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Aug 18, 2010

From Colostomy to Ileostomy: My Surgery Journey

This topic is about someone who had ileostomy surgery and faced a challenging recovery process, both in the hospital and at home. Here’s a breakdown of their experience and some helpful advice:

The surgery took place on July 13 and lasted six hours due to complications with adhesions. The surgeon managed to bring the small bowel through the existing stoma site. After the surgery, the patient encountered several complications:

- They developed pleural effusion and a partial lung collapse.
- They experienced deep-vein thrombosis, which required treatment with anticoagulants.
- Undiagnosed ulcers led to three severe gastrointestinal bleeds, necessitating five units of blood, admission to the ICU, and ulcer clamping.

After spending three and a half weeks in the hospital, the patient was discharged. However, at home, they noticed several issues:

- Peristomal skin breakdown
- Increasing weakness and dizziness
- Vomiting and orthostatic hypotension
- Signs of dehydration

Home-health nurses recorded low blood pressure and suggested hospitalization, but the patient opted for a 24-hour trial of home IV hydration to avoid going back to the hospital.

Here are some pieces of advice and insights for anyone in a similar situation:

1. Hospital readmission can be beneficial for closer monitoring and immediate intervention if symptoms like dehydration, bleeding, or clotting worsen. Consider inpatient care when symptoms escalate.

2. Keeping hydrated is crucial, especially in hot weather. Continue with IV fluids and keep a close eye on urine output, ostomy output, and blood pressure. If these values worsen, seek hospital care.

3. Focus on recovery milestones and accept professional help when needed. Remember that setbacks are common but often temporary, and support and encouragement can make a big difference.
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