This topic is about someone who has been living with ulcerative colitis for over four years and is now preparing for a total colectomy, which means having their entire colon removed. After trying various medications without success, they are looking forward to the surgery as a way to improve their quality of life. Here are some helpful insights and advice shared by others who have gone through similar experiences:

1. Life after total proctocolectomy/ileostomy:
- Many people who have had their colon, rectum, and anus removed report living full and unrestricted lives, even decades after the surgery.
- Some wish they had opted for the surgery sooner due to the significant improvement in their quality of life.
- While recovery can be challenging, especially if you're not in great health before the operation, the long-term benefits include freedom from ulcerative colitis symptoms.

2. Managing the immediate post-surgery period:
- Adjusting to life with an ileostomy bag may take some time, but it often becomes second nature once the initial healing phase is over.

3. Supplies and products:
- There are many brands of ostomy bags available. It's a good idea to research and request free samples to find the one that suits you best.
- For added discretion and support, consider looking into ostomy wraps or underwear from specialized companies.

4. Diet tips from long-term ileostomates:
- High-fiber foods like salads and fruits can cause rapid output or blockages, so it's best to eat them in small amounts and start meals with bread, other carbohydrates, or protein.
- Food tolerance varies from person to person, so it's important to experiment with timing and portions to find what works for you.

5. Emotional support:
- Joining local ostomy support groups and online communities can be very helpful for practical advice and maintaining a positive outlook.