This topic is about the experiences and challenges faced after a colostomy reversal surgery, which is a procedure to reconnect the bowel after a colostomy. The initial colostomy was due to ruptured diverticulitis. Here’s a breakdown of the events and some helpful advice shared by those who have gone through similar experiences:

- In the first few days after surgery, experiencing routine surgical pain is common.
- Around days 3 to 4, there might be a development of paralytic ileus, which can cause severe abdominal pain and distention. Delaying the insertion of a nasogastric (NG) tube can be a mistake, as it helps relieve these symptoms.
- When the NG tube is inserted, it can lead to significant gastric drainage and vomiting, but it provides relief from the obstruction.
- It’s possible to remain without food or drink (NPO) for an extended period, such as 11 days, and spend time in the ICU, where delusions due to conditions like sepsis and lactic acidosis can occur.
- The first bowel movement might happen around day 8, followed by regular movements.
- On night 9, there could be an unexpected and uncontrollable bowel movement, and testing might reveal an infection like Clostridioides difficile (C. diff), which is common after multiple abdominal surgeries.
- Discharge from the hospital might happen after about 16 days.

Advice and insights from others include:

1. Walk as much as possible after surgery, even if it’s just short distances, to help with recovery.
2. If you experience cramping and diarrhea, request a test for C. diff to rule out infection.
3. Remember that a reversal is major surgery, and while complications can occur, they are manageable.

Additional insights:

- Early mobilization is crucial. Getting out of bed and walking soon after waking up can reduce complications and help with drainage from incisions.
- The NG tube, although uncomfortable, is essential for relief from obstructions. Expect some throat soreness and stomach ache after its removal, and take care to protect your nasal skin.
- Walking or staying upright can help with drainage from open segments of abdominal incisions, preventing fluid from pooling.
- Experiencing hallucinations during an ICU stay is common and usually resolves over time.
- Be patient with the recovery process, as the most challenging phase typically passes within the first few weeks.