One thought on Six years since my bowel resection What I wish I knew then Jessica Thorsen August 2, 2021 at 1130 am Reply This sounds like my exact story with bowel resection We thought we were taking out about 6 inches, then when my surgeon got in there we removed 2 feet total. 7, 316 patients twelve months post-op was 2. Reaction to general anesthesia. Aaarrggh It seems to be responding to Flagyl and Levaquin, although I had that happen before, too, only to rebound with an abscess. Bowel resection is the most successful treatment for invasive colorectal. Surveillance colonoscopy and biopsy of the resection site three to six months after removal of a sessile malignant polyp by piecemeal resection is recommended. Aaarrggh It seems to be responding to Flagyl and Levaquin, although I had that happen before, too, only to rebound with an abscess. Low anterior resection Rectal neoplasms Bowel dysfunction. One month after proximal or distal resection, mucosal enzyme activity per cm of gut was greater in the remnant bowel compared with controls. Second year after treatment. These steps complete the process of clearing synchronous disease. Below is an example of general progression following surgery Week 1 2-4 ten minute bouts of low intensity walking each day. , relief of symptoms like pain or bleeding). 8, 71. Injury to your bladder, ureters or blood vessels. Intestines pushing through the incision into your belly (incisional hernia). Since a portion of the colon is left in, acquiring a C. diverticulitis, which is a disease of the. Carcinoembryonic antigen (CEA) level (every 3-6 months for two years)elevated CEA levels can indicate cancer. First- you had major surgery in October and lost part of your intestine -in the process the nerve supply probably was interrupted and has not had time yet to regrow. 2 mo. 6 months), but the difference was not statistically significant (P. 6 months), but the difference was not statistically significant (P. Three months after colon resection I had a severe stomach cramp this morning and have not had a bowel movement yet. It indicates, "Click to perform a search". A surgical resection of the intestines is typically performed if the bowels are infarcted, obstructed, perforated, inflamed, bleeding, infected or contain. So far things have been good. May 30, 2022 How long are you in the hospital after a bowel resection Bowel resection usually involves a hospital stay of between three and nine days, so it&39;s important that you make any necessary preparations for this. Have 4 abscesses and an ulcer in my rectum, that have been treated with 5 antibiotics, 16 days in the. Feb 25, 2017 I am now 6 months in following my 2421 laparoscopic robotic colon resection. Blood in stool 6 months after colon resection. cx; bo. HOWEVER, the diarrhea and urgency are ridiculous. Do not exceed four cups of sprouts per day) -Cauliflower. Bernard Jensen (a pioneer in Holistic and Alternative health) was involved in the design of the angle of the table and the rate of water flow. This may include the removal of damaged. The aim of the present study was to evaluate post-operative fertility and long-term clinical outcome after laparoscopic colorectal resection for. The labia majora (labia lips; majora. Incision breaking open (dehiscence) Infection. I belive pain comes when I starting eating crunchy foods or beans. It may be used to treat a bowel blockage, Crohns disease, diverticulitis, cancer, or bleeding. The change in bowel anatomy after resection disrupts normal gastrointestinal function and may cause symptoms. Sep 02, 2021 The functional data after a minimum of 12 months after primary surgery for rectal cancer was used, as evidence has shown that bowel dysfunction becomes more stable 12 months after anterior resection 17, 18. 4; de novo cancers accounted for only 5. Still have some bowel issues as expected but am finding myself feeling a bit fatigued and a little bit touchy or reactive with my emotions. So big NO for beans for now. This means that a proportion of patients will have permanent. The authors note that most planned ileostomy reversal surgeries occur 36 months after a person. You may be able to have a stoma closed a few months after surgery if your colon heals fully. In general, the earliest you should expect to return to normal exercise after bowel surgery is six weeks after the procedure. I had the same problems as Nanuk for about 6 or 7 months. Incision breaking open (dehiscence) Infection. Colectomy may be necessary to treat or prevent diseases and conditions that affect your colon. Through the first six weeks following surgery, you should not perform any exercise (or activity) that involves straining through the abdominal region. Learn how we can help. There was a trend for time between attempt to conceive after surgery and conception to be less in women who underwent laparoscopic bowel resection (n 19; 12. Ovulation is the release of a single, mature egg from a follicle that developed in the ovary. Documentation of the procedure should be completed on all. 5 liters of saline per day. heart attack. heart attack. Colectomy is a major surgery and may take up. Surveillance colonoscopy and biopsy of the resection site three to six months after removal of a sessile malignant polyp by piecemeal resection is recommended. 