZONE 1: ABDOMINAL WALL & BOWEL (The Mechanical Zone)
▪ Status: NO GENERALIZED PAIN.
▪ Clinical Definition: Mechanical Obstruction / Ventral Tethering.
▪ Patient Experience:
• Restriction: A sensation of being physically "stuck" or "tethered"
to the abdominal wall.
• Cramping: Intense muscular contractions attempting to push past
a blockage.
• Distension/Bloating: Hard, physical fullness immediately after
intake.
• Positional Lock: Bowel loops feel "caught," requiring physical
movement to release.
▪ Incorrect Documentation: Do NOT write "Stomach Pain," "Abdominal Tenderness," or "IBS-type pain." Pain is too quickly dismissed. This is not a simple pain issue!
▪ Etiology: Physical Adhesions (Confirmed on Nov 2025 MRE).
• ZONE 2: PELVIS, PUBIC & URETHRA (The Neuropathic Zone)
▪ Status: ACTIVE NEUROPATHIC PAIN PRESENT.
▪ Clinical Definition: Double Crush Neuropathy / Radiculopathy.
• Patient Experience:
• Urethra: Retrograde BURNING ("Flames gone backwards") specifically when retention occurs.
• Testicle (Left): Chronic ACHING and sharp neuralgic zaps.
• Pubic Symphysis: Radiating nerve pain connected to spinal
history.
▪ Correct Documentation: "Pelvic Neuropathy," Pudendal/Genitofemoral Neuralgia," "Radicular Pain."
▪ Etiology: Nerve Entrapment & Confirmed Radiculopathy.
▪ Documentation: Diagnosed with "Radiculopathy, lumbosacral region (M54.17)" and "Low back pain (M54.50)" (March 2022).
• Mechanism: L4-L5 spinal nerve root compression compounding
with pelvic adhesions.
I have hit roadblock after roadblock over the years and having to self-advocate. Which has earned me the term of combative. How many other "combative" patients are in this forum? Hopefully lots, so I know I am not the only obsessive one on making sure my care isn't just how someone else wants it.
Has anyone else dealt with similar issues? Any advice? Currently I have submitted my info to Mayo, Penn Presbyterian, and trying to with Johns Hopkins. I am 35 years old and have not been able to sustain or even settle myself. I am in mass debt, school, etc. I am lost without actual direct guidance from someone who believes me and accepts I am not stupid or just Dr. Google.
*Parts of this summary (which is now considered my Patient Bio and Dossier) was produced via assistance with Google Gemini which utilized every one of my care documents, discs, images, dr notes, and my own input to compile this description of what I am dealing with in words that make it more understandable to a provider, and those self-advocates who have spent years, hours, days, researching legitimate information, like I have.

Interested in more discussions like this? Go to the Digestive Health Support Group.

I'm so sorry that you are dealing with such an awful situation! That must be very hard on you! And yet, you seem to be coping admirably with it! You are taking things into your own hands with all of your research. That's fantastic! That's not being combative. That's being sensible!

I took care of my husband who had lung cancer. He died in 2024. I also did a lot of research in his situation and found a lot of helpful issues for him that the doctors weren't mentioning. In fact, they often started turning to me for advice which made me wonder why we were paying them $700 a visit! My husband's situation wasn't as complicated as yours but the one thing that really helped him was prayer. God was there for both of us during a very terrible time in our lives. Thanks to God answering our prayers my husband lived 14 years with lung cancer before he died. He wasn't in that much pain until the last. It sounds like you need God too! You don't have to go to church to find God; although church is very nice. Just talk to God like he was your best friend and he is. After all, God made you and he can fix you! Besides, at this point what have you got to lose?

Have you inquired at your hospital to see if they have financial assistance available that would help with your expenses? Many hospitals do have that kind of assistance. Also the Mormon Church will help people financially too. So will other churches but I personally know about the Mormon Church because I'm a Mormon.

