Topic Explanation
The discussion centers around the use of nasogastric (NG) tubes following abdominal surgeries, particularly those involving ileostomies and jpouch procedures. The original poster (OP) shares their distressing experience with an NG tube after their ileostomy surgery, where their digestive system was "asleep" for two days. They express concern about the potential need for an NG tube in future surgeries and seek advice from others who have undergone similar procedures.

Advice and Insights

- Frequency and Necessity of NG Tubes:
- NG tubes are common in abdominal surgeries, especially when the intestines are involved, due to the risk of ileus (intestinal paralysis).
- The necessity of an NG tube can vary by surgeon and specific circumstances of the surgery.
- Some participants reported a 50/50 chance of needing an NG tube after such surgeries.

- Experiences with NG Tubes:
- Many participants shared negative experiences with NG tubes, describing them as extremely uncomfortable and painful.
- Some had to have the tube reinserted after accidentally or intentionally removing it, which often led to further complications and discomfort.
- A few participants mentioned that they had to be sedated for the insertion of the NG tube due to the distress it caused.

- Alternatives and Coping Strategies:
- One participant mentioned using a TENS unit to stimulate their intestines, though this was not a medically approved method.
- Another participant described the use of a G tube (a feeding tube) as an alternative to the NG tube, which allowed for the drainage of bile and provided significant relief.
- Chewing gum was mentioned as a method to help stimulate the digestive system.

- Risks and Complications:
- Leaving an NG tube in for too long can cause complications, such as paralysis of the pharynx, which can inhibit swallowing.
- Incorrect placement of the NG tube can lead to serious issues, such as puncturing a lung.
- Some participants noted that pain medications post-surgery could slow down the waking up of the intestines, potentially increasing the need for an NG tube.

- Personal Preferences and Decisions:
- Several participants expressed a strong preference for avoiding NG tubes, even considering the risks of not having one.
- Some participants chose to endure the discomfort of the NG tube to avoid more severe complications like sepsis or the need for additional surgeries.
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