Topic Explanation
The discussion revolves around the FDA GI committee's approval of Solesta, a treatment involving four injections into the rectum that has shown to reduce fecal incontinence by 50% in clinical trials. The treatment was specifically tested on women aged 50-60 who were not ostomates. The original poster shares their personal struggles with fecal incontinence following a surgical reversal and expresses that they would have welcomed such a treatment option to potentially avoid embarrassing accidents. The post also touches on the challenges faced by ostomates in managing their condition in social settings and the psychological impact of public humiliation due to incontinence.

Advice and Insights from Replies
1. Emotional Support and Understanding:
- Many forum members empathize with the humiliation and challenges faced by ostomates in social situations, highlighting the importance of emotional support and understanding from peers.
- Sharing personal experiences and struggles can help others feel less isolated and more understood.

2. Managing Social Situations:
- One strategy mentioned for handling potential embarrassment in public includes being upfront about one's medical condition to preempt negative reactions and foster understanding.
- Embracing the ostomy as a solution rather than a burden can shift perspectives and reduce feelings of embarrassment.

3. Personal Acceptance and Adjustment:
- Accepting the ostomy and adapting to life with it can lead to a better quality of life compared to struggling with incontinence.
- Engaging in humor and sharing 'funny' stories about living with an ostomy can help in coping with the challenges and reducing the stigma associated with the condition.

4. Trust and Privacy Concerns:
- Experiences of betrayal or gossip about one's medical condition can exacerbate feelings of isolation and mistrust, highlighting the need for discretion and sensitivity in personal and professional circles.

5. Decision Making on Medical Procedures:
- Personal stories from the forum suggest a cautious approach to surgical reversals, as the fear of losing bowel control can be significant. This underscores the importance of thorough discussions with healthcare providers about the risks and benefits of such procedures.