-->

I'm back home and can't get the hang of this tool.

cinja
on 7/28/08 2:39 pm - Memphis
Hey guys back home from surgery now after a hellacious road trip back to Memphis. I can not figure out why I am having bowel movements every 45 min to 1hr. (It looks mucoid and green/brown.) I thought maybe it was I was sipping too fast on the water but even slowing to 90cc in an hour keeps this madness up. I thought I would throw this out to you guys before I call the doctors office tomorrow. 
snicklefritz
on 7/28/08 9:19 pm - Cincinnati, OH
There is a poop expert who posts a chart. Can't believe I said that. With my surgeries I had that coming out of the hospital. I thought it was normal n that was how you lost weight. But ask the doc to be sure. It cleared up after a while. It might have been the drugs affecting the system..

Relax One step at a time.
Boner
on 7/28/08 10:29 pm - South of Boulder, CO
Ya, we need Baja's "stool chart" to "clear up" this situation.

Boner
Dx E
on 7/29/08 1:40 am - Northern, MS
cinja,
First, go on and call the doc now.
Increase in pain? How's your temp? fever?....
Pass on everything to the doc and they will call back with info.

The total "runs" are typical early out.
Liquid In = Liquid Out for many.

Did they remove your gall bladder during the procedure?
Even if not, there could be some Bile Salts Diahrrea at work.
(the "green' in the discription hints at that possibility)
If so, it too will pass.

Do be on the look out.
Many who were squirting like a goose for the first weeks,
found that they suddenly "locked up" and were
trying to squeeze out cinderblocks overnight
And were fighting constipation. 
Keep the water intake up no matter what.
And keep the doc on speed dial. 

Now-
Post-Gallbladder removal & Diarrhea…
Here’s some info on Bile Salt Diarrhea/gall bladder post-op info that I happened to have…..Clearly not on the glossy brochure.
-------------------------------------------
Bile Salt Diarrhea is fairly rare. 
Only about 5 to 10% of people having their gallbladders removed develop it. And there’s no real evidence of it being any more of a problem for WLS patients having their gallbladders removed, than non-WLS patients.
But many WLS patients have bile issues due to irritation of ducts due to surgery. 
This usually passes within 3 weeks of surgery.
Even for those with gall bladder removal,
it goes away during the first several weeks.
If it lasts for more than the first 3 months, it is likely to be a chronic (repeating again- VERY RARE) Condition. 
The “good news” for those still having problems past 3 months?
It is very controllable with preparations/medications.

What causes it?
That lack of G-Bladder to store the excess produced by the liver can (in very few people) create a condition by emptying excess bile salts between meals. The extra bile salts can sometimes overpower the small intestines' ability to reabsorb them. The extra moves straight on into the colon, and the bile acts like a laxative, leading to diarrhea.

One added frustration for those just experiencing Bile Salts Diarrhea is that there is not a specific diagnostic test for this condition.
The Dr. can diagnose bile salt diarrhea by ruling out other possible causes of diarrhea such as infection, colitis, cancer, and others.
It can be disconcerting because there is not an actual “Cure” for “Bile Salt Diarrhea.”
But, there are several very effective treatments.
The most common Prescription treatment/med is cholestyramine.
On the market as- Locholest, Locholest Light, Prevalite, Questran, Questran Light.
Also a pill form called Colestid.
This is a bit of an issue for WLS patients because Cholestyramine gets in the way of, or decreases the absorption of vitamins. Usually not a problem because it can be taken at a different time (by 3 hours) from Vitamin supplements.

Some docs just recommend non-prescription, over the counter meds like Imodium in conjunction with Fiber supplements like Benefiber in order to get the non-constipation/diarrhea balance.
Since most of those 5 to 10% of folks who do have diarrhea for the first 2 to 3 weeks post gallbladder surgery, most don’t receive any prescription treatment.

The “Home-Remedy” of choice is soluble fiber.
It soothes and regulates the digestive tract, stabilizes the intestinal contractions resulting from the gastrocolic reflex, and normalizes bowel function from either extreme.  That's right – soluble fiber prevents and relieves BOTH diarrhea and constipation.  Nothing else in the world will do this for you.
The most common soluble fiber supplements are: Equalactin, FiberChoice, Fibersure, Benefiber, Metamucil, Konsyl, Fybogel, Citrucel, and Fibercon.  Most are widely available at drug stores.  Metamucil, Konsyl and Fybogel contain psyllium, Citrucel contains methylcellulose, Equalactin and Fibercon contains calcium polycarbophil, Benefiber contains wheat dextrin and both FiberChoice and Fibersure contain inulin.  These supplements are available as powders that you mix with water and drink, or as caplets that are either chewable or meant to be swallowed whole with a glass of water.

If you're at all prone to bloating or gas (as many WLS Post-ops can be when eating certain foods) avoid both psyllium and inulin (the main ingredients in Metamucil, Konsyl, Fybogel, Fibersure, and FiberChoice), which can generate more gas.


Simple Apple Pectin, like “Sure Jel” –
http://www.kraftfoods.com/surejell/sj_index.html
or any of those “Home-Made Jam/Jelly” additives are the absolute best at regulating bowel movements while keeping gas output low.

How is Soluble Fiber both a laxative and anti-diarrhea solution?
The "soluble" in soluble fiber means that it dissolves in water (though it is not digested).  This allows it to absorb excess liquid in the colon, preventing diarrhea by forming a thick gel and adding a great deal of bulk as it passes intact through the gut.  This gel (as opposed to a watery liquid) also keeps the GI muscles stretched gently around a full colon, giving those muscles something to easily "grip" during peristaltic contractions, thus preventing the rapid transit time and explosive bowel movements of diarrhea.

By the same token, the full gel-filled colon (as opposed to a colon tightly clenched around dry, hard, impacted stools) provides the same "grip" during the muscle waves of constipation sufferers, allowing for an easier and faster transit time, and the passage of the thick wet gel also effectively relieves constipation by softening and pushing through impacted fecal matter.  If you picture your colon as a tube that is squeezing through matter via regular waves of contractions, it's easy to see how a colon filled with soluble fiber gel is beneficial for both sides of the ‘irregularity’ coin.


Hope this random info helps …

Best Wishes-
Dx
   

 Capricious;  Impulsive,  Semi-Predictable       

cabin111
on 7/29/08 5:02 am
The green BM could be from the iron tablets.  My BM was green for months after WLS,  Freaked me out big time.  The green bowel movements is not the worry, but know the signs of dehydration and keep an eye on that one, because of the frequency.  Brian
cinja
on 7/29/08 7:28 am - Memphis
Thanks guys...I had gotten a call back and his asst. said to use imodium and try benefiber.
BamaBob54
on 7/29/08 7:37 am - Meridianville, AL
As has been said, keep a check on it and call the Doc if it doesn't get better.

I'm sure you'll get a grip on your tool soon enough!! 
BamaBob54    756997.jpg picture by BamaVulcan04   ROLL TIDE!!!
[IMG]http://i37.photobucket.com/albums/e82/BamaVulcan04/2661045004_3d63fb2244.jpg[/IMG]
[
Most Active
Father's Day Sunday Weigh In
Don 1962 · 2 replies · 28 views
Recent Topics
Father's Day Sunday Weigh In
Don 1962 · 2 replies · 28 views
Sunday Weigh In
Don 1962 · 1 replies · 65 views
Sunday Weigh In
Don 1962 · 1 replies · 84 views
Memorial Day Weigh In
82much · 2 replies · 123 views
Graduation Sunday Weigh In
Don 1962 · 0 replies · 131 views
×