Thank you so much for creating this new forum to respond to specific questions. I haven't been on your site for a few years because I have been very stable on your diet, but now I have a huge challenge for which I need advice!
I need to have some major surgery on my liver in which more than half may be removed. For the past 2+ years I have been IBS-C (constipation) predominate. I am able to successfully manage my condition on your diet.
My questions in regards to my surgery are as follows ...
1. Will an enema (if required before the surgery) create IBS discomfort and potentially put me in agony)?
2. After surgery, I would like to only receive intravenous medications ... nothing orally because I am fearful medications will trigger an IBS attack ... and especially because I won't be able to take medications safely with soluble fiber (since I will be on a liquid diet for awhile). In the past, I have been unable to orally tolerate painkillers (other than a small dose of children's Tylenol). What painkiller received intravenously (morphine is commonly used here in Canada) would be the least likely to exacerbate my constipation? (I understand painkillers received intravenously or orally cause severe constipation.)
3. Will the painkiller have any other IBS impact other than constipation?
4. What can I do to combat constipation if I get it from painkillers, combined with my IBS? (I already have severe constipation, I can't take laxatives because they exacerbate my IBS condition and I will be on an initially liquid, later pureed, diet)
5. Do you have any idea what affect reducing the size of my liver might have on my IBS? (Hopefully over time things will get better because the liver regenerates)
I have no idea how to find out this information. I hope you may have some connections to find out. I am trying to figure out how best to manage my situation for the surgery. I will also need to receive painkillers when I get home, but I am not sure how I can take them if they can't be given intravenously. I hate being a person with special needs due to my IBS because the medical profession doesn't seem to know how to deal with it.