Diversion Proctitis (DP)

DIVERSION PROCTITIS. (DP)

For those of you who do not know,
within this rhyme I hope to show
how DP has been defined
to get it clear within my mind.

DP is an indication
of a non-specific inflammation,
which is often quite unwelcome
in the colon or the rectum.

After a colostomy
or an ileostomy,
the decommissioned rectal stump
becomes an obsolete piece of rump.

With a stoma now intact,
the anus can no longer act
as an opening, or exit
for the body waste as shit.

It means the anal stump is there,
but nutrition becomes bare
so, it can deteriorate~
until the stump is in a state.

If, following an ostomy
there’s not complete proctectomy,
then the ‘forgotten’ rectum may
have complications that may stay.

Patients may have tenesmus,
a bloody discharge or mucus,
which may cause all sorts of strife
and decreased quality of life.

So, bear a thought for all those caught
with DP, who thought they ought
to have resolved their problem shit,
yet still, they’re left with this last bit.

B. Withers 2025

Sums it up nicely and because it’s a poem sounds almost melodic….even tho the melody comes in the form of a fartlette….I will however, file this in my important poems by Bill as a reference point if my rectum becomes an issue. Wait, what…rectum problem you say? Hell ya, darned near killed em…

Funny, not funny….jb

Hello JB.
This rhyme was motivated by my recent colonoscopy, which (among other things) reported that I had DIVERSION PROCTITIS. (DP)
I looked it up on a site that reviewed all relevant research studies and it seems that almost 'ALL' folks with stomas have this condition if they don't have a barbie butt. Not everyone shows symptoms but apparently, it shows up on a colonoscopy.
However, they don't normally investigate the rectal stump, unless you insist on it (like I did).
It fascinates me how little they tell us about the 'side-effects' of their procedures, even when they are well documented in their research and literature.
Also, I have experienced another interesting phenomenon whilst trying to get advice on managing the bloody output from the rectum after the procedure. Each department referred me on to another until I decided that none of them could help.
So, it's back to DIY.

Needless to say, my next rhyme documents this aspect.
Best wishes
Bill

Good poem.

I believe it's negligence and liability when doctors don't tell you everything.

Accountability. We all find this out, sadly.

Their P.O.V. might be why worry if it won't happen.

But something should be mentioned.

Hi Bill

I'm having an "unspeakable" problem at the moment, but not about stumps. One of the medics from when I was having my op was talking to a colleague about how appalling the smell of rectal stumps is and how definitely uninterested Chanel would be in learning more about it.

Re bloody output, based on my years spent as a pharmacist member of the local wound healing team, calcium alginate dressings are the dog's pajamas for stopping bleeding. You can buy them online/Amazon/in pharmacies, and you only need a small bit on the wound site to stop the bleeding. I'm not sure if your bleeding is accessible, though. Hope this helps.

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Hey Bill,

A couple of comments here from me (you know it is hard for me to keep silent):

First off, I don't ever see myself insisting that any doctor investigate my rectal stump… because I know they would find a reason to hospitalize me, and I am hoping for that to NEVER happen again.

In terms of them not telling us stuff, either they forget, they don't want us to get more anxiety, or, as Mom used to quote, “the right hand doesn't know what the left hand is doing.” …jb

No one mentioned DP to me either. But, in fairness, they mentioned so much stuff that it wouldn't have made a blip in my consciousness. I mean when they are telling you the 100 ways you might not survive the surgery, describing all the possible outcomes... temporary ileostomy, permanent ileostomy, permanent colostomy, barbie butt/no barbie butt, or maybe just closing me up to just die because it's unexpectedly inoperable... DP in the case of no barbie butt would not have been high on anyone's list. I was left hoping for no barbie butt just because it meant I was more likely to survive the surgery.

My surgeon examines the rectal stump every time he does a colonoscopy. I never asked for it, but given I had rectal cancer, it seems prudent.

If things get out of hand, I think he will go back and do a barbie butt. I am happy with the level of information I was given under the circumstances.

In a simpler situation, particularly where the barbie butt surgery is an option, these things should be explained.

Thanks for this, Bill. It speaks nicely to what my life is like having to insert a suppository a day to keep the blood away. :-)

Daniel