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Jan 03, 2022

Switching from colostomy to ileostomy - experiences and concerns?

Topic Explanation:
The topic is about a person who had a colostomy 10 months ago due to rectal dysfunction and is now considering switching to an ileostomy due to ongoing issues and a hernia. They are concerned about the potential added issues of an ileostomy.

Replies - Advice and Insights:
- Ileostomy output can be more liquidy and may lead to low body salts due to shorter food intake.
- Some people with an ileostomy may experience diet restrictions, especially those with a history of Crohn's or colitis and scarring.
- Loop ileostomy can be considered initially to have the option of reversal if necessary.
- Ileostomy maintenance can be minimal, with the ability to control output consistency through diet and hydration.
- Ileostomy may require more frequent emptying of the bag, but the frequency may not differ significantly for some individuals compared to their pre-surgery bowel movements.
- It's possible to eat anything after adjusting to an ileostomy, and laxatives may not be needed.

Helpful Insights:
- Personal experiences with switching from colostomy to ileostomy have been positive for some individuals, leading to improved quality of life and minimal maintenance.
- The location of the stoma and potential hernia issues can be considered when deciding on the switch.
- Chewing food well and staying well-hydrated are important for managing diet with an ileostomy.
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