This topic is about a person who is experiencing severe abdominal distention eight days after having an ileostomy reversal surgery. This surgery was done following a procedure related to a C. difficile infection. The person is concerned about whether this is a normal part of recovery or if it indicates a dangerous complication. Here are some key points and advice shared in the discussion:

- The person is experiencing extreme abdominal bloating, to the point where their abdomen looks as if they are nine months pregnant. The staples from the surgery are pulling apart, and the midline incision is leaking.
- There is very little stool or gas output, which is unusual.
- Despite these symptoms, the person's vital signs and lab results are normal, and they do not have a fever.
- They are on a liquid diet and had a nasogastric tube in place for several days, which was removed after some success.
- The person is trying to stay active by walking in the hallway, doing light squats, marching in place, and practicing gentle yoga.
- They spent four days in the ICU and are now on a regular hospital floor.
- An abdominal X-ray was done and reported as normal.
- Current treatments include an IV magnesium drip and subcutaneous Relistor (methylnaltrexone).
- The surgeon believes the bowels are still "asleep," a condition known as post-operative ileus, and suggests waiting.
- The patient is feeling fatigued and isolated due to COVID-19 visitor restrictions, which is affecting their mental health.
- The person who posted this feels that something isn't right and is looking for experiences, support, and practical suggestions.

Advice and insights from the discussion include:

1. Eight days of severe distention is not typical. While a prolonged ileus is possible, other issues like an obstruction, twist or kink, hernia, or an anastomotic stricture should be ruled out quickly to prevent serious complications like perforation or leakage.
2. Further evaluation is necessary:
- A CT scan or MRI with contrast should be ordered, as a plain X-ray might miss obstructions.
- Endoscopic assessment or scopes may be needed if a stricture is suspected.
3. It's important to escalate care by insisting that the primary surgeon reassess the situation personally. If needed, request second and third opinions from other surgical or gastrointestinal specialists.
4. Be assertive in seeking care. If the patient is too weak to advocate for themselves, friends or family should step in to help.
5. Generally, 3 to 4 days without bowel function post-surgery can be normal, but 8 days with increasing distention is excessive and requires urgent attention.