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May 31, 2012

Adjusting to Life After Emergency Surgery and Ostomy Bag

Adjusting to life after emergency surgery and living with a temporary ostomy can be quite a journey. The person in this situation had a partial hysterectomy, followed by emergency bowel surgery due to undetected bowel perforations, which led to severe sepsis. After a challenging recovery involving blood transfusions and other medical interventions, she now has a left-sided colostomy, which is expected to be reversed in about six months. At that time, a right-sided temporary ileostomy will be created for about eight weeks to ensure all infection has cleared. Six weeks into her recovery, she is learning to care for her stoma, staying positive, but still facing emotional challenges and seeking practical advice from others with similar experiences.

Here are some helpful insights and advice:

1. Hydration & Output Control
- Ileostomy output tends to be frequent and watery, so it's important to drink plenty of fluids and consider using oral re-hydration solutions.
- Gel sachets, which are liquid-absorbing granules, can be placed inside the pouch to thicken the output and reduce leaks.
- Medications like Loperamide or Imodium can help slow down the output; it's best to follow the dosage advice from a stoma nurse.

2. Skin Care
- Clean the area around the stoma thoroughly at each change and allow the skin to dry before applying a new wafer.
- If irritation occurs, use barrier products promptly to prevent major skin issues.

3. Emptying Technique & Night-time Gas
- Empty the pouch frequently and try kneeling at the toilet with the outlet pointing between your legs for better control.
- At night, you can "burp" the pouch to release gas instead of getting up each time.

4. Clothing & Support
- High-waisted Lycra underwear or other supportive garments can help keep the pouch flat and reduce any tugging.

5. Diet
- Eating small, frequent meals can help maintain steadier output.
- Introduce new foods slowly and observe how they affect the output's volume and consistency.

6. Rectal Pressure Sensation
- Feeling a "phantom" urge or experiencing retained mucus or old stool is common after colorectal surgery. This often resolves on its own but should be reported to the surgeon. An iodine contrast study or similar imaging might be needed to clear any residual stool.

7. Emotional & Legal Support
- Some individuals have experienced similar surgical injuries and are pursuing legal action. They encourage seeking legal advice for accountability and to address any financial losses.

These insights aim to provide practical support and comfort during this challenging time.
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