This topic is about someone sharing their journey through an ileostomy reversal surgery and the early stages of recovery. They express gratitude for the support they've received and share their feelings of fear and hope as they approach the surgery. Here's a summary of their experience and some advice they received:

- **Post-operative Experience (Days 1-7):**
- Pain management included an epidural and a morphine pump, though the epidural was only partially effective.
- The surgery involved two incisions, both stapled, and the patient spent four days in the ICU.
- They started on clear fluids by Day 3 and moved to full fluids by Day 6, with daily heparin injections.
- The first bowel movement occurred on Day 5 with assistance, and by Day 7, they were having multiple loose bowel movements daily.
- Pain management transitioned from PCA to injectable analgesia, and they were discharged on Day 7.

- **Three-week Update (Around Day 21):**
- The patient is experiencing 15-20 liquid bowel movements per day, with severe cramping and nausea, especially in the morning.
- They are using AnusolPlus ointment and Tucks witch-hazel wipes for skin protection and are seeking additional product suggestions.
- They have stopped using stool softeners and are taking Percocet, though their surgeon has advised switching to over-the-counter Tylenol.
- The stoma-site wound is healing slowly, and the surgeon is using silver-nitrate sticks to aid closure.
- The patient has lost 35 pounds and is experiencing abdominal swelling and asymmetry.
- They are looking for dietary tips to manage bowel movements and reduce discomfort.

- **Four-week Query:**
- The patient is concerned about the duration of abdominal swelling and continues to experience frequent bowel movements.
- They are seeking confirmation of the active ingredient in Sudocrem to find a similar product in North America.

- **Advice and Insights:**
- Recovery is slow but steady, and patience is key. Healing happens gradually.
- Expect significant pain for several weeks and transition from prescription to over-the-counter pain relief as possible.
- Avoid heavy lifting and strenuous activities during early recovery.
- For skin protection, use zinc oxide-based creams like Sudocrem or similar products available in the U.S.
- Continue using Tucks wipes and AnusolPlus, and try different products to find what works best.
- Initially, expect frequent loose bowel movements, but this should improve over time.
- Sitting on a commode may help with easier and less painful gas release.
- Silver-nitrate sticks are commonly used for wound care, and oozing may continue for some time.
- It's normal to feel frustrated with the recovery process. Staying connected with a supportive community can help boost morale.