Read the side effects of all of your medications, vitamins and supplements to see if any of them could be causing any of your problems. That's how I identified some of my husband's problems. The doctors should have been telling us this information but they didn't.

Also analyze your diet. Try and avoid any food with preservatives and additives in it. That can cause physical problems. Most importantly, drink a lot of water. It really helps our body function and our bodies need all the help they can get; especially when they are ill.

Think of the positive side. You are only 35. That's young! Your body has the ability to fight harder at that age than mine does at age 79. Plus you have come to the right place for advice. The people on this forum are very knowledgable and kind. They were very supportive when my husband died.

I will say a prayer for you. With God, anything is possible.
I wish you the best.
Merry Christmas!
PML

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Wow, so sorry to hear all of this. So many complications at one time and trying to figure all of it out!
After my surgery (robotic and open) my main issue is feeling full so quickly and weight loss. My biggest fear is adhesions and what is happening inside my belly. I have done well and no diverticulitis episodes or IBS since surgery.
Never stop being your own advocate and never give up. Hopefully you will get more insight from others on this site.
Hugs

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Profile picture for pml @pml

I'm so sorry that you are dealing with such an awful situation! That must be very hard on you! And yet, you seem to be coping admirably with it! You are taking things into your own hands with all of your research. That's fantastic! That's not being combative. That's being sensible!

I took care of my husband who had lung cancer. He died in 2024. I also did a lot of research in his situation and found a lot of helpful issues for him that the doctors weren't mentioning. In fact, they often started turning to me for advice which made me wonder why we were paying them $700 a visit! My husband's situation wasn't as complicated as yours but the one thing that really helped him was prayer. God was there for both of us during a very terrible time in our lives. Thanks to God answering our prayers my husband lived 14 years with lung cancer before he died. He wasn't in that much pain until the last. It sounds like you need God too! You don't have to go to church to find God; although church is very nice. Just talk to God like he was your best friend and he is. After all, God made you and he can fix you! Besides, at this point what have you got to lose?

Have you inquired at your hospital to see if they have financial assistance available that would help with your expenses? Many hospitals do have that kind of assistance. Also the Mormon Church will help people financially too. So will other churches but I personally know about the Mormon Church because I'm a Mormon.

Read the side effects of all of your medications, vitamins and supplements to see if any of them could be causing any of your problems. That's how I identified some of my husband's problems. The doctors should have been telling us this information but they didn't.

Also analyze your diet. Try and avoid any food with preservatives and additives in it. That can cause physical problems. Most importantly, drink a lot of water. It really helps our body function and our bodies need all the help they can get; especially when they are ill.

Think of the positive side. You are only 35. That's young! Your body has the ability to fight harder at that age than mine does at age 79. Plus you have come to the right place for advice. The people on this forum are very knowledgable and kind. They were very supportive when my husband died.

I will say a prayer for you. With God, anything is possible.
I wish you the best.
Merry Christmas!
PML

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@pml Merry Christmas.

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Profile picture for linda82 @linda82

Wow, so sorry to hear all of this. So many complications at one time and trying to figure all of it out!
After my surgery (robotic and open) my main issue is feeling full so quickly and weight loss. My biggest fear is adhesions and what is happening inside my belly. I have done well and no diverticulitis episodes or IBS since surgery.
Never stop being your own advocate and never give up. Hopefully you will get more insight from others on this site.
Hugs

