Treatments for Colitis

Colitis is a very painful inflammation of the colon which can be caused by some injuries in the large intestine. The treatment of colitis or ulcerated colitis usually calls for surgery. The kind surgery done here is known as ileostomy or colostomy. It is simply done by removing the diseased part to create an artificial opening for the excretion of wastes.

When it comes to ileostomy, you can trust Dr. Don Schiller for the best j pouch and kock pouch surgery. Dr. Schiller is one of the premier and acclaimed surgeons in Los Angeles. He has practiced ileostomy since 1986 and therefore has lots of experiences in the field. What make the surgeon unique in this field are not only his experiences and professionalisms but also his care services. Dr. Schiller renders a unique and highly professional ileostomy care and his purpose is to ensure that you recover as fast as possible from the ailment.

The ileostomy reversal handled by Dr. Schiller is done with the best equipment. In order to ensure fast health improvement, the surgeon would at least visit you once a day while in the hospital. Your post-surgery care would be handled by him and him alone. He will ensure that you take instructions directly from him in order for him to monitor your health professionally and ensure a speedy recovery.

Dr. Schiller is the number one surgeon when it comes to BCIR surgery in the United States of America as he has practiced this profession more than any other doctor in the US. The door is widely open for you to contact him for these services. In case you live in a distant location, the surgeon will want to discuss with you on phone so as to fix the date for your surgery and if you live near, you can visit him in the office for the scheduling of the surgery.

The Need for Precision and Efficiency in BCIR Surgery

 

Surgeries related to the large intestine, colon, rectum, cecum, need intense care and attention. They ought to be handed by an expert in the medical field who understands how the large intestine and related body parts function. Sadly, not so many medical professionals in the United States of America are well versed in this medical field.

Ostomy is a surgical procedure or method in which a cut is made on the large intestine to provide an artificial opening for excreting wastes. Different kinds of this surgical process exist including colostomy, ileostomy and so on. No matter the kind of BCIR surgery you need, Dr. Schiller is the best medical profession to handle it. This Los Angeles based surgeon, outmatches other surgeons in the United States of America in terms of experiences, expertise and care.

Dr. Schiller has practiced BCIR surgery more than any other surgeon in the US. He knows how to care for his patients so as to ensure that their surgical procedures are perfectly done and also that their stoma heals at fast as possible. He does not relegate your care to a nurse, personal assistance or another doctor. Dr. Schiller handles your surgical procedures and checks on you every day to ensure your total recovery. He understands the pains you may be going through and therefore does everything in his power to make sure that you recover completely.

The professional surgeon even cares for you after you are discharged from the hospital. Whether you live in a near or a remote location, you can be sure of the absolute care of the surgeon. He can call you often to know the state of your health or relegate your care to a local medic. Furthermore, your calls will not be screen by any nurse or PA, you can contact the surgeon any time you want over the phone. You can also take a look at the testimonials given by satisfied patients to get a better picture about this service.

Regain your life and your freedom

Medicine has been developing along with the years. Some decades ago probably a large percentage of people would die from diseases that nowadays can easily be controlled only with medication, but unfortunately some cases still require surgery. For instance, when a Colitis Treatment somehow fails or increases the risk of getting even more serious, surgery will be advised. This is a very sensitive matter as it involves removing your colon, which will hugely affect your life and your confidence and comfort. Having a ileostomy implies that you’ll need to wear and external bag. Even if you adjust to your new lifestyle, you still won’t have any control on elimination. That is why considering the Barnet Continent Intestinal Reservoir(BCIR) might be the best solution for you. Opting for ileostomy reversal surgery will increase your quality life.

BCIR can also be considered for cases where a Kock Pouch is malfunctioning, so it will allow a surgical review to adjust it to a better solution as BCIR. Dr. Don Schiller has been executing BCIR for more than 20 years, and he is fully dedicated to all his patients, building a long term relationship with all the patients, assuring continuous care after the surgery. He will provide you with all options, assisting with diet advices. He’ll be sure your illness doesn’t control your life. With BCIR you’ll reconstruct your life and self-confidence, not to mention the comfort increase as it will be created internally. You’ll restore the control you once had and will be able to do it without any pain or discomfort. Besides all these obvious benefits, BCIR is an approved procedure, therefore, covered by insurance companies. Dr. Don Schiller’s team will be fully available to get the approval for your surgery in case some networks do not have any specialist in BCIR. Smile, you’re really near to gain full control of your intestine waste and regaining your comfort.

Diseases And Their Treatments

Colitis can be dangerous if not treated at the right time. Colitis is irritation of the internal lining of the colon. It is related with abdominal pain, diarrhea, and blood flow in stool and bloating. Most of the people ignore it initially but when it appears with severe affects then they consult doctors for treatments. There are number of reasons for colitis like is chemic, infections and microscopic colitis. Diarrhea can be taken lightly but the blood flow in the stool is not a light thing that can be ignored.

