Is it Diverticulitis or IBS?

Posted by tennisgolf @tennisgolf, Aug 7, 2019

I had gallbladder surgery 6 WEEKS ago. Things seem OK. But my stool has totally changed in past 6 MONTHS. Have been extremely regular always – for decades. Now stools are a little ragged, always have “little bullets” either separately or inbedded in a larger stool. No blood. Color is normal. Consistency is a little soft but they are formed and no diarrhea. A little constipation sometimes (NEVER before happened in my lifetime!). Stools always has a little skinny “tail” on ends (I KNOW THIS SOUNDS RIDICULOUS). I feel FINE. ALWAYS HAVE. QUITE HEALTHY. But since gallbladder surgery I have a rather sore spot in bottom left side (colon). GB surgeon says I may have Divertic. I feel like it is a deep muscle tear deep inside. I will get a colonoscopy (have not had one for 10 years). But one more thing: sorry to mention this, but all stools have the oder of a “chemical”. Like iron?? It is not a bad odor, but it is always the SAME. WEIRD/WEIRD/WEIRD situation. Urine has been quite yellow since before the GB surgery. It still is usually yellow. Should I go to gastroenterologist? Get a colonoscopy? I FEEL FINE EXCEPT THE SORENESS IN LOWER LEFT ABDOMAN. I am not a crybabiy – but suddensly I seem to have conditions that I never had before. Am very active physically and mentally. Sounds weird, don’t you think?

It seems I have 2 problems one is the diverticulosis with super added infection ,the second one is recurrent infective diarrhea with any food either solid or liquid that not boiled for sterilization now iam not taking cold water or soft drink or vegetables or fruits or cheese that should be sterilized before eating it , my intestinal immunity against bacteria is nil any one face such problem , my impression it looks intestinal flora disorder any idea .?

REPLY
@elle1233

TY Harper. I do have that fairly often – not diarrhea, but many stools, 6 or more in a day. Docs have never been concerned about this. Call everything irritable bowel. I did have a general abdominal CT, don't know if this would be enough to suggest any problem with pancreas. I don't think I've had any testing for pancreatic enzymes.

One thing about chronic pancreatitis is that it doesn't seem like there is much that can be done about it, is there?

Jump to this post

No. They just treat the symptoms. Usually pain, which I don't have. Pancreatic enzymes should take care of the stools and weight loss.

Liked by elle1233

REPLY
@harper7745

No. They just treat the symptoms. Usually pain, which I don't have. Pancreatic enzymes should take care of the stools and weight loss.

Jump to this post

Thanks goodness you don't have pain, and if the enzymes can help those other symptoms, that sounds pretty good – i.e it sounds like there is treatment that is effective!

REPLY
@elle1233

Thanks goodness you don't have pain, and if the enzymes can help those other symptoms, that sounds pretty good – i.e it sounds like there is treatment that is effective!

Jump to this post

Saw the specialist today and he said my MRI looked like the pancreatitis is resolving. He told me to hold of on the enzymes for now. My stools have been almost normal for a few days now. He seems to think I won't need them. I am confused. I thought chronic pancreatitis doesn't go away, but he said he thought it was from an auto immune disease and steroids will help that. I took steroids for 2 weeks. Don't know. Just confused for now.

REPLY
@tennisgolf

I am replying to my own post. Currently I believe I am considered a problem patient. I have asked several times for a CT Scan and think I am getting it next week. First they need to take (another) blood test. IS THAT A TYPICAL REQUIREMENT? My Laparoscopic Gallbladder surgery was 8 weeks ago and I have complained over and over about pain in lower left abdomen (~ 3 inches left and 1 inch down from belly button). During GB surgery a naval hernia was fixed (although it never bothered me and did not know I had one). My incisions are fine; no fever; no weight loss, so nausea – so my surgeon says "You are fine." BUT I A NOT FINE. Could that surgery have caused problem in small intestine? colon? strangulated organ? could there have been scar tissue from prior surgeries (30 and 35 years ago – total hysterectomy/oopherectomy or abdominoplasty) that suddenly cause a problem? Since surgery I have met with GB surgeon, internist, and gastro. (he wants me to take more laxatives to make passage easier). All have different ideas. But I am thinking Diverticulitis or adhesions. It hurts every day. BMs have been totally unusual in appearance and varied for 7 months. When I strain for BM, I find if I push my hand hard against my belly, it helps relieve pressure and soreness so I can strain effectively. I told my surgeon 1 wk. post op that I could not "push" as well. No comment. Sometimes they do not listen.
I wonder if he has delayed the CT Scan for a reason? Perhaps so more time passes since surgery so it does not reflect on the surgery? As you see, I have become untrusting, disgruntled and am annoying my medical professionals with my questions. I feel disgusted. GB is supposed to be an easy surgery. Overall I am and have been a healthy, active, and engaged "senior". I had TKR 7 months ago (my second one) and that has been quite good – still working a bit on leg exercise.
For a year I have had a dental abscess (not painful or problematic at all – but Prosthodontist wants it fixed) – am in the midst of dental implant – so my poor system is being taxed. Anyway, I just feel medical folks are stalling. I need a patient advocate. Time may be of the essence. Any comments (pro or con) are welcome. Thank you. (Also, if CT scan indicates I need surgery, I do not think I should have the same young surgeon do it. I should go to a BIG hospital in nearby N.Y. City. What do you think?)

Jump to this post

Sorry to hear about your problems. You know your body best. They will never admit to a problem having occurred. When I had my gallbladder surgery via laparoscopy they did something around my belly button, as I have scars. Maybe, bc you had issues around the belly button they had to go a little lower to do the tool where it usually goes in at belly button. Something was definitely affected and perhaps a muscle if it's affecting pressure to eliminate. Just a thought. Wish you well in your continued efforts to seek the truth. I'd try an MRI vs CT bc I think it will show more soft tissue damaged if there is some.

REPLY

Are you taking iron, or a multivitamin with iron? That could account for the odor. If it has been only 6 weeks since the gall bladder surgery, you may need more time to heal. Your insides are still bruised and sore. And when you have to go, the pressure you use could be pressing up against the area of surgery.
Also be careful what you eat. I knew a lady that had gall bladder surgery and for nearly a month afterwards, everytime she ate any type of protein food (meat, eggs, beans, etc) she would get very sick. Her body wasn't up to heavy foods yet. So that could be a reason that you hurt when you go to the restroom. Heavy foods might not be digesting well and causing soreness down there and could be attributing to constipation. Try eating more fruits and veggies and see if it helps.

REPLY
Please login or register to post a reply.