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Nov 13, 2018 · I had a colon interposition 7 years ago in Digestive Health

I had a colonic interposition in 2001 for reasons somewhat similar to yours, with similar discomfort and misery, but after a few more surgeries and a little time, most of my symptoms went away. I have to eat all the time and diarrhea is continuous. Pain is an inevitable problem for me after meals, but my pain is more generalized, occupying the whole abdomen. It’s effectively eliminated by taking a tablet of Percocet (Oxycodone/acetomenophen), a potent restricted narcotic, 3-4 times a day on average. The pain relief appears not to come from its analgesic effect, but from its ability to slow and narcotise the intestine. Perhaps you can contact a pain doctor for advice on that. Colonic interposition is a rare procedure, so we are in a select crowd where most doctors haven’t a clue about what to do about pain. Copy my email and ask him/her to phone, if narcotics are hard to get where you are. Ask him to give it a try. Good luck and best wishes…and send me a private message if you think I can help.

Oct 6, 2017 · I had a colon interposition 7 years ago in Digestive Health

It’s been years and years since my colonic interposition (CI), where my entire esophagus was replaced by colon, but I still don’t whether or not I can vomit. Some people on this site report vomiting, but it’s unclear if all the esophagus was replaced or only part. Nor is it clear if their CI was pro- or ant-peristaltic–i.e., reversed relative to the original front-to back direction of peristalsis. No one, including my surgeon, seems to know. Does anyone know the answer–can I vomit? Thanks in advance for your help.

Aug 7, 2017 · I had a colon interposition 7 years ago in Digestive Health

You got here. I don’t get to this site very often but my wife, Rochelle, is good about it in my place and forwards the messages to me. Several people including myself have been through the procedure and are doing well years later. Good luck and best wishes.

Aug 7, 2017 · I had a colon interposition 7 years ago in Digestive Health

Wow. That has to be close to a record. Do keep it up! My only question is: do you experience pain after eating and if so how do you handle it? Apparently every case is different. Thanks -b

Aug 7, 2017 · I had a colon interposition 7 years ago in Digestive Health

After 6 years the diarrhea never went away for more than a day or so, and then only rarely. Probiotics seem to help and antibiotics seem to make things worse. The only thing that works for me is Percocet (oxycodone and acetymenophen=Tylenol), an average of 3.3 a day. I’ve been taking it at that dose almost since the operation. The diarrhea continues but the abdominal pain goes away, probably more because of decreased intestinal mobility than the pain-killer analgesic effect, but who knows? Every case seems to be different. Percocet is a restricted narcotic, so you need a prescription that may be hard to get. It’s also expensive thanks to big pharma. Obabacare and Medicare might help, depending on your situation. Best wishes -b

Aug 7, 2017 · I had a colon interposition 7 years ago in Digestive Health

i had a colonic interposition in 2011 and have experienced almost constant diarrhea ever since, although not near as bad as yours. However i use Percocet (Oxycodon and acetaminophen), about 3.3 per day on average. I don’t think it’s the analgesic effect that reduces the pain but rather the slowing effect on the gut. Best wishes, -b

Jun 7, 2017 · I had a colon interposition 7 years ago in Digestive Health

Pamalasa:

I had a colonic interposition about the same time you did and, like you, I spent a year and a half with a bag on my neck, unable to eat or drink. No fun, but on the plus side I’m here writing you. I’m glad to hear about someone with the same problem. The procedure is so rare that I’ve had little luck in finding anyone to share problems with. I also have pain after eating. It’s not located in any specific area of the abdomen; my whole abdomen is involved as a unit. The only thing that seems to work for me is an opiate – Percocet (Ocycodone + Tylenol). I take on average 3.3 per day, a dosage that has not changed for about 5 years. I don’t think the pain relief is the result of the analgesic effect but because it slows down intestinal activity. Narcotics frequently cause constipation, so in my case diarrhea may be a blessing. My case may give you leverage if you find that Percocet works as well for you as it does for me; physicians are averse to prescribing opiates unless there is evidence that it’s needed for your condition.

I have diarrhea almost all the time, but almost no problem with bowl control. Maybe the surgeon removed more of your lower bowel than mine did. That’s another problem with this procedure—every case is different. Symptomatic differences are hard to attribute to the similar surgeries. The psychological problems you encountered are much greater than mine, probably because the procedure had so many more averse physical consequences. Age is probably another important difference—I’m 75.

One recent problem that has come up for me is fluctuating glucose levels, especially unpredictable bouts of hypoglycemia. I’m labelled a borderline diabetic despite my 100 lb weight loss since the operation. That restricts my diet considerably. I have severe dental problems that have cost me over $25,000. I suspect that dentition related to the interposition might be caused by anomalous uptake of calcium. That’s important because I have tried and failed to get my medical insurance to pay for the dental work. They said I can’t clearly show that it’s the result of the operation. There is almost no literature on post-procedure symptoms so I can’t claim any correlation. Do you show any signs of increased dental problems following the operation? My condition is also associated with borderline osteoporosis.

I sure wish some doctor would take on the subject of post-surgical histories of people who have had colonic interpositions. I tried with my surgeons, but the lead doctor left for a better job elsewhere and the other doctor is not so motivated.

I wish I could be of more help to you. If you think of something I can do, please don’t hesitate to write or call.