The topic is about living with an ileorectal anastomosis, which is when the colon is removed and the small bowel is directly connected to the rectum. A person who had this procedure is concerned about experiencing days without any bowel movements after their ileostomy reversal. Initially, they had frequent bowel movements, but now they sometimes go a day or two without any. They are worried this might be dangerous, as they were taught during their ileostomy period to be cautious about such changes.

Here are some helpful insights and advice shared by others:

1. If your surgeon is not worried and you are not experiencing severe symptoms like pain, abdominal swelling, nausea, or vomiting, the changes in bowel movement frequency are likely normal.

2. With an ileorectal anastomosis, slower output can be expected. Some healthcare providers even see this as beneficial because it allows for more fluid absorption and reduces the number of bathroom trips.

3. Be aware of the classic signs of an ileus or obstruction, which include increasing pain and persistent vomiting. If you don't have these symptoms, it's less likely that you have an acute blockage.

4. Your diet and hydration levels can affect how often you have bowel movements. It might be helpful to consider what and how much you are eating and drinking, though no specific dietary restrictions were suggested.

5. If you are still worried, visiting the ER for reassurance is an option. However, many people suggest trusting your surgeon's advice unless your symptoms change.