Been away and now I'm back!!!! I have a question?

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Robin
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Been away and now I'm back!!!! I have a question?

Post by Robin »

Hi All!

Missed you all! I had a little set back, but feel so much better....maybe better than ever!

I recently had to have emergency Incarcerated Umbilical Surgery. All Is well now, thank god! But here is my question....Could this have been the reason for my very loose stools and vomiting prior to my surgery? It has been almost 2 weeks and I haven't thrown up and normans been with me everyday, YIPPIE!

The reason for this question is because my GI wants to do another endoscopy/colonoscopy with more biopsies. I am a little reluctant to doing the tests again because I finally feel great. I don't see the point or maybe don't want the results!

Anyone have any thoughts, I would greatly appreciate them.

Thanks
Robin
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tex
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Post by tex »

Hi Robin,

Welcome back. I wondered where you had gone. I'm sorry to hear that it wasn't for a more enjoyable event.

Yes, that certainly could have caused the symptoms you described, if part of your intestine was strangulated.

Now my question is, "Why on earth would your GI doc want to do another set of 'oscopies? What is he hoping to accomplish? Does he have a payment coming up on his summer home?

I don't see the point, either. If I recall correctly, it hasn't been but a few months since your last set of exams, has it? It wouldn't be unreasonable to do another in about 5 years, but IMO, doing all that again so soon, is a sign that he is either desperate for money, bored for something to do, or he doesn't understand MC at all.

That's just my strictly unprofessional opinion, though - I'm certainly no doctor.

Love,
Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Robin
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Post by Robin »

Boy did I miss you Tex!!! My GI stated he wants to do the test because right before my surgery I was projectile vomiting and the worse watery stool ever, as a matter of fact is was water....anyway he wants to see if there is any damage do to that. While he is in there he wants to make sure there are no other areas that are blocked. Then the biopsies are to find out if there are other areas that are affected by the MC! Who cares if there are other areas that are affected, one area is all I need! And your right Tex...I did just have a endo/colonoscopy in November! I am also afraid of all this anesthesia. I don't want to open Pandoras box and find out more! Right now I am doing well and want to keep it that way. Oh, he also wants to check the enzyme levels in my gut? What ever the hell that means. My General Surgeon who did my surgery said he thinks its a good idea to repeat all the tests. So I have to make a decision what I want...I have till Thursday.

And last but not least.....You are BETTER THAN ANY DOCTOR I HAVE EVER BEEN TO!!! Thank you so much for all you input!
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tex
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Post by tex »

Robin wrote:anyway he wants to see if there is any damage do to that. While he is in there he wants to make sure there are no other areas that are blocked.
Well, that's a valid reason, except for the fact that if you had any blockages, you wouldn't be having normal BMs now - you would either be having none at all, or watery D, (and vomiting). Those symptoms were almost certainly due to part of your intestine being strangled by the hernia. Why on earth would he think that they were due to anything else? And, if there was any damage, it should have been local, and they should have noticed it when they were in there, during the surgery. I'm not sure what type of damage he suspects, (were they missing any instruments after the surgery? :lol: ), and if any damage did occur, it should heal on it's own, once the main problem is corrected, (the hernia).

Maybe he's collecting information to use for writing a paper on the subject. Why do such an invasive set of tests, when he could either go by the fact that your GI system is now obviously functioning normally; or, if he couldn't live without a test to verify the absence of any blockages, he could do a CAT scan, (isn't that the normal way to rule out or affirm blockages?), or a barium x-ray scan, to look for stenoses.
Robin wrote:Oh, he also wants to check the enzyme levels in my gut?
That would fit my line of thought that he is planning to write an article, because enteritis causes enzyme production in the brush border region of the small intestinal epithelia to basically progressively shut down. Lactase production ceases first, followed by other enzymes, in a sequential manner. After the enteritis ends, enzyme production is resumed, in reverse sequential order. IOW, lactase procuction will be the last to be restored. He may want to pull biopsy samples to see if any damage is preventing normal enzyme production, but if your digestion is back to normal, then obviously your enzymes are fine. There may still be some damage remaining to heal, depending on how bad the damage to the small intestine was before the surgery, but that's a moot point, because with the resumption of normal GI function, it's just a matter of time before the production of all your enzymes will be at normal levels again.
Robin wrote:Then the biopsies are to find out if there are other areas that are affected by the MC!
I can virtually guarantee that he will find evidence of MC in other segments of the GI tract, if he looks for it, because it can affect any part of the entire GI tract, from mouth to anus. But so what? As you say, that's only of academic interest - it's irrelevant to your treatment. Again, that's something that someone writing an article would want to know.

The bottom line is, I can't think of any reason to even suspect a problem, let alone try to fix what ain't broke, unless someone is gathering information to use in an article. :shrug:

Love,
Tex

P. S. Wow! Thanks for the kind words. With that attitude, I may have to ask you to endorse my book. :lol:
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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nancyl
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Post by nancyl »

Robin,
Sorry to hear you had to have surgery, but happy to hear you are feeling so much better.

Good to have you back and feeling good.

Nancy
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Gloria
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Post by Gloria »

Welcome back, Robin!

You've been through quite an ordeal, but it seems to be for the better. I'm glad Norman has returned and your nausea is gone. I agree with Tex; the colonoscopy seems pretty unnecessary. I think GIs use it as a protection against lawsuits.

I called my GI to see what the results of my recent stool tests (fat and C-diff) were. His nurse said both were negative. The next thing out of her mouth was "So when should we schedule the colonoscopy?" I told her that we compromised on a sigmoidoscopy, but I would only agree to it if there was a specific purpose in doing one. I also said the GI was supposed to check to see if the lab could test for mast cells and let me know. She responded with "Oh, OK," and we ended the conversation. I don't think I'll be hearing from the office again and they probably won't be hearing from me, either.

Gloria
You never know what you can do until you have to do it.
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