Diverticulitis & Depression

So, you’ve coped with an episode of diverticulitis, but now you’ve been left feeling down in the dumps and full of anxiety. Friends and family might say to you, ‘But, shouldn’t you be happy now that you’ve shaken off that infection?’ Well, it’s not quite that simple…and here’s why.

Our gut is full of bacteria. Some of this bacteria is harmful and can cause infections or stomach bugs such as diarrhoea (US: diarrhea) and vomiting, but most of this bacteria is actually beneficial. It helps us digest our food and absorb important nutrients from it. This bacteria also help us produce chemicals that our body needs to work. One such chemical is serotonin.

What is serotonin?
Serotonin is a chemical that affects our mood. It helps us feel happy and relaxed. 95% of our serotonin is produced by bacteria in the gut. Serotonin helps us sleep well, have a healthy appetite and improves digestion.

When we get an infection/diverticulitis, we often take antibiotics. These antibiotics kill most of the bacteria in the bowel. Even though, this gets rid of the nasty bacteria causing the diverticulitis and helps us recover from the infection, it also kills the good bacteria in our gut. This means our serotonin levels drop dramatically leaving us feeling sad, and anxious. It’s bad enough dealing with diverticulitis, but without our body’s ‘happy chemical’, we may feel even more miserable.

It’s for this reason that repeated use of antibiotics is associated with depression and anxiety. So, don’t worry if you’re feeling this way. You’re certainly not alone. Talk to a friend or family member about how you feel or ask your doctor how you can try to support your bowel as it recovers from infection and improve it’s health.

If you need some extra support, why not join us at the Diverticulitis Support Group on Facebook today?

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Hayley’s Gallbladder story

My gallbladder story is quite short really and uncomplicated in comparison to others. I’d never really experienced any problems with my gallbladder. Although, looking back, there was a time I had a sharp and horrendous pain in my upper-right abdomen in 2012 one day while at work. The pain was severe and my boss called an ambulance which came right away and injected me with a load of pain killers and muscle relaxants. I went home and slept it off and the pain was gone within a few hours so I never even went to a doctor about it. Maybe, that was an attack, maybe not.

Fast-forward to the beginning of February 2019. I was still being investigated after a complicated case of diverticulitis that resulted in the perforation of my bowel and a battle with sepsis. My constant lower-abdominal discomfort caused my gastroenterologist to send me for a full abdominal ultrasound. He wanted to rule out abscesses, cysts and adhesions so requested a scan of the whole abdomen.

Ultrasounds are no big deal. Totally painless and easy to do.

At the ultrasound, the doctor started snapping pictures of my organs and measuring dimensions, then, the moment he got a clear image of my gallbladder, he asked ‘Are you on the waiting list to get this removed?’, ‘No’ I replied, ‘Why do you ask?’ and he told me that there were a few small stones in there, but more importantly a polyp. I told him I had no idea and hadn’t had any symptoms of things not working well. Anyway, at the end of the ultrasound, he gave me all the printed photographs and a written report detailing what he had found and told me to go back to my gastroenterologist as soon as possible.

The gastroenterologist told me that it would need to be removed and set up a meeting with a surgeon for a few days later. He looked at my results, agreed that it needed to be removed because of the potential for the polyp because of its size to be a risk. He penciled me in for two weeks later to get it removed. In the mean time, he told me to eat a low fat diet and gave me a list of foods to avoid. (I’ll post about this soon, I promise)

Before I knew it, it was removal day. At 7:30am I hopped onto the trolley and was taken down to surgery. I watched the staff running around doing last-minute checks and preparation. It was fun chatting to the hospital porter who spoke pretty good English and was so smiley. I wasn’t particularly nervous or scared, I deal with hospital and needles etc pretty well and I’m not someone to get themselves into a state about a surgery. I’m sure I was mid-sentence joking with the surgeon and porter as I drifted off into a deep sleep and the surgery began.

