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Old 12-10-2008, 05:43 PM   #1
Justin Chebahtah
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Default Mass Gain after colonectomy?

Couldn't decide whether to throw this in mass gain or not...this seemed more appropriate.

A young teenager I know has unfortunately undergone a colonectomy and has lost quite a bit of weight (around 35 lbs.) leaving him emaciated and lacking energy. He wrestles with his junior high team and as you can imagine, his condition has not been good for his performance and self esteem.

Most food passes through him rather quickly which means he is a.) not getting the nutrients he should and b.) is less willing to eat during school so he won't have to go to the restroom as much. The doctor said that his small intestine will build strength over time (or something to that extent I'm not really sure) and this will be less of a problem.

My question: Is there anything he can do nutrition-wise that will slow his absorption and allow him to actually make use of what he eats?

Thanks in advance. Even if you don't have any direct answers, any info that could point me in the right direction would be greatly appreciated.
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Old 12-10-2008, 05:54 PM   #2
Dave Van Skike
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Damn.

Just Damn. That's hard. I have nothing but jeeez he's going to be one tough cookie when he grows up.

Can he eat little bits late into the eve? soemthing like lot's of mini protein drink bombs with ice cream and then wait to take care of business before bed and then sleep?
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Old 12-10-2008, 06:15 PM   #3
Mike ODonnell
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Far from an expert on this but I imagine you may want to help heal and increase the health of the gut (and bacteria balance) and also have easily absorbed nutrients. So that could be supplementing with probiotics, fish oil and l-gluatmine for intestinal health and using amino acids for building muscle. Again no expert....not a Dr...this is just a guess.
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Old 12-10-2008, 07:04 PM   #4
Steven Low
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Make sure he's getting enough vitamins. There's a bunch that are manufactured by the bacteria in the colon that you won't get after a colonectomy.

Otherwise, I'd say make sure he chews everything thoroughly so it gets digested better. Liquids definitely absorb better so I don't know if you can do that for meals but yeah. And what Mike and Dave said.
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Old 12-10-2008, 09:39 PM   #5
Justin Chebahtah
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Thanks for responding so promptly everyone.

Dave: Hmm, that could be an idea. The dairy will have to be left out unfortunately. To compound on the existing issues, the lactose intolerance of the lad is extremely severe. If that wasn't the case, I could see GOMAD really helping out here. Maybe a concoction of whey, some fruit, and a ton of flax/olive oil?

Mike/Steven: Really good points, ensuring he gets adequate vitamins/minerals/etc. will be key to his health and will hopefully help with putting back on some weight. I'm quite surprised how the doctor didn't really give the lad much guidance in the way of nutrition post-surgery.

I'll keep doing my research and thanks again, every bit helps.
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Old 12-11-2008, 10:54 AM   #6
Mike ODonnell
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PM Dr G or drag his butt over to this thread....I am sure he has some better professional opinons on it.
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Old 12-11-2008, 11:36 AM   #7
Garrett Smith
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Sounds like a mild case of dumping syndrome. The major problem here is one of absorption (a lack of time for it to happen), is my guess.

I've helped a patient to correct this problem with the simple addition of a full-spectrum (I mean really full-spectrum) digestive enzyme combination called Digestin.

You can PM me if you'd like to get it through me, otherwise there's the internet stores...
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Old 12-12-2008, 02:25 PM   #8
Justin Chebahtah
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Thanks Dr. G, I'll pass the information along to his parents. I'll PM you if they decide to pick up the enzymes.
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