Topic Explanation:
The forum topic is about a person who underwent rectum removal for colon cancer and is experiencing trouble with their ileostomy, leading to painful bloating and belly distention. They are seeking advice on irrigating their ileostomy to address the issue of no output and potential clogging.
Advice and Insights:
- Diet adjustment and increased liquid intake are recommended to address the issue of no output and potential clogging.
- Drinking hot tea/warm water with lemon between bites and consuming distilled water or fruit juice can help with hydration and prevent blockage.
- Avoiding carb-heavy foods and reducing fiber intake is suggested to prevent thickening of output.
- Drinking prune juice in the afternoon is recommended to clean out the small intestine and eliminate distention.
- Following a soft diet, staying well-hydrated, and consuming nutrient-dense, higher protein foods are advised.
- Irrigation is generally not recommended for ileostomies, except for stomas in the descending or sigmoid colon, and should be approved by a surgeon and performed in the presence of a WOCN (Wound, Ostomy, and Continence Nurse).
- Post-operative patients with ileostomies are prone to blockages caused by the food they eat, and a specific recovery diet is recommended for at least six weeks after surgery.
- Adhesions can be a possible cause of obstructive symptoms, especially in the months following surgery, and may result in complete obstructions.
- Chewing food well and following a daily routine, including consuming Metamucil as recommended by a doctor, can help regulate output.
Conclusion: N/A
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