Life after a right hemicolectomy

FormerMember
FormerMember
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Hello

I had a right side hemicolectomy in January this year after the discovery of a cancerous polyp. The op went well and I recovered without concern.  6 months down the line however I am experiencing a lot of bowel movements, at least two in the morning and often one in the afternoon as well.  Yesterday I had 4.  I raised this with my consultant at my 3 month check and he said if it was becoming inconvenient I could have medication to control it.  I have to say it is definitely inconvenient when I am racing for the loo because I don’t have much time from the initial feeling of needing to go, to actually needing to go.  I walk my dogs most mornings for an hour and feel I can’t leave the house unless I’ve had two poos, and even then I end up racing to the car towards the end of the walk.  I’m not sure if the exercise is stimulating my bowel, or if it’s in my head now.  Once I sit in my car, the urgency goes - until I get home.  I considered my food intake and wondered if I should reduce portion sizes so there’s not so much going through my system all at once, but this hasn’t made much difference.  I wonder if anyone else here has been offered medication to control their bowel and if it works well?  I’d appreciate any advice, especially advice on food intake if I can work this instead of medication.

The reason the cancer was found in the first place was because of bowel movement changes so now I’m beginning to forget what was normal.

Thank you for reading.

  • Hi  I’ve attached a couple of booklets for you to have a look at below

    https://bowelcancerorguk.s3.amazonaws.com/Publications/Regaining_bowel_control_Bowel_Cancer_UK.pdf

    https://bowelcancerorguk.s3.amazonaws.com/Publications/Eating_well_Bowel_Cancer_UK.pdf

    There’s some good exercises in the first one on improving sphincter control ie. holding your poo in until the urge has passed rather than making a dash and having an accident. I agree that I think walking can sometimes give you the urge to go. I had a Low Anterior Resection and my consultant said I may have to take immodium for life as he has removed a chunk of my bowel therefore waste passes through more quickly and has less chance for the liquid to be absorbed by the body and results in loose stools. I take 2 before breakfast and 2 before tea. I saw a new consultant last week and he’s told me to stop taking them unless I’m going out and want to avoid going to the toilet?! I’m going to give it a try - I seem to be having 3/4 mad dashes in an evening but if things start to get unmanageable then I’ll go back on them. Codeine is sometimes given as it has a bit of a constipation effect but I’ve always managed with the immodium/loperamide.

    From a good point of view then high fibre foods tend to move through the bowel more slowly so you could maybe keep a good diary and see if there’s anything that particularly triggers the episodes? I’ve heard people refer to the FODMAP diet but it seems very restrictive to me

    The surgeon did also say that I would never go back to how I was pre-cancer but I would get used to a ‘new normal.’

    Hope you’re able to get things to a manageable level

    Take care

    Karen x

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm
  • FormerMember
    FormerMember in reply to Kareno62

    Thanks Karen.  The info and leaflets will be useful.  

  • I had a Rt, Hemicolectomy for a cancerous growth a little over a year ago. My bowel movements became fairly normal after 6 or 7 months.and I started eating a fairly normal diet, I the last week, it seems to be changing. My intestines sound and feel much more active and I am having to go to the toilet more often.I have gone back to a low fiber diet hoping that will help.

  • Hi  It’s so frustrating isn’t it? See if the low fibre helps for a couple of weeks and maybe keep a food diary? Have you started to eat anything different that you can think of that might have caused the change? 
    Hopefully things will settle back down again but you could always run it past your GP if you’re worried?

    Take care

    Karen x

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm