Topic Explanation
The discussion topic, "My ileostomy and my anxiety," revolves around a person who recently underwent ileostomy surgery and is experiencing significant anxiety as a result. The individual is seeking advice and support on how to cope with the new changes and emotional challenges associated with the ileostomy.

Advice and Helpful Insights
1. Education and Support Groups:
- Utilize resources like the United Ostomy Association of America (UOAA) to learn about various aspects of living with an ostomy, including diet, skin care, and more.
- Consider joining a local support group to connect with others who can share their experiences and advice.

2. Gradual Adaptation and Self-Care:
- Start by taking small steps in managing your ostomy, such as learning to change the appliance gradually with the help of a nurse or caregiver.
- Allow yourself to feel emotions such as sadness but try not to dwell on them. Practice gratitude to help shift towards a more positive mindset.

3. Community and Online Support:
- Engage with online forums and communities where many are willing to offer support, share their experiences, and answer specific questions you might have.
- Try to connect with people of your age or similar circumstances to feel less isolated.

4. Practical Tips on Ostomy Management:
- Learn the techniques to keep the skin dry and clean during appliance changes to increase the wear time of the ostomy appliance.
- Consider using additional accessories like ostomy belts or extra clips for security and to prevent accidents.

5. Personal Acceptance and Privacy:
- Be open and upfront about your ostomy when you feel it's necessary, but also remember that your medical history is your private matter.
- Focus on the positive impact the ostomy has had on your life, such as saving your life, and handle ignorance or curiosity from others with a positive attitude.

6. Handling Physical and Social Challenges:
- Adapt to physical challenges such as managing the ostomy during travel or in situations like wearing a seatbelt.
- Use humor and a positive perspective to deal with potentially awkward or challenging social situations related to ostomy management.