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Date Posted: 12:06:32 07/24/21 Sat
Author: Nein Danke
Subject: Re: Boy, 10,15yo, surgery for colorectal adjustment and appendicitis
In reply to: Knut Holt 's message, "Boy, 10,15yo, surgery for colorectal adjustment and appendicitis" on 06:28:09 07/18/21 Sun

Guten Tag Knut,

I wonder how much of this is routine (or somewhat alternative/atypical) vs special experiments and research examinations.

Chronic constipation and encopresis is common is children and young teens, girls but more commonly boys. Girls seem to have more issues with involuntary daytime incontinence. Behavioral issues in children was traditionally thought of as caused by chronic constipation, but since the 80s parents have been reluctant to use suppositories and enemas with children past toddler age.

With special needs kids (autism, delayed development, cerebral palsy, spina bifida etc.) or even ADHD it’s more common for them to have issues with potty training and incontinence. It’s also known there is a connection between oppositional behavior (ODD) and ‘behavioral’ incontinence.


I’ve noticed older parents & grandparents seem to have less issues with changing diapers of older kids, when potty training isn’t practical or possible before age 3. For moms in the medical/healthcare business, it’s a mix between being accepting of delayed potty training and those who are very pushy about kids being potty trained with no issues by age 3. There doesn't seem to be much middle ground for nurses and potty training their own kids.

As for this kid with constipation and appendicitis, this could be a routine course of treatment. There is probably some connection between chronic constipation, intestinal and colon distention with appendicitis. When dealing with kids who may be a challenge with their behavior, the doctors and nurses might overdo the sedation and post-surgical anesthesia and pain meds to keep the kid comfortable. Also, An effective but uncomfortable way to deal with major constipation is with a nasal gastric tube to deliver fluids and laxatives.

It's possible he had a section of colon removed due to issues with the nerve function of that section, but relatively rare unless a complication of prior surgery. Doctors usually don't do that until other options like laxatives have been used. The recovery time in hospital would be days, or even a week, due to the colon being almost completely paralyzed by general anesthesia.

Do you have a list of what is normal vs not normal, for specific conditions and their treatment?

Bitte Schon!

>Boy, 10,15yo, surgery for colorectal adjustment and
>appendicitis
>
>I am male. The procedures happened in USA, in 2010 or
>later at the age of 10 and 15.
>
>I had an exam or surgery in my stomach area. I had a
>procedure in my upper stomach with instruments through
>my mouth. I had an exam or procedure through my
>anus.
>
>When I was 10, I was told that I needed to have
>surgery done to suck poo out of me. I was at a
>doctor's appointment when I was 10, and he was
>concerned that I didn't poo as offten as I should. He
>had me see a special doctor who said that he was going
>to do some tests on me. After I had them done he
>recommended that I have a small operation done.
>
>The procedure happened in a hospital for children.
>They said it was to help me poo better. My parents
>brought me to the hospital
>
>When I was 15 I had my appendix removed. For my
>appendix I was away on a school field trip and had to
>be taken to the hospital. My appendix removal was for
>an emergency. A teacher brought me for my appendix.
>My second one was at a different hospital. I don't
>remember if it was for children or just a regular one.
>
>
>
>PREPARATIONS
>
>I was given sedative medicines through my mouth.
>They gave me sedative medicines through my anus. I was
>given medication intravenously. They gave me gas
>through a mask. I was unconscious all the time.
>They gave me something to help relax in my bum as well
>as an IV and a mask
>
>For my appendix surgery they only put a mask on me. I
>had my belly checked at lot before the surgery.
>
>
>SYMPTOMS AFTER THE PROCEDURES
>
>I had pain irritation or other problems in my nose. I
>had pain, irritition or other problems in my mouth.
>I had pain or irritation in my anus or rectum. My
>tummy felt funny after the first surgery for a few
>days after the surgery .
>
>
>OBSERVATIONS
>
>I was asleep for the whole time. Strange persons
>appeared around me before and after the procedures
>than those I expected to perform the procedures. The
>school health service was more than usually
>interested in me around the time of the procedure and
>asking questions or doing exams that did not seem to
>be related to the procedures.
>
>
>ARRANGEMENTS AFTER THE PROCEDURES
>
>I had IVs but I don't really remember what they were
>for. I do not remember any breathing tubes, only the
>mask. I had catheter after both surgeries, it was just
>conected to a bag at the end of my bed. After my first
>surgery I had a tube in my bum that I don't know what
>it did. A heart monitor. They checked my belly a lot
>and wanted to know how I felt.
>
>COMMENTS
>
>I it unclear if the boy really had problems with bowel
>movements, or that they did not conform to strict
>standards set by the society and the time schedules of
>the school.
>
>Certain societies tend to establish strict standards
>for all body functions and behavior and impose
>treatment upon kids not conforming to the standards.
>
>If he had real problems, possibly a part of his colon
>did not have proper innervation, and they removed that
>part and connected the ends. Even though not told, the
>surgeries were probably done through small holes in
>his stomach, or his navel, or the one in his colon
>possibly through his anus.
>
>The tube through his anus was just to help remove
>waste and gas from his intestines during the healing
>process.
>
>Knut Holt

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