Colitis treatment is very necessary to save the life of the patient and to avoid other diseases. Treatment requires the history of the patient and especially it needs tests. History tells the symptoms and when it appears. It is treatable and controlling the pain or irritation during treatment when it is diagnosed properly. Mild colitis can be easily treated with antibiotics and few therapies. Some of the colitis needs lifetime treatment and some can be cured with temporary medications and therapies. Ischemic colitis that leads dead colon entails surgery to remove it permanently.

Stoma is used during the process of open injury or open operation. It is used for digestive system diseases. It is attached with your belly and helps your waste to pass through stoma and store it into a pouch so that it can be easily cleaned. Stoma has round or oval shapes and stick out over the skin. During cleaning the stoma it can have some bleeding but do not get worry. Different treatment procedures are required for different diseases. Internet helps people to tell different procedures of different diseases. Some of the websites are really helpful like Ileostomy-surgery. it will provide all the information about stoma and colitis treatment to give awareness to the people.

What To Do Before The Surgery

Patients suffering from chronic inflammatory diseases of the digestive system and those who had an accident involving the intestines may need a surgical operation known as ileostomy. The surgical procedure involves the resection of a side of the small intestine (ileum) where the cavity is surgically sewn to open to the abdominal skin. The patent communication of the small intestine to the outside portion of the abdominal cavity facilitates the disposal of undigested materials through the small continent hole known as the stoma.  Ileostomy surgery is performed to let the bowels or large intestine rest due to inflammation or post operative procedures that need speedy recuperation and healing.

Always tell your doctor or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.

Before your surgery, talk with your doctor or nurse about the following things:

• Intimacy and sexuality
• Pregnancy
• Sports
• Work

During the 2 weeks before your surgery:

• Two weeks before surgery you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen), and others.
• Ask your doctor which drugs you should still take on the day of your surgery.
• If you smoke, try to stop. Ask your doctor for help.
• Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.
• Eat high fiber foods and drink 6 to 8 glasses of water every day.

The day before your surgery:

• Eat a light breakfast and lunch.
• You may be asked to drink only clear liquids such as broth, clear juice, and water after noon.
• Do NOT drink anything after midnight, including water. Sometimes you will not be able to drink anything for up to 12 hours before surgery.
• Your doctor or nurse may ask you to use enemas or laxatives to clear out your intestines. They will give you instructions.

Surgical methods for ulcerative colitis

If you are suffering from ulcerative colitis you need not worry even if the medical colitis treatment has failed. You can undergo surgery to relieve yourself from all the pains. This can also be used by someone who had to remove their large intestine or the rectum. Colitis has a higher chance of causing cancer thus the removal of the affected part is the best option. This surgery can also be undergone by people suffering from malfunctioning of the J-pouch and kock pouch. In an ostomy an opening is created in the body surgically for the discharge of metabolic wastes of our daily life. There are quite a few types available. Some of the most common are:

Temporary colostomy– This may have two openings, one would only discharge mucus. It gives rest to the lower portion of the colon and helps it to heal.

Permanent colostomy– This involves removal of a part of the colon. Usually the part removed is the rectum. This is replaced and brought out to the abdominal wall to form the stoma.

Transverse colostomy– A surgical opening is made in the transverse colon, thus forming two openings. It can be located either in the upper abdomen or in the middle.

Loop Colostomy– This is also created in the transverse colon. It has own bowl with two openings. One opening is used for discharging stool and the other is used for mucus.

Sigmoid colostomy– This is the most common type of surgery. Usually the descending colon is brought to the surface of the abdomen. It is normally located in the lower left side.

Ascending colostomy– The opening is made on the ascending portion of the large intestine. This is usually located on the right side of the abdomen.

Ileostomy is the surgically created opening in the small intestine. This may involve removal of a portion or the entire colon. If you are suffering from colon disorder you should not wait. Contact a doctor and get it cured at the earliest.

Chronic Blood Diarrhea and Abdominal Pain: Serious Symptoms

Suffering for months or years with mild to severe bouts of rectal bleeding, diarrhea and abdominal pain? Could it just be a typical case of amoebiasis or bloody gastroenteritis? Or should it already prompt one to visit a gastroenterologist? Persistent or recurrent episodes of bloody diarrhea and abdominal pain, though may spontaneously resolve at times, should be taken seriously and be brought to the attention of a physician. Such symptoms may be indicative of ulcerated colitis or ulcerative colitis, which can have lethal complications when left untreated.

Ulcerative colitis is an inflammatory condition which primarily affects the inner lining of your colon or large intestine and rectum. Like Crohn’s Disease, ulcerative colitis is a medical disease which is categorized under the Inflammatory Bowel Disease.

Complications of Ulcerative colitis includes

As to the cause, currently, it is still unknown. Though there are suggestions that the inflammation is brought about by the activities of the immune system or that this is a case of an hereditary illness.

