Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Treatment For Fistula
had entercutaneous fistula r/t total colectomy that went wrong in 2010, had drainge tube for months draining green ,copious fluid, eventually repaired, now, left upper abd quad to left back flank where a huge phlegman sizr ofsoft ball grewover night july 2010, sx, wound vac required,now, having chomping, chewing, eating feeling insideout, grinding pain fear could be the fistula is tearing, breaking down, due to serious constipation_which i shouldn thave after total colectomy, doctors say I am to complicated. i had DNR, living will, advance directiveon my chart, but, was placed on life support trach, multi abx s,then life support again after transfered tospecialty rehab, fearthis is tearing causing the eating, chomping, grinding feelings having, these are NOT spasms, , I know the difference. Your thoughts/ on totaldisability, I m a Registered Nurse forced to take early medical retirement. financial hardship. can t afford even all meds,,,I must stop for your opinion,,,didn t realize there was a fee. second time on life support, I had temporal lobe shocking every trwo hours to keep me completely still, impaired cognitive ly
Mon, 2 Jan 2017
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice. I have noted the history of Enterocutaneous fistula after total colectomy in 2010 with all the details that you have noted so well. As per the history of such great complications and being on support system, you need the care of the Specialist care center and since you were a RN, you know for better.
The best way to keep you well and in accordance with the condition you are in. Enterocutaneous fistulas heal very well if there is no distal obstruction.Hence it is necessary to undergo contrast studies of the intestines to see if there is any obstruction and to get operated to get a possible cure. It seems that you need proper investigations and get the proper underlying cause to be treated and it is possible that most of the things will be reversed. It is also important to take supplements as the colon is not present now.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant
I have reviewed your query and here is my advice. I have noted the history of Enterocutaneous fistula after total colectomy in 2010 with all the details that you have noted so well. As per the history of such great complications and being on support system, you need the care of the Specialist care center and since you were a RN, you know for better.
The best way to keep you well and in accordance with the condition you are in. Enterocutaneous fistulas heal very well if there is no distal obstruction.Hence it is necessary to undergo contrast studies of the intestines to see if there is any obstruction and to get operated to get a possible cure. It seems that you need proper investigations and get the proper underlying cause to be treated and it is possible that most of the things will be reversed. It is also important to take supplements as the colon is not present now.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....