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Apr 14, 2022

Bowel Prep with Ostomy: Tips and Humor

This topic is about the journey of someone undergoing surgery for a loop ileostomy reversal and the repair of a rectovaginal fistula. The person shares their experiences from the day of surgery, through recovery, and the realities of wound care. Here are some insights and advice shared from their experience:

- On the day of surgery, the person humorously described completing a bowel prep with a 2-liter soapy-water solution through their loop ileostomy. They were preparing for surgery at 5:30 a.m. in Washington State.

- After the surgery, which successfully included the ileostomy reversal, the person felt exhausted and in pain but was able to communicate updates.

- They were discharged to go home, although their intestines were still "sleepy," meaning normal bowel movements hadn't resumed yet.

- For wound care, the stoma opening was intentionally left open and needs to be cleaned and lightly packed with gauze daily for 4 to 8 weeks to heal properly from the inside out.

- The current diet includes yogurt, protein shakes, scrambled eggs, and Life cereal, as other foods tend to cause nausea.

- Some unusual symptoms include passing blue-dye surgical residue and experiencing phantom sensations of the stoma.

- Practical challenges include dealing with a non-powered recliner, an impatient cat, and grandchildren who are unimpressed by the limited mobility.

- The person is open to sharing updates in either detailed or bullet-style formats and is willing to share post-op abdominal photos.

- After the first bowel movements, they humorously noted that "pooping is overrated."

Here are some helpful tips and insights for those going through a similar experience:

1. Early post-reversal stool may cause a burning sensation due to excess stomach acid. It's helpful to keep a large jar of Vaseline, and a travel-size one, handy to protect the skin.

2. Temporary bowel-control issues are common and usually improve over time.

3. Daily wound packing might not be pleasant, but gentle, light gauze packing and consistent cleaning are crucial for healing. Expect this process to take 4 to 8 weeks.

4. The appearance of midline or stoma-site packing can be alarming, but focusing on sterility and following surgical instructions is key. Although it may look dramatic, healing usually progresses well.

5. It's normal to initially miss the convenience of an ostomy, and an adjustment period is expected.

6. Maintain hydration and stick to a bland, protein-rich diet until your appetite returns, gradually reintroducing other foods.

7. Emotional support is important. Keep a sense of humor, lean on your community, and remember that scars can be worn proudly. Consider tattoos or bikinis as a way to embrace them.

8. No specific brands or products were mentioned for supplies, but standard sterile gauze and petroleum jelly were the main care items discussed.
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