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Feb 11, 2023

Colostomy Reversal - Need for Temporary Ileostomy Bag

Topic Explanation
The initial post is from a user seeking advice and experiences related to the possibility of reversing a colostomy bag and the potential need for a temporary ileostomy bag. The user's mother has been living with a colostomy bag for six months due to a perforation in the distal sigmoid colon. They are seeking insights on the experiences of others who have undergone a colostomy reversal and needed a temporary ileostomy bag.

Advice and Insights
- Some individuals have had an ileostomy after a temporary colostomy and found it to be less bulky and more manageable, with different output consistency and odor.
- The frequency of emptying an ileostomy bag varies depending on individual diet and output consistency, with some individuals emptying 8-10 times a day.
- Ileostomy output can be more liquid and frequent, and different foods can create different consistencies.
- Loop ileostomies can be difficult to fit with a barrier, and it's important to find the right products that work for the individual's needs.
- Seeking a second opinion from a colon and rectal surgeon is recommended, especially if the initial surgeon's recommendation is based on concerns about contamination and scarring.
- The decision to reverse a colostomy or ileostomy should consider the potential complications, such as the risk of leaks and the impact on bowel function and control.
- It's important to discuss the potential need for a temporary ileostomy with the surgeon and understand the reasons behind the recommendation, as well as the likelihood of success and potential complications.
- Pelvic floor exercises, such as kegel exercises, may be recommended to strengthen muscles for better control post-reversal.
- Seeking support from healthcare professionals, such as ostomy nurses and nutritionists, can provide valuable guidance in managing the ostomy and preparing for reversal surgery.
- Some individuals have experienced challenges with output consistency and frequency post-ileostomy reversal, leading to Short Bowel Syndrome and the need for medication to manage bowel movements.

Note: The advice and insights have been condensed to include the most relevant and helpful information from the forum discussion.
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