This topic is about dealing with fatigue after having colostomy surgery and surgery for a twisted intestine. Even though physical recovery seems to be going well, the person is experiencing ongoing tiredness and is curious if this is normal. Here are some helpful insights and advice from others who have been through similar experiences:

1. Recovery timeline
- It can take anywhere from 5 to 12 months for energy levels to feel "normal" again. Everyone heals at their own pace, so it's important to give yourself plenty of time and not rush the process.

2. Medical checks
- It's a good idea to have routine blood work done, including checks for CBC, iron levels, B-12, and other vitamins and minerals, to rule out any deficiencies that might be causing fatigue.
- Keep up with periodic testing, as absorption can change over time, especially if the length of the bowel was reduced during surgery.

3. Hydration
- Staying well-hydrated is crucial. Not drinking enough fluids or having reduced absorption after bowel surgery can often lead to fatigue.
- Focus on drinking plain water and try to limit drinks that are carbonated, sugary, artificially sweetened, or caffeinated, as they can contribute to dehydration.

4. Nutrition & supplements
- Keep an eye on B-12 levels, as low levels can quickly lead to feeling tired.
- People with ileostomies or colostomies might have trouble absorbing water-soluble vitamins, so consider supplements under medical guidance if tests show low levels.
- Avoid energy drinks, as they have been linked to dehydration and even postoperative blood clots.

5. Gradual exercise & activity pacing
- Taking "baby steps" with exercise, like light gym workouts and daily walking, can help regain stamina. It's important to balance activity with enough rest.
- Develop a realistic plan that includes both activity and rest to avoid mental and physical exhaustion.

6. Psychological aspect
- Fatigue can be both physical and mental. Recognizing the emotional impact and pacing yourself can help reduce feelings of being overwhelmed.