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Mar 14, 2023

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This topic is about someone sharing their experiences six weeks after having a laparoscopic ileostomy due to severe ulcerative colitis. They are feeling completely healthy and happier, even though they are not fond of the ostomy bag. After getting the green light from their doctor to return to normal activities, they have made some interesting observations and shared advice for others in a similar situation.

- They are eating a full diet without restrictions, even when not chewing food thoroughly, and have not experienced any blockages. Their output remains a paste.
- They are drinking all types of beverages, including sugary and carbonated drinks, without any problems.
- They have consumed wine, hard liquor, and both draft and canned beer, and even when they got quite drunk, they did not experience overnight gas and slept well.
- They have returned to the gym, working out at about 50% of their previous intensity as a bodybuilder, and are feeling fine.

The person shares this to encourage others who are new to living with an ostomy. They also mention that they plan to progress more slowly in their fitness journey, focusing on lower weight and higher repetitions to build muscle safely.

Here are some additional insights and advice from the discussion:

- Feelings about the ostomy bag can change over time. Many people find that their initial dislike of the bag lessens as they adjust.
- There is a risk of developing a peristomal hernia, which is common with ileostomies. Heavy lifting and strenuous abdominal exercises can increase this risk. It's important to keep abdominal muscles toned but avoid over-straining. Reducing weight and increasing repetitions can help, and it's crucial to watch for any signs of hernia development.
- When it comes to exercise, it's important to resume workouts gradually and listen to your body. Pre-ostomy routines, especially those involving intense core work, may need to be permanently adjusted. Building muscle safely with lighter weights and higher repetitions is both feasible and recommended.
- Alcohol sensitivity can vary from person to person. In this case, the individual reports that their tolerance for alcohol has not changed, highlighting that experiences can differ.
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