tammylayne wrote:DId your surgeon ok the use of Immodium? Mine had me start using as soon as I went home - but every doc has their own opinion on that. Coupled with the other suggestions, maybe this could help in the evenings? My rule was if I had more then a coupl BMs in an hour...out came the immodium. As always though...check with your own doc.
Hey Tammylayne -
Surgeon was not excited about Imodium at this point. I think they are concerned about the possible constipating effects in conjunction with the relative newness of the colon-remaining rectum connection.
I think you're right about the role of fiber in avoiding low/no output days, which helps avoid clustering on the high(er) output days.
My current theory is that they start you with a low fiber/low residue diet because of the inflammation of the digestive system post-surgery, and the possibility of obstruction (which makes sense). My MSK roommate had to have his reversal reversed on account of obstructions, and I know I don't want that. The downside of the low fiber/low residue, I speculate, is that: (i) it's not terribly nutritious; and (ii) it doesn't give the colon much to work with in trying to reestablish its functions of: (a) de-watering waste/turning it into formed stool; and (ii) extracting/absorbing minerals. Tough to do much with Wonder Bread.
My base assumption is that clustering is essentially one bowel movement spread over 30 bathroom visits. My theory is that moving to a higher soluble fiber diet (while being very careful about not taking too much insoluble fiber onboard at this point) will assist in stool bulking and formation, help get larger, more formed stool (and so reduce clustering), and effect a desired change in the PH of the stool (and so reduce burning). So I have been walking up the soluble fiber (Metamucil, oats, lentils, Acacia Senegal powder in the form of "Heather's Tummy Fiber") in an attempt to get larger, more normal, less frequent output.
It's too early to tell yet, but my "episodes" since Thursday night feature: (i) materially fewer trips and (ii) materially more output per trip. Of course, a one-person, three day experiment is worth just about what you might imagine, and it is necessary to consider that the colon may just be re-learning what to do, and would be relatively improving regardless of my diet.
But for now, anyway, I am aiming to maximize soluble fiber without letting insoluble fiber get out of control, hence the oats, beans, and supplements. We will see.
Thinking of you and your upcoming hernia surgery - I hope all goes well.