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Fluids and Fiber - TMI story but important

Hi Guys, this is long but important. I can't be bothered with spelling, sorry.

I have not been around much because I had a complication. I was also struggling with whether I should post it or not. I am not shy so the topic does not bother me but I don't want to scare people away from this wonderful life changing surgery. I decided it could be a good cautionary tale to keep people on program with fluids. Don't screw around. Sip, sip! It is THAT important.

I, like many others, have been struggling a little with constipation. When you don't eat much there is not much there to make a BM. No big deal right? Well not for me.......

I started to feel constipated for the second time since surgery on Monday, Sept 30th. I kind of ignored it as bathroom habits are all out of whack for everyone now. By Wednesday I was feeling really constipated and uncomfortable. I emailed my team and they said drink Milk of Magnesia. It will be ok. It was not even close to ok.

Wednesday afternoon I could tell I needed to have a movement but when I would go to the bathroom nothing would happen. I didn't strain because I thought it would just happen on it's own when ready. Wednesday evening this "mass" (as you will see later) was really trying to come out. I was starting to get involuntary pushing on the toilet trying to expel this movement. I could tell it was large and very hard. This is when I started to notice a lot of blood, mucus, and Water moving past the mass. I was also cramping very badly and upset about the whole situation.

I called my mother who is a nurse. She felt I might be "impacted" and needed to contact my team in the morning. She recomended I take a Valium (to stop the painful spasms) and try and get some sleep. "Impacted" is when there there is a large mass of BM that will not move on it's own because of the size and hardness. I did not have a fever or any other problems. I did not feel my pain was worth a trip to the E.R. I took a Valium and went to bed.

At about 4 a.m. Thursday I woke up with the feeling of needing to have a movement. I went to the bathroom and the involuntary pushing started. The only way I can describe it is when you have bad diareha and can't control the way it comes out? That is the contractions I am talking about. I couldn't stop pushing. After about 30 mins of this I was ready to tell my husband to call an ambulance. I was in terrible pain in my rectal area. I finally passed a movement the size of a water bottle that was rock hard. No joke. No exageration. Needless to say a lot of blood and mucus followed. It was very painful and traumatic. I screamed through the whole ordeal. My husband was very upset and didn't know what to do but tell me he loved me and hang in there.

My mother was sleeping after her night shift (I didn't want to wake her) and I was feeling a little better (though very sore) so I went to work. I emailed my care team and told them what happened. Later in the morning I started to spot bleed from my rectum and started to get worried. My team told me to get to my PCP who was waiting for me. I was begining to feel a lot of pain at this point. Of course I got a flat tire on the way to my doctor's office and had to walk the last 3 blocks. No easy feat when you have been through what I had just gone through.

He examined me (NOT fun) and found I had fissures and tears all throughout my rectum. This is what was causing the bleeding. I now have an internal pain killing cream I put in with a syringe thing, a cream I put in also, more Loritab, and Valium for the rectal spasms that almost make you want to pass out. I should heal in 7 -14 days. Walking makes the area spasm so walking much is out of the question right now. The whole experieince has been very painful. To top it off I am in a stall right now. My weight is flucuation 2 lbs, back and forth.

Why did this happen? Because I did not get enough fluids! I really believe this was the root of the problem as I live in a hot climate and sweat during the day often. I also was getting no Fiber (none of us are at the begining), and eating lots of cheese for Protein (well lots for us with small tummies). It was a perfect storm.

I am using Metimucil's Clear Metamucil Clear & Natural now. This stuff is great. I am starting with 1 tsp a day to get my system used to it. It has no taste. I can't even tell I have put it in my water.

I am eating less cheese. I am getting all my fluids and not kidding myself about getting enough. Measuring is the only way I know I am getting what I need.

Please talk with your doctor about adding this fiber to your diet and make sure you are getting fluids. This whole thing was my fault for not getting fluids. I have learned my lesson. Don't follow in my footsteps.

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Yeah, that sounds like a really good thing-fiber gummies. although since having the gall bladder out, I have not had a problem. It's nice.

They are called Fiber Advance Gummies - All Natural Assorted Fruit Flavors - they are made by Santa Cruz Nutritionals; Santa Cruz, CA 95060 - 1-866-942-2429. 90 gummies to a bottle - and what I bought at Sam's Club came with 2 bottles (for about $9.88) Free from wheat (gluten), milk, eggs, tree nuts, peanuts and soy.

Hope you can find them and that you enjoy them ... and even more importantly - they work for you.

Thanks VA! Unfortunately Santa Cruz Nutritionals does not sell or even discuss their products on their web site, and Sam's Club does not list the product on theirs, either. Oh well.

Edited by AJW

Well I'd go and check out Sam's Club - they might not have it on their web page, but may have it in the store. If not, let me know and I can pick some up for you and send it to you if you want.

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