Our darling Peter decided to give us a real scare yesterday and we are actually back in the ICU. He had a sudden 750 mL bleed from his ileostomy. It was an intense, scary time between when I noticed it and when we were confident that it had stopped. He needed two units of blood and monitoring and tomorrow he will have a GI scope to look around to see if we can see any varicose veins that would be the cause. I have seen him do this type of bleeding before, but it has been years since we last saw it, and the concern is obviously to make sure we understand why it happened this time and how to have it not happen again. It could be increased portal hypertension (high blood pressure in the liver/spleen/intestine circulation) from the operation (unwanted side effect), or there is a very remote possibilty it could be related to the antibiotic he was on. We expect to know more after tomorrow's scope which will be performed in the late afternoon. They will also change his vac dressing then, instead of today, as he will be under anesthesia and it will be easier to really look at the incision sites without hurting or upsetting him.
At this pace, we may end up not needing the vac when we go home. In retrospect, I am grateful that we were still here when the bleed happened, which would not have happened if the wounds had been healing as expected.
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