Topic Explanation: Severe Pain and High Output After Colostomy
The discussion centers around a person whose husband is experiencing severe abdominal pain and high ostomy output following a loop colostomy for Crohn's disease. The pain is described as 10/10 and occurs episodically, with some relief when mucus is evacuated from the rectum. The episodes have occurred four times in two weeks, and the individual is seeking advice on what might be causing these symptoms.
Advice and Insights:
1. Consultation with Healthcare Professionals:
- It is crucial to consult with a Gastroenterologist to investigate the cause of the severe pain and high output.
- In cases of severe pain, visiting a hospital emergency room is recommended over urgent care, as they are better equipped to handle ostomy-related issues.
2. Possible Blockage:
- Some participants suggest that the symptoms could be due to a blockage, which might cause pain and then relief when output occurs.
- The pattern of thick to thinner output followed by relief is noted as a common experience among those with similar conditions.
3. Diet Considerations:
- It is important to consider whether the individual is on a low residue diet, as this can impact output and pain, especially soon after surgery.
4. Understanding and Monitoring Symptoms:
- Over time, individuals may learn to recognize patterns in their symptoms, but given the recent surgery, it is advised to seek medical advice to ensure proper healing and management.
- The episodic nature of the pain and output might be part of the healing process, but due to the intensity of the pain, medical evaluation is recommended.
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