Colon Resection for Diverticulitis and Chronic Constipation

Posted by tracy430 @tracy430, Jan 27, 2019

Hi All,

My name is Tracy. I had sigmoid colon resection just about 7 weeks ago for diverticulitis. Before surgery, I could count on one hand the times in my life I needed to take a laxative. Now, I don't really have a choice, as I am suffering from chronic constipation. My surgeon gives me no recommendations, with the exception of more fiber, more water and to be more optimistic that it will improve. I get more depressed by the day, as this is coloring every aspect of my life. My surgeon told me having this surgery would "give me my life back". So far, it's taken all the joy from it. Any input would be appreciated.

Thank you.

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

Hello @nancysbauer and welcome to Mayo Connect.

Since you are posting in the discussion group for colon resection and diverticulitis, can I assume that you have had surgery for diverticulitis?

As you can see, other members have also posted about this problem. One of our members, @thull, has had a lot of experience in this area of diet, surgeries, etc. I hope that she can also respond to your post.

How long ago was your surgery, nancysbauer?

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I had a bowel resection in Oct 2020 due to diverticulitis. I was told that they had to take a bit more of my rectum than expected. It has been one and a half years and I am having so much trouble with constipation. I take a stool softener everyday with no results. In my case, I believe it is more of a muscle issue. The stool hardens as I cannot feel the need to go until I feel the pressure. Once I feel the pressure, pushing is extremely difficult because of the lack of rectal muscles and the hardness of the stool. My stools are small and "marble-like" in size and it is still extremely difficult to expel them. I was told it could take up to a year to totally heal. Could scar tissue be my issue? Is that repairable? Any help or suggestions would be appreciated.

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<p>Anyone have hard BMs and bleeding after sigmoid surgery?</p><p>I’m almost 5weeks post sigmoid removal surgery due to diverticulitis. For over a week I’ve had trouble with hard passing BMs with bright red blood. Also pain in my lower left side. I am taking Colace stool softener daily and drinking over 90 ounces of water daily. I’m scared I’ve done something to harm where the surgery connected my colon together. I did call my surgeon and received advice on what do to if things get worse. Anyone else have this?</p>

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@tammyjo2

<p>Anyone have hard BMs and bleeding after sigmoid surgery?</p><p>I’m almost 5weeks post sigmoid removal surgery due to diverticulitis. For over a week I’ve had trouble with hard passing BMs with bright red blood. Also pain in my lower left side. I am taking Colace stool softener daily and drinking over 90 ounces of water daily. I’m scared I’ve done something to harm where the surgery connected my colon together. I did call my surgeon and received advice on what do to if things get worse. Anyone else have this?</p>

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Hi Tammy, I moved your question about hard bowel movements and bleeding after sigmoid colon surgery for diverticulitis to this existing discussion:
- Colon Resection for Diverticulitis and Chronic Constipation
https://connect.mayoclinic.org/discussion/colon-resection-for-diverticulitis-and-chronic-constipation/

You may also wish to connect with members in this related discussion:
- Seeking support for recovery from diverticulitis surgery
https://connect.mayoclinic.org/discussion/seeking-support-for-recovery-from-diverticulitis-surgery/

May I ask what your surgeon suggested to do? How are you doing today?

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@colleenyoung

Hi Tammy, I moved your question about hard bowel movements and bleeding after sigmoid colon surgery for diverticulitis to this existing discussion:
- Colon Resection for Diverticulitis and Chronic Constipation
https://connect.mayoclinic.org/discussion/colon-resection-for-diverticulitis-and-chronic-constipation/

You may also wish to connect with members in this related discussion:
- Seeking support for recovery from diverticulitis surgery
https://connect.mayoclinic.org/discussion/seeking-support-for-recovery-from-diverticulitis-surgery/

May I ask what your surgeon suggested to do? How are you doing today?

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I too have had a resection after reversal of an ileostomy. I find that Miralax or it's generic every other day plus Metamucil every night after dinner keeps everything moving smoothly.

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I had the same surgery & for the same reason. My stool now comes out in small balls UNLESS I eat beans. I was also told to drink 64 oz. water daily, which I do. Since trying to eat beans daily (I even mix them in eggs) and eating more broccoli, spinach, my bowel movements are regular and not “stony”. I recently had kale (which I hated) with pineapple at a party so I made that—would be good with peaches also, and it also helped a lot. It is not as bitter as I had thought. I sincerely hope this helps you.

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@blueviolet

I had a bowel resection in Oct 2020 due to diverticulitis. I was told that they had to take a bit more of my rectum than expected. It has been one and a half years and I am having so much trouble with constipation. I take a stool softener everyday with no results. In my case, I believe it is more of a muscle issue. The stool hardens as I cannot feel the need to go until I feel the pressure. Once I feel the pressure, pushing is extremely difficult because of the lack of rectal muscles and the hardness of the stool. My stools are small and "marble-like" in size and it is still extremely difficult to expel them. I was told it could take up to a year to totally heal. Could scar tissue be my issue? Is that repairable? Any help or suggestions would be appreciated.

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I found that eating beans really helped me. I put them in scrambled eggs, eat them as a snack with salad dressing and recently made kale with pineapple (peaches would be good too); again, really helped. Too, I drink 64 oz. water daily per surgeon’s instructions. Hope this helps. It did make my stool softer. Don’t know about my rectal muscles but now I feel slight urge “to go” and I try not to ignore that sign. I hope you feel better soon.

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@tracy430

My surgeon offered the standard recommendations of more fiber, more water, stay active. I have had colon resection so for all intents and purposes, I no longer have diverticulitis. He removed 7 inches of my sigmoid colon. He told me I need to "manage" the constipation, but could not tell me if this is going to be a life long problem. It's very distressing.

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In discussions surrounding "stomach" problems ie; Constipation, etc, it shows that by comparison to other medical issues, current American Medical folks do not have curative-type answers. Looks like we are "on our own" to find solutions to Gastrological issues.

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@tracy430 How are you doing now? I an seeing a surgeon next week and still on the fence about the surgery. Have a redundant colon plus DV attacks.

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There is a link between DV and IBS, in your case (and mine), IBS-C. Have you tried looking at the advice for IBS-C. It is remarkable that beans help so many.

If I were you, I would try eating differently. For me, certain foods trigger a bowel that doesn't work well. Some drugs do it too. Mineral or olive oil at bed time is a lubricant for the colon and stool. Magnesium supplements can soften stools, as can prunes and figs and the like. Rhubarb is also great.

If I eat wrong, I get little pebbles or balls of poop -- from one bad/forgetful eating episode, that takes days if not a week to get over.

Look at your diet. For instance, I eat grain-free, sugar-free, lactose-free, meat-free, yolk-free, raw produce-free, low fat, and only zero or trace FODMAP foods. I do this out of need. I don't have a choice if I want a calm gut.

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