6 months), but the difference was not statistically significant (P. Week 2 2-4 fifteen minute bouts of low. about 6 months out. Results Patients receiving exclusive EN had a dramatic improvement of nutritional (BMI, albumin, pre-albumin, and Hb) and inflammatory (CRP and CDAI) status compared with baseline after the EN therapy for 4. If the lower part of the rectum needs to be removed or if a very large part of the colon was resected then the colostomy is a permanent structure. So far things have been good. May 02, 2016 Methods. Location Somewhere In TX, USA. Learn how we can help. Risks specific to small bowel surgery include. But this is just my opinion I am no Dr. CPSP had a deep abdominal component in 56 of patients and a parietal component in 20 of patients. 9, 421 patients six months post-op was 2. Most of the time, your body will return to its usual patterns in several days. Recurrence of Crohn's disease (CD) after bowel surgery for CD is frequent, especially in the anastomotic region (i. 0 months) when compared with those who underwent laparotomic bowel resection (n 3; 25. 7 9. 5 liters of saline per day. Starting stats FL 3 BPL 6. 5 Surgery date 12417 121917 FL 4 BPL No idea because I dare not push a ruler into my pad NBPL 5. My surgeon says I am now Crohns free. My stomach got firm and it even hurt to breath. Recovering from Small Bowel Resection Surgery On average, people spend about six days in the hospital, but full recovery after resection surgery takes about four to six weeks. Pain after resection Hi all - I'm also having issues. Intestines pushing through the incision into your belly (incisional hernia). A bowel resection is a surgical procedure to eliminate any piece of the bowel, such as the small intestine, colon, and rectum. 25 Fat pad 1. You drink one cup a day only. Colon Hydrotherapy is a safe and effective method to cleanse and remove the accumulated toxic waste material from the colon (large intestine), without the use of drugs or chemicals. I was wondering how others felt during the first 6 months to a year post surgery. Here&39;s what you can expect. I had the follow-up in October 06, then another in one year. Stage 3 colon cancer Has spread to. Do ask for this help when you are first admitted to hospital so that proper arrangements can be made. Redwood City Pavilion D 420 Broadway Street Redwood City, CA 94063 Phone 650-736-5555 Visit Clinic GI Nutrition Services 650-736-5555. 0 months) when compared with those who underwent laparotomic bowel resection (n 3; 25. Take a Break From Raw Produce. This is the first. 6 months), but the difference was not statistically significant (P. I followed a very low-fiber, low-fat, bland diet. If you have open surgery The surgeon makes a cut of 6 to 8 inches (15. March 22, 2022, 1034 AM &183; 1 min read Auto enthusiasts from across the West Coast will descend on State Farm Stadium this month when the Arizona Super Show returns to metro Phoenix on Saturday,. 1 month after bowel resection. 6 months), but the difference was not statistically significant (P. About six months ago my gastro doc (I recommend you get one) Had me try the FODMAP diet, didn't make that much sense to me. Eat 6 to 8 small meals a day Eating small, frequent meals will put less stress on your shortened bowel. My positive experiences are No citrus at all (swallow vit. Given that the complications of parenteral nutrition may be life threatening or result in treatment failure and the need for intestinal transplantation, a more attractive option is to wean. Chew Foods Well. Laxative - incorrect type of laxative. Small meals help control your symptoms and are easier for your body to digest and absorb. How quickly you . 3 11. About six months ago my gastro doc (I recommend you get one) Had me try the FODMAP diet, didn&39;t make that much sense to me. He underwent laparoscopic ileocecal resection and has survived for 2 years after lung cancer resection without any other recurrence or metastasis. 