Sigmoidoscopy and/or colonoscopy with histological study of the tissues of the colon and rectum can help confirm the diagnosis of ulcerative colitis. Barium enema X-Ray, stool exam, blood test with red blood cell sedimentation rate (ESR) can also be employed to strengthen the diagnosis.

Colitis treatment and management is primarily focused on reducing or preventing the occurrence of inflammation. Should symptoms manifest, a variety of drugs can be used to alleviate the condition:

• Anti-inflammatory Drugs- sulfasalazine, corticosteroids and mesalamine

• Immune System Suppressants – azathioprine, cyclosporine

• Antibiotics

• Symptomatic Relief – pain relievers and anti-diarrheals

However, there are cases wherein drug therapy and conservative management would not suffice. In some cases, a surgical intervention may be warranted, such as:

• Patient fails to respond with the conventional drug therapy and management

• Signs and symptoms are severe and frequent flare-ups

• Complications such as colonic rupture, massive bleeding or risk of malignancy or cancer are evident.

The surgical procedure would entail the removal of the affected or entire colon and a procedure which shall address the elimination of the digestive waste. There are actually three options for waste elimination, namely: continent ostomy, ileo-anal anastomosis and ileostomy. For further details regarding ileostomy, refer to ileostomy-surgery.

ILEOSTOMY OPTIONS

Having a recent accident involving the abdomen and the intestine, or perhaps an inflammatory bowel disease like Ulcerative Colitis may prompt your gastrointestinal surgeon to remove your bowels and attach the small intestines to an orifice that opens outside the abdomen that we call as ostomy. This patent communication with the guts will enable the patient to unload feces in an unconventional manner outside the abdomen, when resection is at the level of the jejunum part of the small intestine the ostomy is called jejunostomy or J-tube or when it is with the ileum then it is Ileostomy. Inherent to the success of each procedure is the post-operative care of the ileostomy at home. The outer aperture opening or the stoma should be dressed and clean regularly to avoid complications like infection and irritations.

Patients that require the reversal of the ostomy after adequate recuperation may undergo an ileostomy reversal procedure, thus allowing the normal evacuation process post operatively. Unfortunately for those where the entire colon was removed fewer options may be available like:

Brooke Ileostomy Surgey – This is the conventional ileostomy that will require an external excrement appliance to continually collect the outputs of the small intestine throughout the day. The major issue with the Brooke ileostomy is the inadvertent contact of the excrement with the skin that causes irritations and allergies. Revision rates due to unwanted bulges and retractions are noted at 10% rate.

Ileoanal J-pouch – The main advantage of this continent pouch is that patients tend to evacuate normally in predicted cycles of 4-7 times per day. Leakage of stools and gas are not infrequent with the ileoanal J-pouch. Failed J-pouch may not be always reverted to Brooke ileostomy surgery, it can be modified into a Kock pouch which affords fewer leakages.

Barnett Continent Intestinal Reservoir (BCIR) – The BCIR is a modified form of Kock pouch less the intestinal and valve slippage. It is fashioned to the direction of the peristalsis where intestinal movements are not hampered. External water may not seep-in due to its tight valve system.

ILEOSTOMY CARE

Patients suffering from chronic inflammatory diseases of the digestive system and those who had an accident involving the intestines may need a surgical operation known as ileostomy. The surgical procedure involves the resection of a side of the small intestine (ileum) where the cavity is surgically sewn to open to the abdominal skin. The patent communication of the small intestine to the outside portion of the abdominal cavity facilitates the disposal of undigested materials through the small continent hole known as the stoma.  Ileostomy surgery is performed to let the bowels or large intestine rest due to inflammation or post operative procedures that need speedy recuperation and healing. Here are some practical tips that might be useful at home in caring for the ileostomy stoma:

1. Change pouch regularly – the pouch or barrier should be changed regularly to prevent spillage and irritation to the local skin surface of the ileostomy. Make it a habit to inspect the surface of the stoma every time you change the pouch. The surface is expected to be pinkish, moist and shiny. Any observable deviance in its original appearance should be reported.
2. Check for skin inflammation – normally, skin inflames within 2 weeks of stoma use. Anyhow, report inflammation to your doctor or nurse and apply local antibiotics or anti inflammatory creams. Make sure that creams and lubricants should be water base and not petroleum base for it can irritate the surface of the intestine.

3. Minor remedies – There will be times that the stoma protrudes from the skin raising the lip few inches from the surface. Apply cold compress over the stoma until the skin is leveled again.

4. When to call your doctor – when the stoma is bleeding more than normal and protruding due to inflammation, one should call the attention of the surgeon. Conditions like stoma retraction, pallor and darkening of the stoma lining, any sores in the skin surrounding the stoma, foul discharges from the stoma and intractable diarrhea should be promptly reported to your doctor.

The proper care of the ileostomy stoma should be given due priority to prevent serious complications in the future. After all, the whole idea of the ileostomy procedure is to expedite cure not delay it further.