In what seems like no time at all, I wake up in a different room with an IV in the opposite arm and a drain coming out of a hole in my upper-right abdomen. I look to my right and the porter is stood there smiling. I smile back and say ‘I need to sit up’, He immediately props the trolley up and hands me a little sick bowl….no, I say, I feel like I can’t breathe. So, he calls over a nurse who measures my oxygen levels and rushes off and comes back with a mask. I’m hooked up to oxygen and starting to catch my breath. Five or ten minutes later, the porter takes me back to the ward where my boyfriend was waiting to see me. He seemed worried, I asked him what the problem was and it was only then, that he told me that the surgery was expected to last maybe an hour and a half, but that I had been there for over four hours due to it being a tricky surgery. I hadn’t even noticed what the time was.

I expected to be in major pain the rest of the day, but other than a horrible discomfort in my back and shoulders, I had no pain at all. I refused dinner when the nurse brought it. I wasn’t hungry at all and the noodle soup did NOT look appetizing at all. I was alone now because my boyfriend had left for work. I forgot I had the drain and as I got up out of bed and went to the bathroom, I must have moved the drain a little and it was a bit sore. After the effort of that, I went back to bed and was in a little pain. The nurse came to check on me and when I told her it was sore, she injected something into my IV and the pain subsided and I drifted off again.

I woke up the next morning feeling quite chipper. I still had some discomfort in my back and chest from the gas, but was keen to get up and about. I got up had a wash, brushed my teeth and did my hair. Then I got changed. When the nurse offered pain relief via the IV, I declined since I didn’t have any pain except for the gas pains. I got up and walked around the ward and the catering team brought me a chamomile tea which I sipped at.

My surgeon came in to speak to me and told me not to lift heavy things or to strain when going to the bathroom due to the risk of getting a hernia. I was a little worried since I had pushed a bit going to the toilet in the morning, but it was okay, the stitches had held. He removed the drain and replaced my dressings. Before telling me to take almost 3 weeks off work and discharging me from the hospital. He told me to clean my wounds and replace the dressings each day. He also  advised me to take a paracetamol if I was uncomfortable, but to contact him if I had severe pain, or jaundice.

I didn’t even need the paracetamol. Recovery wasn’t too difficult, but I stuck to the post-op gallbladder diet that he gave me. (I promise I’ll write about this, too) The one thing I had a problem with, was laying down. The stitches were tight and I couldn’t lay down or get up, so for the first week, I slept sitting up on the couch. It wasn’t a problem.

Sleeping on the couch wasn’t so bad!

I used glycerine suppositories everyday to keep me going to the bathroom without effort. As the days passed, I found doing things even easier and as time passed I found myself able to tolerate more foods. The surgeon checked up on me regularly via telephone and asked me to send him pictures of the healing incisions on Viber. They were all doing great accept for my belly button which was weeping and a little sore and hot to the touch. Although, the surgical incision in my belly button did become a little infected and I had to pack it and take antibiotics, but within a week, it was much better and I could go to have the stitches removed. I had to be careful to stay near a toilet after trying a new food though because a few times in those first couple of months, I experienced dumping syndrome and had to make a bee line for the bathroom.

Post-op, life isn’t much different for me. I sometimes still get dumping syndrome, particularly if I eat something too fatty. Otherwise, I don’t have any real symptoms…just like before my op. However, it’s nice to know that the polyp was removed and won’t be causing any trouble in the future.

So, if you’re having your gallbladder removed. Don’t worry. It isn’t as bad as you might think. If you are suffering with a lot of anxiety, tell your doctor. There are things they can do to help you relax and to reassure you about the surgery. Of course, everyone’s gallbladder story is a little different. But, this is mine and from my experience, I feel it wasn’t a bad or scary experience. But, it is so important to take time out to recover.

My advice is to not push yourself or overdo it during your recovery – you may regret it. Also, don’t expect to feel back to normal immediately. The human body is amazing, but it certainly needs to be given the time to heal after surgery.

