10 years 6 months ago - 10 years 6 months ago#25194by mmc
Sorry you had to google ileum. I will put the definition here so others don't have to google it.
Definition of Ileum
The lowest part of the small intestine, located beyond the duodenum and jejunum, just before the large intestine (the colon). Pronounced "il-eum" in the US and "eye-leum" in the UK.
The word "ileum" is derived from the Greek "eileos" meaning "twisted." This is apt because, when the small intestine is viewed at surgery or at autopsy (or exposed from a wound), it looks twisted. It is also apt because, when the small intestine is obstructed, the ileum is most often the site of the twist or whatever is causing the obstruction.
The small intestine is made up of 3 main parts: the duodenum, the jejunum, and the ileum.
Anatomy of the small intestine:
The small bowel is where food is digested and absorbed into the blood. To sustain life, we need around 49 inches (100 cm) of small bowel. The small bowel is the largest hormone producing organ in the body. We ingest thousands of bacteria, viruses, and parasites every day and the small bowel quietly handles these without us knowing. Congenital anomalies, inflammation, obstruction, neoplasia (tumors), perforation, bleeding, and ischemia (lack of oxygen supply) are some of the reasons for small bowel surgery.
The demarcation between the duodenum (1st part of small bowel) and the jejunum (2nd part of small bowel) is the ligament of Treitz (see Surgery of the Duodenum) (Figure 1)
The length of the jejunum is 100 to 110 centimeters in length. It is greater around and has a thicker wall than the ileum
The ileum is 150 to 160 centimeters in length
The jejunum, ileum, and associated mesenteries (supporting and suspending structures) are attached to the back wall of the abdomen. They are completely covered with peritoneum (single layer of cells that line the surface of the abdomen and bowel)
The ileum joins the cecum (first part of the colon) in the right lower quadrant at the ileocecal valve near the appendix (Figure 1). The jejunum and ileum are mobile organs.
Below is the reply I got from my uro. Remember, I have the VIP pouch (vescica ileale padovana).
"I do use about 40cm of ileum. I leave about the last 12-18 inches of ileum so b12 worries should be minimal, but I still usually test levels after a few years just because serious b12 deficiency (once it sets in) can be permanent and serious (nerve problems!!!). Happy Easter!"
I had acute diverticulitis which resulted in a colon resection shortly after my first TURB in 2005. Over the last 4 years I have learned what foods causes the most problems and how to schedule my menu to coincide with my work hours. When I have a Big Mac Attack I had better be home within 2 hours. One major side affect is what I call the locking up of my bowels for days when ever I have to take pain meds or go under anesthesia. Being constipated with a Foley catheter creates a painful dilemma.
Last year due to another issue I started taking Pantoprazole (blocks acid production in the stomach) and in my case this has eliminated some of the inconsistency of the bowel movements. Maybe this is a pleasant side affect.
Echoing Pat and Mike keep after the doctors I believe most have the same motto “least said best said”
Sorry for the overload Irishguy.. But these things are important and surgeons generally do not want to share...they're so busy cutting.
Your symptoms sound like dehydration to me or loss of potassium which is Hypokalemia and you really should report it to your doctor..you seem young and fit and probably rebound quickly but you don't want to mess with it either. And loss of fluids on a regular basis can cause it.
Symptoms of Hypokalemia:
Hypokalemia ranges from very ornate to severe level. A person suffering from simple/harmless/primary staged hypokalemia may experience no symptoms at all, but general symptoms of hypokalemia are:
Patient may experience problems such as Myalgia and muscular weakness
Patient may experience hyponatremia and also may experience confused i.e. anxiety.
Skin related problems such as blistering, skin eruptions, dryness of skin etc.
Temporary memory loss or problems such as weak memory etc.
Patient is prone to heart related problems, such as heart deterioration.
Digestive system also may get affected due to potassium deficiency leading to hypertension, improper sleep, nervous system deterioration, depression, constipation etc.
In some cases patient may experience ringing/noise in ear.
So keep the Gatoraid nearby.. and do let your doc know you are experiencing this........sorry for adding to your misery.......Pat:S
Patricia and Mike, Whoooa – Waaaaay too much information to take in all at once but thanks!
Nevertheless, I feel your posts have pointed me in the right direction regarding my issue. Your information has raised my suspicions about the vitamin B12 point and also what part of my intestine was used to create my Neo, plus how much of it was used. I realise now that these are all factors that govern the outcome of how my manipulated, battle scared intestine has recovered when the dust has settled; so to speak. This information as it stands - I don’t know, but It is definitely something I’m gonna ask about at my next Doc meeting.
In the last week or so, and for no apparent reason - a great tiredness overwhelmed me physically at first, then mentally by getting me a little down. I thought at first ‘Hello’ I recognise these symptoms - it’ll pass in a day or two. But the tiredness lasted a week and beyond(the longest ever) This also coincided with very loose, in fact - watery stools for the same time the tiredness lasted. I’m fine now, the tiredness has abated and my mood has lifted with my stools “thickened” somewhat(but nowhere as near as they could be). I guess when there is a little extra stress in one’s life and perhaps one is not eating as optimally as one could be, then something has to give, especially on a shortend intestine - hence my exaggerated symptoms. Last time I had a B12 check all was ok and stocks were good. But now I’m not so sure. It remains to be seen if B12 deficiency and or a stunted intestine plus diet is causing my issue. I’ll go and get a blood test and talk to my Doc then post my findings.
Sassy, sounds like a good remedy while I'm getting to the bottom on the problem(parden the pun:lol: )