This topic is about a 49-year-old man who underwent an ileorectal anastomosis, which is a type of ileostomy reversal surgery. He shares his recovery journey over four months, providing insights and advice for others who might be going through a similar experience.

Here’s a summary of his journey and some helpful tips:

- **Background**: He had a perforated colon due to diverticulitis and underwent a total colectomy with an end ileostomy. He lived with a stoma for 8 months before having the reversal surgery.

- **Post-Surgery Experience**:
1. After the reversal surgery, he stayed in the hospital for 5 days. He experienced mild bloating and a partial obstruction, which was managed with a mostly liquid diet.
2. In the first few weeks, he had liquid bowel movements every couple of hours and a few minor accidents but did not use any antidiarrheals.
3. By one month post-op, he was walking about 6,000 steps a day and could tolerate a low-residue solid diet. His bowel movements were more regular, and he no longer needed to wear Depends at night.

- **Three-Month Update**:
1. He felt "normal" and was back to working, traveling, and exercising. His weight was restored, and all incisions had healed.
2. He had 3-4 bowel movements a day, often sleeping through the night, and was cleared for an unrestricted diet.
3. He managed perianal irritation with baby wipes and was considering adding supplements to firm up his stool.

- **Four-Month Update**:
1. He continued to have 3-4 bowel movements a day, which were not fully formed but controllable.
2. He found that alcohol, particularly IPAs, could loosen his stool, but he could tolerate 2-3 cups of coffee a day.
3. He was slowly reintroducing raw vegetables, nuts, and salads into his diet.

- **Advice and Insights**:
1. To control stool consistency and frequency, some recommend using soluble fiber like Metamucil and Imodium.
2. For skin protection, applying A&D ointment during watery bowel movements can help prevent irritation.
3. Early in recovery, expect frequent bathroom trips, but this usually decreases over time.
4. When going out, plan ahead by medicating, eating lightly, and ensuring restroom access.
5. Sharing positive reversal stories and forming support groups can be beneficial for others considering similar surgeries.

This journey highlights the challenges and progress of recovery after ileostomy reversal, offering practical advice and encouragement for others in similar situations.