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Sep 29, 2022

Seeking Advice on Colostomy Reversal and Coping with Anxiety

This topic is about dealing with anxiety before undergoing surgery for a colostomy reversal, hernia repairs, and the placement of a temporary ileostomy. The person sharing their story is understandably nervous due to past traumatic experiences with surgery and is seeking advice and reassurance. Here are some helpful insights and advice shared by others:

1. The appearance of an ileostomy can be different from a colostomy, often protruding more. This is normal and something to be prepared for.

2. The frequency of emptying an ileostomy pouch varies greatly among individuals. Some people may only need to empty it twice a day, while others might do so more frequently, especially if they have had significant small-bowel loss. It's important not to assume that you will have an extremely high output.

3. Concerns about spills or messes when emptying the pouch are common. With practice and the right techniques, managing this can become easier.

4. Nighttime drainage bags, often referred to as "tubes," are typically used only when the output is very loose and high in volume. Most people with an ileostomy do not need them, as loose output can block the tubing.

5. Early mobilization, such as sitting out of bed and taking short walks the day after surgery, is a standard part of recovery and can aid in healing.

6. Many patients manage well with a temporary ileostomy, and expecting a smooth 8-week period before reversal is realistic.

Wishing you a successful surgery and a smooth recovery process.
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