7 9. The most frequently reported improvements are at least 6 months. Most of the time, your body will return to its usual patterns in several days. May 30, 2022 How long are you in the hospital after a bowel resection Bowel resection usually involves a hospital stay of between three and nine days, so it&39;s important that you make any necessary preparations for this. I&39;ve been taking FiberCon twice daily for forever, drink. The surgeon and onc said to follow the gastro's recommendation for a follow-up colonoscopy, which was six months after surgery. General Surgery 35 years experience. Below is an example of general progression following surgery Week 1 2-4 ten minute bouts of low intensity walking each day. This was followed by forced APC of the resection edge followed by clip closure of the defect. I have SUCH bad lower abdomen burning after eating Not my STOMACH but across my whole pelvic area. Three months after colon resection I had a severe stomach cramp this morning and have not had a bowel movement yet. I had my first resection in June, 2009 - Stage II (about 2 feet of colon removed); the oncologist was satisfied with the surgeon&x27;s plan to follow up with me for a year, so chemo was not recommended. Two years ago, I had 2 feet of my intestines removed, but afterwards have dealt with a lot of constipation and A LOT of unexplained weight gain. Eating small, frequent meals will put less stress on your shortened bowel. It&x27;s good to take multiple short walks a day or walk around your house. Bernard Jensen (a pioneer in Holistic and Alternative health) was involved in the design of the angle of the table and the rate of water flow. Colon resection is a surgery thats done to treat colon cancer. Pain after resection Hi all - I'm also having issues. It will take 6 weeks for the incision to heal, 6 months for the muscles and nerves, for me 12 months for my organs from my stomach down to heal. It is used for people with IBS and other gastro problems. Objectives Intestinal surgery is an important part of Crohn disease (CD) treatment in children. I already had a period this month, but 3 days after surgery I started bleeding again. Feb 25, 2017 After colon resection 1419 I actually feel worse. May 12, 2020 423 PM. Bowel resection is the most successful treatment for invasive colorectal. 8) metachronous cancers diagnosed between 7 and 356 months after the initial CRC diagnosis (40. Bleeding in your intestines. Blood in stool 6 months after colon resection bi aj. about 6 months out. General Surgery 18 years experience. It may be used to treat a bowel blockage, Crohns disease, diverticulitis, cancer, or bleeding. Often there is still a small amount of remaining tissue at the site, either from the edges. You may get pins and needles, weakness or numbness. You may resume sexual activity after surgery when you feel good and . We here aim to provide an overview of the literature on this topic. We here aim to provide an overview of the literature on this topic. 0 months) when compared with those who underwent laparotomic bowel resection (n 3; 25. Absolutely NO vinegar or items with vinegar in them. Medications can help control your bowel movements. I had the same problems as Nanuk for about 6 or 7 months. Often there is still a small amount of remaining tissue at the site, either from the edges. These symptoms may include the following Frequencyurgency of stools; Clustering of stools (numerous bowel movements over a few hours); Stool incontinence; No . 6 months), but the difference was not statistically significant (P. Your colon is shortened and therefore stool may pass at a faster rate. Robotic Surgery. During the night I decided that if I ever took it again, I would take it in the afternoon instead of the evening. A single ovarian cyst can develop multiple sections and may give rise to other sister cysts. During your stay, youll have a catheter in your bladder. These procedures also are. READ ALSO. Feb 25, 2017 Cream of wheat, applesauce, ground meats, canned green beans and canned fruits, white ricemashed potatoes and lactose free drinks and foods seem to help me. Some of the serious side effects that affect one in five. Had done 10 cycles of FOLFOX plus erbitux bi weekly and erbitux solo weekly prior to resection. My positive experiences are No citrus at all (swallow vit. We analyzed patient demographics, tumor markers, tumor characteristics, treatment, recurrence, and survival data to identify risk factors for ED or recurrence within 6 months after liver resection for CRCLM. The Culturelle probiotic and Benefiber help a lot and the enzymes from Whole Foods might help you with gas. Wasserberg et al. Ovarian cancer and primary peritoneal cancer form in. 7 9. After your surgery, help yourself recover more quickly by Reading your recovery pathway. cx; bo. This is the first time this has happened. about 6 months out. Week 4 1-2 thirty to forty minute bouts of brisk walking each day. 8k views Reviewed >2 years ago. It is used for people with IBS and other gastro problems. I had a light breakfast of eggs and applesauce, then started drinking the first cleansing drink at 10am. Peritoneal cancer and link with ovarian cancer. Actually my issue too. They can likewise hold the colon or rectum back from. Before surgery, my doctor said "three days, three weeks, three months", meaning three days in the hospital, three weeks before the pain goes completely away, three months before you&39;re back to normal. One month after proximal or distal resection, mucosal enzyme activity per cm of gut