Topic Explanation
The forum discussion revolves around managing an ileostomy while undergoing rotator/bicep surgery, specifically focusing on whether to switch from a one-piece to a two-piece ostomy bag system for easier management and whether opiate pain medications will cause constipation in the absence of a colon.

Advice and Insights

#Ostomy Bag Management
1. Two-Piece System Consideration:
- Some users found two-piece bags easier to manage post-surgery as they allow for simply removing and replacing the bag without needing to empty it.
- One user mentioned that a two-piece system with a wafer on the back of the bag (instead of a locking ring) was helpful and did not cause leaks.

2. One-Piece System:
- Another user found one-piece drainable bags easier to use even with one hand, despite some difficulty in cleaning the end of the bag.
- Practicing one-handed bag changes before surgery can help in becoming proficient by the time of the surgery.

3. General Tips:
- It is possible to manage one-handed bag changes with practice and patience.
- Having a supportive partner can be very helpful during recovery.

#Pain Management and Opiate Use
1. Opiate Pain Medications:
- Experiences with opiate pain meds varied; some users did not experience constipation post-colectomy, while others did not use opiates at all.
- One user suggested trying to avoid opiates if possible, as hospitals tend to push them, but they may not always be necessary.

2. Pain Expectations and Alternatives:
- Rotator cuff surgery is known to be extremely painful, and opiates like hydrocodone are often needed initially.
- Some users recommended tapering down from stronger opiates to milder pain medications like Ultram.
- Alternatives like nerve blocks, Toradol, and steroid packs were mentioned as helpful in managing pain and reducing reliance on opiates.

3. Managing Side Effects:
- Some users experienced withdrawal symptoms when tapering off opiates.
- Pairing pain meds with anti-nausea medications like Phenergan can help manage side effects.
- Using ice packs and cold therapy can provide additional pain relief.

4. Practical Tips for Recovery:
- Investing in a good recliner can be beneficial as it may be necessary to sleep in one during recovery