new intestinal failure dx- IV antiemetic options?
I was recently diagnosed with intestinal failure.
I've been on TPN for 3 years now, after suddenly not tolerating J feeds anymore. I was doing pretty well, until having SMAS, MALS, colectomy, and ileostomy surgery 7 months ago. my surgeon found ~1/3 of my small intestine was necrotized so he resected all of that. my motility completely stopped afterwards.
nothing has moved since- my G tube drains 24/7, and I've had less than 300ml ileostomy output in the last 7 months. i've had 12 hospitalizations for pseudobstructions in the last 6 months.
IV zofran, IV emend, and IV benadryl have been unable to manage my nausea and vomiting. any other ideas? I can't do phenergan or reglan due to dystonia.
thank you 🫶🏻