Jump to this post

@linda82 Google Gemini (Pro version) has honestly been so helpful. I knew a lot about my diverticulitis already, but with the additional issues, it has helped me piece things together and given me a sense of power back to my health I haven't felt in a while. I'm pretty type A so when I am out of control of a situation I start to "glitch" (lol!) or when depressed, just shut down which is what has been a lot of the last 5 years. Which has made my work, and debt, and social life almost all impossible to maintain. I'm hoping for the right care this time around if I can help it, before anything becomes emergent. But having Gemini help me set up an In Case of Emergency packet, makes me feel much better as well. And it has even yelled at me to stop stressing and shut down for the night. 🤣
I know AI and the Internet are taboo in medicine. But it is coming whether we like it or not. And it's always only ever as smart as the user and the inputs or parameters.
I definitely encourage trying it out. Be cautious but be curious! Be careful, though. Some apps are very much worse than others. Use multiple. Trial and error. Test. It's all for science! I was always a good grade student, but I never enjoyed learning so much until I was an adult, especially about my own body. Always make sure you surround yourself with one or two of the absolute most honest and trusting providers, as well for anyone reading this. A couple of mine will do everything they can unless it's out of their areas, then they help me push for the rest.

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One of the worst parts??
Being visibly a healthy 35 year old male. In today's world of assumptions, and mass media hypersensalization of common societal normal, makes the struggle extra difficult. Now everything portrayed is in my mind making me feel insecure or insufficient or weak. There's people out there who have it worse, right? Yes. Absolutely. But I'm not living their life 😔 I'm barely able to live my own.

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Hi Devin, what a journey you have suffered through and endured…on so many levels, too ! You have 2 good ‘cards’—your young age and willingness to research and advocate for yourself… sending prayers that you find a team of docs to finally lead you back to your life….this site can be very helpful, and give some encouragement as well…so you are not alone !

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Find a doc who listens. Until you get one, keep searching. Listening comes before treating. You are a very complex case and will need a team to treat you most likely. That means a national level clinic. I have a friend who is probably seen as combative because of prior mishandling of her medical conditions. It’s easy to feel angry when that happens. Recognize that the next docs you see did not cause your problems and you need to win them over to your side. (Talking to the choir here I know.) Your write up here is very comprehensive. You need a way to present it to new docs without seeming to be telling them what to do. My wife had complex back issues that led to a failed surgery that led to chronic pain. At some point medicine runs out of answers. I hope that is not the case for you, but be careful you don’t go a step too far. We did. You have my best wishes for finding help so that you feel better and get your life back.

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Profile picture for Devin @djfilipiak

@linda82 Google Gemini (Pro version) has honestly been so helpful. I knew a lot about my diverticulitis already, but with the additional issues, it has helped me piece things together and given me a sense of power back to my health I haven't felt in a while. I'm pretty type A so when I am out of control of a situation I start to "glitch" (lol!) or when depressed, just shut down which is what has been a lot of the last 5 years. Which has made my work, and debt, and social life almost all impossible to maintain. I'm hoping for the right care this time around if I can help it, before anything becomes emergent. But having Gemini help me set up an In Case of Emergency packet, makes me feel much better as well. And it has even yelled at me to stop stressing and shut down for the night. 🤣
I know AI and the Internet are taboo in medicine. But it is coming whether we like it or not. And it's always only ever as smart as the user and the inputs or parameters.
I definitely encourage trying it out. Be cautious but be curious! Be careful, though. Some apps are very much worse than others. Use multiple. Trial and error. Test. It's all for science! I was always a good grade student, but I never enjoyed learning so much until I was an adult, especially about my own body. Always make sure you surround yourself with one or two of the absolute most honest and trusting providers, as well for anyone reading this. A couple of mine will do everything they can unless it's out of their areas, then they help me push for the rest.

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@djfilipiak I can understand your frustration about finding some one to help you. I had a modified multivisceral transplant due to total gut failure. Very few hospitals offer this transplant, I had to go to Indianapolis. I went to IU Health and saw Dr Mangus. He is phenomenal in all things gut and gut failure. Have you considered traveling to get the help you need? He's definitely worth traveling, but you may set up a telehealth call do discuss your case with him. I have a friend that just had bowel surgery after she got so many no's from local providers.

