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Dec 28, 2021

Can we talk about diversion colitis?

The topic at hand is about managing diversion colitis-related bleeding and considering options for reversing an ostomy. Diversion colitis can occur after an ostomy surgery, which is initially performed to stop intestinal bleeding. However, the diversion itself can sometimes lead to more bleeding. The medical team suggests that reconnecting the bowel, or reversal, might be the definitive solution. Here are some shared experiences and advice from others who have dealt with similar situations:

1. One person shared that their colorectal surgeon suggested doing several enemas each day to irrigate the unused part of the bowel and reduce inflammation caused by diversion colitis. However, they found this routine difficult to maintain with their work and daily life, so they decided not to follow it. Despite the inflammation, they feel well enough without this regimen.

2. The same individual mentioned that they experience colitis whether their colon is in use or diverted. This suggests that diversion colitis can continue or coexist with other inflammatory bowel conditions even after an ostomy is created.

3. Another person, who has a colostomy due to severe damage from diverticulitis, expressed understanding and asked for more details about diversion colitis. This highlights the importance of patient-to-patient education and sharing experiences to help navigate such complications.
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