Local Excision Pain and Recovery Time

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Joined: Sun Nov 29, 2015 1:43 pm

Local Excision Pain and Recovery Time

Postby MDK » Sat May 07, 2016 10:20 am

On April 22 I had a local excision for my rectal cancer. I am still having pain in the rectal area, constipation - this has just been a long journey and I am so tired and discouraged. Probably I am just not healing as quickly as I wish. If I take a stool softener then I have accidents, or extremely sticky bowel movements - if I don't I have even worse constipation. If I don't take my pain medication every four hours, the pain returns with a vengeance.

Has anyone had this procedure and what has your experience been?

I thank you for your help. I cry a lot, have lost my job and just wonder if I will ever recover. A very dark time.
Diagnosed 11/9/2015
Stage III Rectal Cancer
Began Chemoradiation 01/04/2016
Completed Chemoradiation 2/17/16
Local Excision
Developed Rectovaginal Fistula
06/24/16 APR / Flap Repair Fistula
Permanent Colostomy
09/20/2016 Liver Mets, possible Lung Mets
9/16 - 11/17 Xeloda and Avastin to progression
12/17 - 01/18 Folfox 6 sessions liver tumor shrank considerably - severe allergic reaction
01/18 - 04/18 Xeloda and Avastin - Progression
06/18 Avastin and Irinotecan

Philippians 4:6-7

Posts: 109
Joined: Mon Jan 18, 2016 7:02 pm

Re: Local Excision Pain and Recovery Time

Postby Buckeye » Sat May 07, 2016 10:10 pm

I had Rectal cancer,but I had LAR with TME surgery and not a local excision .check my signature. Have you tried sugar free Metamucil? It will soften you up and keep you somewhat regular I would think . Since you have your whole rectum,but you have to drink plenty of water with it. Also you might want to try a probiotic, my gastrointestinal doctor recommended a P&G product called Align . I take it everyday along with the Metamucil. Good luck to you.
Dx 10/20/15 stage 1 T1N0M0 1.3cmx1.1cmx1cm low grade ( well to moderately differentiated) Rectal cancer age 47
Loving Husband and father of two girls age 19 & 15 Sole income provider
CEA <0.5
CT, MRI and PET show no metastatic spread
LAR Laparoscopic TME 11/30/15 with Illo
Pathology clean no lymph node or vascular involvement. Confirmed Stage1
No chemo/rad cancer free now and forever.
Illo reversal 01/26/16

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Posts: 319
Joined: Sun Jan 17, 2016 12:55 am
Location: Indiana

Re: Local Excision Pain and Recovery Time

Postby Cowgirl918 » Sun May 08, 2016 12:14 am

So sorry this is such a dark time. Pain makes all things unbearable. I agree with the Metamucil and align or some type of probiotic. Diet also plays a key role. On slow days I still rely on my good ole prune juice but not too much. You are in our prayers. This board is a wealth of information. Try search for previous threads about local rectal incision.
HX Colon Polyps Villious and Tubillovillous
12/29/15 Colonoscopy/Endoscopy - Ascending Colon Mass- Hemicolectomy Scheduled
1/17/2016 Right Hemicolectomy Cancelled
1/25/2016 CT No evidence of other disease
2/12/2016 EMR-ascending colon mass 80% removed
5/29/2016 Compressed lumbar spinal fracture (riding accident)
8/12/2016 EMR #2 ascending colon mass curative
8/13/16 NED
10/18/16 Autoimmune Diseases confirmed

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Joined: Sun Mar 30, 2014 4:43 am

Re: Local Excision Pain and Recovery Time

Postby drw » Wed May 11, 2016 4:59 am

I had an excision before my lar. My surgeon said it was just a little worse than a colonoscopy....not! It took about 4 weeks to be able to sit on the floor without pain. I didn't have constipation issues, but I just wanted to let you know that it does get better.
4/14 dx rectal cancer at 45 yoa
4/14 transanal excision
6/14 lar - 2 positive lymph nodes stage 3
8/14 started radiation and xeloda
1/15 completed chemo
2/15 Ned :)
3/15 reversal

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Joined: Wed Jul 09, 2014 2:06 am

Re: Local Excision Pain and Recovery Time

Postby me2 » Fri May 13, 2016 12:04 am

They couldn't reach mine without a proctoscope; so I had TEMS instead of simple local excision. After that I was sore enough to need some vicodin for 2 weeks (perhaps out of a 4-week prescription suggesting that was the expectation) and non-prescription pain killers another week or two. After the 10 days I was told not to ride my bike it took another two weeks before I was comfortable enough for my usual length ride.

I ate a stool softener daily and avoided problems with constipation from the opiates.

After breaking my leg and eating a lot more narcotics (a stretched nerve really hurt) dulcolax did the trick too with less impact on consistency.

Good luck.
July 2014 stage 1 RC t1n0m0 age 41
August 2014 TEMS
September 2015 scope one diminutive hyperplastic polyp

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