was greater in the remnant bowel compared with controls. There was a trend for time between attempt to conceive after surgery and conception to be less in women who underwent laparoscopic bowel resection (n 19; 12. Like Helpful Hug 1 Reaction REPLY des46893 des46893 Mar 14, 2020 I might have missed it. If the cancer is resectable, chemotherapy is usually given for 6 months. Blood tests for tumor markers. diff infection from surgery is not an impossibility. If a large section of your colon was removed or. So far things have been good. Now, it&39;s six months later, and I&39;ve got another case of diverticulitis. Among 68 participants of this subgroup with significant improvements, 70. Helps to clear your phlegm after an operation during times of decreased mobility. 7 9. A cap-fitted endoscope was used to assess completeness of resection by systematically inspecting the EMR defect for any macroscopic disease. The change in bowel anatomy after resection disrupts normal gastrointestinal function and may cause symptoms. Adjuvant or neoadjuvant chemo is often given for a total of 3 to 6 months, depending on the drugs used. Read More. Suture removal is routinely performed by nurses after being directed by a medical officer. Bleeding in your intestines. 7 9. The average number of bowel movements per day for 43 pre-op patients was 1. The surgeon and onc said to follow the gastro&x27;s recommendation for a follow-up colonoscopy, which was six months after surgery. This was followed by forced APC of the resection edge followed by clip closure of the defect. You will realize the diverticulitis. CPSP had a deep abdominal component in 56 of patients and a parietal component in 20 of patients. My doctor told me that things would get better in time, it just takes awhile for the remaining intestine to adapt. presence of electrolyte imbalance Time Frame 6 months . 3 11. I had the same or similar surgery, a low anterior resection, where they removed the upper half of my rectum and my sigmoid, about 12 inches altogether. Possible complications associated with laparoscopic colon resection procedures include A leak between the joined sections of your colon. Parts of your colon A colon resection can be done using different techniques. Enema - incorrect procedure. There was a trend for time between attempt to conceive after surgery and conception to be less in women who underwent laparoscopic bowel resection (n 19; 12. 3 11. Surveillance colonoscopy and biopsy of the resection site three to six months after removal of a sessile malignant polyp by piecemeal resection is recommended. Read More. CT scans may be done regularly, such as once every 6 months to a year, for those at higher risk of recurrence, especially in the first few years after treatment. Among 68 . Since those two were clear, they put me on the 3-year plan. 8) metachronous cancers diagnosed between 7 and 356 months after the initial CRC diagnosis (40. level 1. A bowel resection is a surgical procedure to eliminate any piece of the bowel, such as the small intestine, colon, and rectum. thought to occur by about 18 months post operatively, after which, further improvement with time is unlikely. bowel movement after colon resection jimt68 On Thursday Jan 8th I had a 12 inch colon resection. Comparison between patients with and without CPSP was made to approach the risk factors of CPSP in this population. This was followed by forced APC of the resection edge followed by clip closure of the defect. Posts 3,590. Surgery was 6-months ago and I am still requiring 3. 75 NBPL 5. We recommend eating 6 times per day, or every 2 to 3 hours. , near Interstate 17 on July 15th. Pain in left side after hysterectomy Pain on right side after c section Connect with a U. An abdominoperineal resection for a second (pN0) AR was carried out after twelve months. Eat 6 to 8 small meals a day. So far things have been good. Posted 12272016 555 PM (GMT -7) It really takes around 6 weeks to feel significantly better. 9, 421 patients six months post-op was 2. Still have some bowel issues as expected but am finding myself feeling a bit fatigued and a little bit touchy or reactive with my emotions. 7 9. Often there is still a small amount of remaining tissue at the site, either from the edges. When a long piece of colon is removed, however, a faster transit time may be a permanent side effect of the surgery. I was monitored every 3 months for a year by my surgeon. Bowel cancer, bowel surgery, colorectal surgery, bowel problems, colon cancer, inflammatory bowel disease, recovery after bowel surgery, Bupa health. A surgical resection of the intestines is typically performed if the bowels are infarcted, obstructed, perforated, inflamed, bleeding, infected or contain. 3 11. About six months ago my gastro doc (I recommend you get one) Had me try the FODMAP diet, didn&39;t make that much sense to me. And smaller, more frequent meals. Dear Retroflexions, Over two years ago, I had a colon resection for the removal of a cancerous tumor (stage 2A). Waiting 30 and eat breakfast. Sep 02, 2021 The functional data after a minimum of 12 months after primary surgery for rectal cancer was used, as evidence has shown that bowel dysfunction becomes more stable 12 months after anterior resection 17, 18. Slowly reintroduce foods after 6 weeks and how much you eat. nashua new hampshire craigslist, warframe dojo planner
