- Patients often complain that erythemia nodosium and pyoderma gangrenosum lesions seems to start as a small insect bite or small bruise however they quickly enlarge and worsen. When this happens, a doctor should promptly be notified.
- The drug Remicaide, a relatively new treatment for IBD, has been shown to be particularly effective at healing pyoderma gangrenosum lesions.
Some patients simply have allergic reactions to most medications and surgery is the only option. Crohns surgery may be needed when Crohns medications cause very serious side effects for some patients and there is no other treatment plan left for them. Sometimes complications are developed like abscesses, obstructions or fistulas and the surgery is the only choice.
Sometimes this type of surgery is done as an emergency treatment in acute situations (emergency cases). For example, this situation can happen in the case of sepsis, septic colon, uncontrollable bleeding, etc. Crohns surgery is the only solution in these cases.
My passion is to help anyone not to get to the point when Crohns surgery is necessary.
Types of Crohns surgery:
–Resection: The affected portion of the intestines is removed, and the healthy ends of the intestine are reattached. This type of surgery will often need to be repeated.
–Strictureplasty: Strictures are the narrowing of the intestines. The gastroenterologist-surgeon makes a lengthwise cut in the intestine and then sews it crosswise. This can make the intestine wider and can help with bowel obstruction. This type of surgery may be done at the same time as resection or when a person has had resection in the past. This type of surgery is the first choice when the surgeon is trying to save as much of the intestinal tissue as possible.
–Proctocolectomy and ileostomy: The gastroenterologist-surgeon removes the rectum and the large intestine, leaving the lower end of the small intestine (the ileum). The anus is sewn closed, and a small opening called a stoma is made in the skin of the lower abdomen. The ileum is then connected to the stoma (a hole in the abdominal wall) creating an opening to the outside of the body where stool empties into a small plastic pouch called an ostomy bag. The ostomy bag is applied to the skin around the stoma. An outside bag must be worn over the opening to collect the waste, and it must be emptied several times a day. Patients can wear normal clothing with some minimal adjustments. It’s unnoticeable and no one can tell you have on an ostomy bag unless you tell them.
Unfortunately, statistics shows that Crohns surgery needs to be repeated in many cases. I am a big believer in adding natural treatments to conventional therapies to possibly change those statistics. I hope that no one would have to go through Crohns surgery. And if they do, let’s hope it’s a very successful one.
The recovery usually lasts for weeks. During this time most patients will receive antibiotics, anti-inflammatory medications and pain relievers. Some pain relievers can cause constipation. That’s why it’s recommended to take Colace (a stool softener) to prevent or treat mild constipation. If constipation becomes severe, this should be discussed with your doctor.
I really hope that your doctor will try everything else before going through with the surgery since Crohns surgery doesn’t guarantee cure. Crohn’s disease doesn’t have a cure. I wish you only the best if you had Crohns surgery and feel great. But I would still like to remind you that it takes a lot of work to stay that way. Do not run out and grab the first hamburger you can get your hands on. Limit your sugar and carbs. Make your Crohns surgery your last one.
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