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Jun 27, 2013

ostomy questions

The topic at hand is about a woman who is considering ostomy reversal surgery. She is concerned because her surgeon has advised her to lose weight before the procedure, citing that a lower weight would allow for a less invasive surgery and reduce the risk of complications. She is seeking advice from others who might have faced similar situations. Here are some insights and advice shared by others:

1. Consider getting a second opinion:
- Some people have had reversals at a similar or higher weight without weight being a factor for their surgeons.
- It might be helpful to consult a colorectal team at a larger hospital for a different perspective.

2. Understanding the reversal surgery:
- Generally, reversal surgery is less complex than the original surgery since the abdomen is not fully reopened.
- However, if hernias are present, the surgery can become more complicated and painful, possibly requiring an open procedure and additional repairs.

3. Hernias and support garments:
- Hernias can be caused by weak abdominal muscles or genetic factors, not just by lifting heavy objects.
- It's important to have a well-fitted hernia belt to avoid discomfort, and weight loss can help reduce the risk of hernias.

4. Weight-loss strategies:
- Try eating small portions throughout the day instead of three large meals.
- Avoid or reduce intake of additives like high-fructose corn syrup and MSG.
- Don't skip breakfast; simple options like a bagel or oatmeal are good when eating small portions.
- Incorporate smoothies into your diet for nutrition and variety.
- Include fat-burning foods such as grapefruit, watermelon, berries, and green tea in your diet.
- Engage in daily exercise like swimming, running, or brisk walking for 30 minutes.

5. Reversal may not be possible for everyone:
- Some individuals, due to medical conditions like colon cancer, may not be candidates for reversal surgery, highlighting the importance of personalized medical advice.

6. Psychological and practical support:
- Long-term ostomy users often face challenges like leaks, dietary restrictions, and social anxiety.
- Engaging with support forums can provide valuable coping strategies and emotional support.
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