3 11. . 6 months after bowel resection
Today, exactly 10. Your surgeon will explain which part of your colon will be removed (see Figure 2). diff Susceptibility. Shelby Concept Car 2022; Turn5 Charity Auto Show October 1,. Most of the time, your body will return to its usual patterns in several days. Absolutely NO vinegar or items with vinegar in them. After bowel surgery, you may be in the hospital overnight or longer. Intestines pushing through the incision into your belly (incisional hernia). Possible problems after bowel cancer surgery include a leak where the surgeon has joined the ends of your colon together, or your bowel not working properly. In time, it should settle into more of a routine that will become normal for you. Created for people with ongoing healthcare needs but benefits everyone. en g&252;zel Tummy bulge above belly button kitaplar incelemek ve satn almak i&231;in tklayn dark spots are gas in the intestine dark. Actually my issue too. Results At 27 months after colon surgery, 25198 patients reported CPSP (12. A surveillance gastroduodenoscopy interval of 6 months is . So far things have been good. Surveillance colonoscopy and biopsy of the resection site three to six months after removal of a sessile malignant polyp by piecemeal resection is recommended. Since those two were clear, they put me on the 3-year plan. heart attack. You may be able to have a stoma closed a few months after surgery if your colon heals fully. Results Patients receiving exclusive EN had a dramatic improvement of nutritional (BMI, albumin, pre-albumin, and Hb) and inflammatory (CRP and CDAI) status compared with baseline after the EN therapy for 4. But some people can develop a long term condition called low anterior resection syndrome, or LARS. 6 months), but the difference was not statistically significant (P. Often there is still a small amount of remaining tissue at the site, either from the edges. Colon resection surgery (colectomy) removes a length of intestine that is diseased or dead, and then re-connects the severed ends to each other or to an ostomy in the abdomen attached to a. (within 6. I can count on diarrhea after starting to eat, maybe 5-10 minutes into my meal. But sometimes they might go on for longer and can be difficult to. Thus, many patients surviving colon cancer have to cope with bowel dysfunction for the rest of their lives. 4 years later and sudden problems; Results 1 to 10 of 10 Thread 4 years. So big NO for beans for now. periods after cyst removal. Disability benefits are automatically rated at a percentage of 100 for the first three months after surgery, then drop to 30 thereafter. Pain You may feel pain at the site of the incision (s) after laparoscopic or abdominal surgery. You may be able to have a stoma closed a few months after surgery if your colon heals fully. I feel the pain during intercourse, BM&x27;s, and even before I have to go. The total recovery time after a one-stage or two-stage procedure is usually around six to eight weeks. A bowel resection is a surgical procedure to eliminate any piece of the bowel, such as the small intestine, colon, and rectum. Have 4 abscesses and an ulcer in my rectum, that have been treated with 5 antibiotics, 16 days in the. Improve prolapse support. Your large intestine is healing, so dont make it work too hard. Surgery itself went well & after 4. cx; bo. While at the hospital I did have several bowel movements of small amounts. I battled years before the surgery. So far things have been good. This was followed by forced APC of the resection edge followed by clip closure of the defect. Feb 25, 2017 After colon resection 1419 I actually feel worse. Of these, 18 (36) presented with endoscopic POR (Rutgeerts score i2b) 6 months after surgery. Ab and waist liposuction before and after photos by Dr. Adhering to a proper diet after a bowel resection is an essential component on your path to recovery. Bowel function was assessed by the LARS-Score. If you are passing gas and no movement try taking a laxative to help with th. Actually my issue too. Methods 506 patients after resection for rectal or sigmoid cancer who were at least one year colostomy-free were included between January 2008 and December 2013. infection better than wounds closed with nylon sutures. Thus, many patients surviving colon cancer have to cope with bowel dysfunction for the rest of their lives. Feb 25, 2017 Posted by joyce1 joyce1, Feb 25, 2017. Below is an example of general progression following surgery Week 1 2-4 ten minute bouts of low intensity walking each day. Possible complications associated with laparoscopic colon resection procedures include A leak between the joined sections of your colon. Surveillance colonoscopy and biopsy of the resection site three to six months after removal of a sessile malignant polyp by piecemeal resection is recommended. in the clinical setting at six months after resection to identify those patients . Manipulation of the bowel disrupts the natural bacterial balance. This joint update of guidelines by the American Cancer Society (ACS) and US Multi-Society Task Force on Colorectal Cancer addresses only the use of endoscopy in the surveillance of these patients. 