What to pack in your hospital bag

Maybe it’s just me, but after being in hospital a few times with diverticulitis and then from a gallbladder removal surgery, I like to make sure I always have a bag ready for the hospital. Usually, this bag lives under the bed, but sometimes it accompanies us in the back of the car on long journeys and trips. But, it makes me feel better knowing that everything I need is ready to grab and go should I end up in hospital. Below, I’ve included my list of things that I keep packed in my hospital bag.

My List

  • pyjamas/nightie
  • comfortable and easy to put on footwear (e.g. slippers/sliders/crocs/flip flops)
  • underwear
  • wet wipes
  • toothbrush/toothpaste
  • hairbrush and headbands/hair ties
  • lip balm
  • flannel/face wash cloth
  • travel soap/liquid soap/body wash
  • towel (not white)
  • pillow (not in a white pillow case)
  • chargers for any smartphones, tablets, e-readers
  • feminine hygiene/sanitary products
  • comfortable bra/bandeau bra

If course, if it is a planned visit, you can pack especially for your stay remembering to include any books/tablets/chargers/etc. medications.

If you don’t want to have a bag packed constantly, I’d recommend keeping a list of everything you’d like to have with you in the hospital so that if the worst happens, either you, a family member or a friend can see exactly what to pack for you – and do it relatively stress-free. You can keep the list stuck to the fridge or family notice board or even inside the bag or suitcase you would use to pack for the hospital so that it’s in there for when you need it.

What do you think of my hospital bag list? Is there anything else you always take with you? Let me know in the comments.

Diverticular Disease Tracker

Keeping your food, symptom and stool diary

Keeping a diary isn’t always easy, but…it can come in very handy, especially if you are still learning to manage a health condition. If you are someone that already keeps a daily diary or journal, it may be easy to add this information in to your entries. However, if you’re not someone used to keeping a diary, then you can find other ways to do it, for example, you can use the downloadable attachment here, and complete that each day before filing it away, or you can create your own version that applies more specifically for you. Not only will this help you identify trigger foods or patterns in your symptoms but it could also be a great tool to help your doctors monitor and manage your health.

NOTES:

Be honest! Write what you really ate and drank….snacks, junk and alcohol included…you need to see the whole picture, exactly as it is.

Take it to doctor’s appointments with you even if you don’t need to use it. You never know when the info could come in handy.

If you have a bullet journal, you can get really creative with this. I’ve given you guys a free downloadable and printable version of what I use. Now, unfortunately you do need to print it to get the best use out of it. I would recommend filing them each day in a binder to keep a continuous diary. How much additional information you record is totally up to you. However women may benefit also by tracking their menstrual cycle, too.

DD Tracker Printable

I’ve put together a little Diverticular Disease/Diverticulosis Tracker. You can use this to monitor what you eat, how you feel and even keep tabs on your bowel movements. I hope this proves to be helpful. The file even has it’s very own instructions that show you exactly how to use it. Just click on the download button below for FREE and you can print it out right away.
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Food Diary: The food sections allow space for you to write about what you ate and drank for the day.

Water Intake: You can cross out or tick the glass of water to show how much you drink each day.

Bowel Movements: The stool section provides boxes for you to keep a record of your bowel movements. There is space to write a time and or comment and a number that corresponds to the Bristol stool chart.

Symptoms/other notes: here you can mention any other feelings or symptoms you experience even if you feel they aren’t relevant. For example, headache, joint pain, nausea, delicate mood, etc. or even record that you took pain medication or anything that you don’t usually take. In addition, you could note anything else there you wish.

Medication: It’s always worth making a note of any medication you had to take, whether it seems related or not. But taking medication such as painkillers or antacids is a good way to keep a record of how often your symptoms bother you enough to reach for the medicine cupboard.

Tracker Previews

Preview of the DD Tracker
Instuctions and examples

Let me know what you think and even share with me what you record in your diary to help you…do you do anything differently?