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Profile picture for Devin @djfilipiak

@linda82 Google Gemini (Pro version) has honestly been so helpful. I knew a lot about my diverticulitis already, but with the additional issues, it has helped me piece things together and given me a sense of power back to my health I haven't felt in a while. I'm pretty type A so when I am out of control of a situation I start to "glitch" (lol!) or when depressed, just shut down which is what has been a lot of the last 5 years. Which has made my work, and debt, and social life almost all impossible to maintain. I'm hoping for the right care this time around if I can help it, before anything becomes emergent. But having Gemini help me set up an In Case of Emergency packet, makes me feel much better as well. And it has even yelled at me to stop stressing and shut down for the night. 🤣
I know AI and the Internet are taboo in medicine. But it is coming whether we like it or not. And it's always only ever as smart as the user and the inputs or parameters.
I definitely encourage trying it out. Be cautious but be curious! Be careful, though. Some apps are very much worse than others. Use multiple. Trial and error. Test. It's all for science! I was always a good grade student, but I never enjoyed learning so much until I was an adult, especially about my own body. Always make sure you surround yourself with one or two of the absolute most honest and trusting providers, as well for anyone reading this. A couple of mine will do everything they can unless it's out of their areas, then they help me push for the rest.

Jump to this post

@djfilipiak, with all that you have going on I can understand researching using an AI agent like Geminia Pro. The way you phrase your question or prompts can lead to different responses. That’s why it is absolutely critical that you verify the information and check the original sources that are referenced. Click the link icon to review the original source to see if it comes from a trusted health source.

AI generated answers can contain errors and incorrect information. Also keep in mind that any personal health information you enter, goes into the AI’s database.

We have developed guidelines around the use of AI on Mayo Clinic Connect.
- What is Generative AI? What does this mean on Mayo Clinic Connect? https://connect.mayoclinic.org/blog/about-connect/newsfeed-post/what-is-generative-ai-artificial-intelligence-what-does-this-mean-on-mayo-clinic-connect/

The part I'd like to underline is that AI tools do not replace human judgment or oversight. Any text, image or video generated by AI should be viewed as a starting point, not verified factual information. It may contain inaccuracies, biases and other problems. As you mentioned, always, fact check and review for accuracy, relevance, and unbiased balance.

I agree with @nycmusic, that you're doing a great job researching and advocating for yourself, including submitting second opinion requests at the nation's top hospitals and seeking care where there is a multidisciplinary approach.

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Profile picture for Colleen Young, Connect Director @colleenyoung

@djfilipiak, with all that you have going on I can understand researching using an AI agent like Geminia Pro. The way you phrase your question or prompts can lead to different responses. That’s why it is absolutely critical that you verify the information and check the original sources that are referenced. Click the link icon to review the original source to see if it comes from a trusted health source.

AI generated answers can contain errors and incorrect information. Also keep in mind that any personal health information you enter, goes into the AI’s database.

We have developed guidelines around the use of AI on Mayo Clinic Connect.
- What is Generative AI? What does this mean on Mayo Clinic Connect? https://connect.mayoclinic.org/blog/about-connect/newsfeed-post/what-is-generative-ai-artificial-intelligence-what-does-this-mean-on-mayo-clinic-connect/

The part I'd like to underline is that AI tools do not replace human judgment or oversight. Any text, image or video generated by AI should be viewed as a starting point, not verified factual information. It may contain inaccuracies, biases and other problems. As you mentioned, always, fact check and review for accuracy, relevance, and unbiased balance.

I agree with @nycmusic, that you're doing a great job researching and advocating for yourself, including submitting second opinion requests at the nation's top hospitals and seeking care where there is a multidisciplinary approach.

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@colleenyoung yes. I never really considered AI until I got bored recently. Then it was providing me things I already had confirmed and done. It's only recently that I've integrated it but I've been putting it as much to the test as possible.
Unfortunately Mayo clinic denied my case, so here I go navigating another brick wall 😔
Merry Christmas.

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