944 views Answered >2 years ago. In general, the earliest you should expect to return to normal exercise after bowel surgery is six weeks after the procedure. Intestinal leak. CT scans may be done regularly, such as once every 6 months to a year, for those at higher risk of recurrence, especially in the first few years after treatment. Common symptoms of bowel dysfunction following SPS include urgency,. So big NO for beans for now. Since those two were clear, they put me on the 3-year plan. Search Dog Tumor Burst Open. Two years and 11 months after discontinuation of chemotherapy, an abdominal CT revealed a tumor that gradually grew behind the right kidney. Early recognition of recurrence is important because a delayed diagnosis can lead to irreversible bowel damage. About six months ago my gastro doc (I recommend you get one) Had me try the FODMAP diet, didn&39;t make that much sense to me. Often there is still a small amount of remaining tissue at the site, either from the edges. Risks specific to small bowel surgery include. The day before colectomy surgery. The benefits and disadvantages of cervix removal or retention at the time of hysterectomy have been investigated in several studies; one of the most notable studies was a randomized controlled trial of abdominal hysterectomies which found no differences in bowelbladder function, quality of life or sexual function between the two groups. 27072013 at 245. Read More. Thus, an additional stapled colorectal anastomosis was performed. infection better than wounds closed with nylon sutures. damage to surrounding structures. Eat 6 to 8 small meals a day. Shelby Concept Car 2022; Turn5 Charity Auto Show October 1,. Log In My Account yb. Pilonidal disease is. Eat 6 to 8 small meals a day. Preparing for Surgery Before the surgery, youll go into your surgeons office. Intestines pushing through the incision into your belly (incisional hernia). Incision breaking open (dehiscence) Infection. After surgery you&39;ll be taken to a recovery room to be monitored as the anesthesia wears off. Week 4 1-2 thirty to forty minute bouts of brisk walking each day. Search Dog Tumor Burst Open. Low anterior resection Rectal neoplasms Bowel dysfunction. Surveillance colonoscopy and biopsy of the resection site three to six months after removal of a sessile malignant polyp by piecemeal resection is recommended. March 22, 2022, 1034 AM &183; 1 min read Auto enthusiasts from across the West Coast will descend on State Farm Stadium this month when the Arizona Super Show returns to metro Phoenix on Saturday,. While at the hospital I did have several bowel movements of small amounts. Sep 02, 2021 The functional data after a minimum of 12 months after primary surgery for rectal cancer was used, as evidence has shown that bowel dysfunction becomes more stable 12 months after anterior resection 17, 18. My only question would be is your abdominal wall musculature and fascia after the colon surgery intact If so, you can successfully have a tummy tuck. Diarrhea is also common after a colon resection. Nothing for now Blood in the stool is never "normal". Constipation after a hysterectomy occurs for a number of reasons, most of which aren't entirely understood. 6) and pain was severe in 5 patients (2. Through the first six weeks following surgery, you should not perform any exercise (or activity) that involves straining through the abdominal region. Created for people with ongoing healthcare needs but benefits everyone. Sort by best. My surgeon has done two sigmoidoscopies and my gastro doctor has done two colonoscopies. - incorrect solution. Waiting 30 and eat breakfast. The women in the subtotal-hysterectomy group had a shorter hospital stay (5. . 5 at postoperative 6 months. 7 9. Furthermore, bowel diseases can put your life in danger. 5 liters of saline per day. However, there are instances where there is no bowel movement after using a laxative or enema. , near Interstate 17 on July 15th. 5 liters of saline per day. So far things have been good. These steps complete the process of clearing synchronous disease. So far things have been good. 5 Surgery date 12417 121917 FL 4 BPL No idea because I dare not push a ruler into my pad NBPL 5. . australian shepherds for sale near me