gmcbrazen wrote:But they say I will not be able to eat as much or have a much control over my rectum. Mainly because a colon is not a rectum and I will not have the muscle control. I will need to go the bath room more frequently, and will not be able to hold it as long. Has any one on this site that had part of their rectum removed? Does the colon eventually start acting like a rectum or will I have problems now the rest of my lift.
It will take some time to adjust to your new "plumbing"
You will need to test foods and see how you react to them. Certain foods may make you have bowel movements immediately after eating or even cause diarrhea. When that happens go back to a simple diet of white rice, bananas, and applesauce. All of those will slow down bowel movements. After a few weeks try introducing the food again and see if you have a better experience. Avoid Brussels sprouts, cabbage, beans, lentils, onions, and very high-fiber fruits and vegetables for the first several weeks. I couldn't eat raw fruit or salad greens for months, but then gradually my system learned to tolerate them again. Now I can eat almost anything -- although chocolate on a empty stomach still causes diarrhea.
You may also experience "clustering" -- when you have multiple bowel movements in a short period of time. Clustering is tricky to fix. Some relieve it by increasing their fiber, especially oatmeal or Metamucil. Adding fiber/bulk to your diet will stretch your rectum over time to reduce frequency and urgency. It helps the colon act like a rectum. MD Anderson has a "bowel training program" handout they give patients so you might ask for that.
There's one other thing - exercise your sphincter! Strengthening your sphincter and pelvic floor muscles will help prevent incontinence. Tighten and hold your buttock muscles like you’re trying to restrain a bowel movement for five to 10 seconds. Release and rest the same amount of time. Repeat this exercise 10 times at four intervals per day while sitting, standing or walking. Start this now before your surgery and continue it afterwards. It makes a big difference!
Hope this helps!