Normal Aches And Pains 19 days After Open Surgery?

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camicom
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Joined: Thu Jun 27, 2019 1:39 pm
Facebook Username: david galloway

Normal Aches And Pains 19 days After Open Surgery?

Postby camicom » Wed Aug 07, 2019 8:48 am

Hello all, I had an extended right hemicolectomy surgery was on 7/19. They had to convert to open due to the location of the tumor. I seem to be doing good other than a couple of issues. My surgeon doesn't seem to think they are any big deal, but I would very much like your opinions and experiences. The incision is healing very well, but it seem like I have gas trapped somewhere in that general area that comes and goes, I also have been having what I assume are bad gas pains in my lower left abdomen at night. I will fall asleep for a few hours and wake up with it. I have to move to the couch and it seems to get a little better. Anyone use GASEX? The only other issue I have been having recently is some nausea after eating. It started about a week ago and it comes and goes also. My diet is very clean and low inflammatory right now. I had a CT done last week and everything seemed normal except for a couple of small bowel loops.

Any info would be appreciated
6/17 Colonoscopy 5cm Malignant Neoplasm in Transverse Colon
CEA 1.2
Stage 3A
BRAF Neg
11/23 CT scan showed multiple Liver Mets
12/03 MRI showed 35 Liver mets largest being 2cm many very small Not resectable
12/10 CEA 4.5nl
12/11 Port Placement
12/12 Liver Biopsy confirming tumor same type as before
12/17 Started FolFox with Avastin
3/21 MRI Showed average 40% shrinkage and tumor inactive or dead
4/15 Started 4000mg daily of Xeloda as Maintenance
6/24 CT scan showed no growth, everything stable

NHMike
Posts: 2555
Joined: Fri Jul 21, 2017 3:43 am

Re: Normal Aches And Pains 19 days After Open Surgery?

Postby NHMike » Wed Aug 07, 2019 12:10 pm

It may be the bowel loops, similar to a blockage.

I have blockage issues with scar tissue a year out from surgery. My blockage is at the junction of the small intestine and large intestine though.

Once it clears, there's a flood but I will usually get gurgling sounds and pressure - sometimes it's painful. It comes and goes every three to four minutes. I usually either sleep on my left side or on a recliner or on the couch when this happens. I think that the only way to get rid of this would be to have surgery to clean up the scar tissue but it could still just come back.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

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juliej
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Joined: Thu Aug 05, 2010 12:59 pm

Re: Normal Aches And Pains 19 days After Open Surgery?

Postby juliej » Thu Aug 08, 2019 6:28 pm

You're not even a month post-surgery, so some aches and pains are to be expected. Your "plumbing" has been rearranged and it takes awhile for things to settle down. The pains (glad you had them checked out by your surgeon!) could be from the "resettling" or from kinks or near-obstructions.

You might try this exercise the next time you feel pain: Lay on the floor, pull your knees up to your chest and rock back and forth. This realigns your intestines and can smooth out a kink or a minor blockage.

And yes, Gas-X helps so feel free to use it! Also try ginger for the nausea - either ginger ale, ginger snaps, or nibble crystallized ginger. You're smart to be eating low inflammatory and low residue right now. That's gives everything time to heal up.

Hope this helps!
Juliej
Stage IVb, liver/lung mets 8/4/2010
Xelox+Avastin 8/18/10 to 10/21/2011
LAR, liver resec, HAI pump 11/2011
Adjuvant Irinotecan + FUDR
Double lung surgery + ileo reversal 2/2012
Adjuvant FUDR + Xeloda
VATS rt. lung 12/2012 - benign granuloma!
VATS left lung 11/2013
NED 11/22/13 to 12/18/2019, CEA<1

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Jacques
Posts: 678
Joined: Sun Dec 28, 2014 10:38 am
Location: Occitanie

Re: Normal Aches And Pains 19 days After Open Surgery?

Postby Jacques » Thu Aug 15, 2019 12:53 pm

Since you had open surgery, there is a good chance that you have at least a few adhesions. Adhesions are scar tissues that cause parts of the intestine to adhere to each other and cause kinks that sometimes lead to a condition called Small Bowel Obstruction (SBO).

You can read more about adhesions here:

https://coloncancersupport.colonclub.com/viewtopic.php?f=1&t=52932&p=417613#p417613

http://coloncancersupport.colonclub.com/search.php?st=0&sk=t&sd=d&sr=posts&keywords=+adhesions&author_id=97334

I think you should probably talk to your surgeon about this to see if anything needs to be done now in order to avoid a Small Bowel Obstruction in the future.


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