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Nov 21, 2022

Recovery Update - Home After Reversal Surgery

This topic is about someone sharing their experience during the first few days at home after having ostomy reversal surgery. They provide insights into their recovery process and offer advice for others who might be going through a similar journey.

- Pain is minimal when the abdominal muscles are not engaged, but frequent trips to the bathroom can make the stomach area tender.

- In the hospital, they tried to stimulate bowel function with a pro-motility drug. When there was no gas or stool after three days, they added a stool softener with a mild laxative, which resulted in burning, watery output every 15 minutes for about four hours.

- Upon discharge, they ordered supplies for skin protection and hygiene, including a barrier cream, non-toxic moist wipes to avoid the hospital’s rough toilet paper, and extra-long winged panty liners for any near-misses.

- The incision was closed using the purse-string technique and is already looking better, with expectations of full closure within a week.

- The drive home was stressful due to the fear of an accident in the car, leading to speeding and a ticket from a Texas State Trooper.

- They plan to post wound photographs soon and are currently resting at home with their pets for comfort.

Advice and helpful insights:

1. Movement and positioning:
- When getting out of bed, roll to the side first to reduce strain on abdominal muscles.

2. Skin protection and pain relief:
- Calmoseptine Ointment, available over-the-counter, is effective for sore areas and works better than 5% lidocaine creams.
- Hydrocortisone cream can soothe rashy, irritated perianal skin.
- Using softer, higher-quality toilet paper can significantly reduce irritation.
- Keep barrier creams, moist or baby wipes, and consider adult diapers or extra-long panty liners ready for early post-reversal urgency episodes.

3. Diet and stool consistency:
- Expect 4–6 bowel movements per day for several months; high-fiber foods can help firm up the output.
- Some people choose to avoid eating if they will be away from home for a long time to reduce the risk of accidents.

4. Expectations and timeline:
- Normalization after reversal can take 4–6 months, with gradual improvements in control over time, though urgency and frequency may persist.

5. Emotional and practical tips:
- Maintain a sense of humor; many find that laughter helps them cope with setbacks and embarrassing moments.
- Keep medical documentation handy, such as a doctor’s note or visible surgical wounds, if urgent bathroom needs affect driving behavior, as some officers may show leniency.
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