This topic is about preparing for surgery when you have an ileostomy, specifically focusing on whether the usual bowel-prep requirements are necessary. The person in question is scheduled for hernia-repair surgery and has been given standard instructions for bowel preparation, which they believe might not be suitable due to their ileostomy. They are seeking advice from others who have been in a similar situation.

Here are some helpful insights and advice shared by others:

1. Many people with an ileostomy have been told to follow only the standard pre-operative fasting instructions: switch to clear liquids the day before surgery and avoid eating or drinking after midnight. They were not required to do oral prep or use an enema.

2. There is a risk of dehydration with standard bowel-prep methods like magnesium citrate, which can affect those with an ileostomy more quickly. If such prep is necessary, it should be done in a hospital setting with IV fluids available.

3. Often, generic instruction sheets are given out by default. It's important for patients to ensure that their surgical team reviews their medical records and adjusts the prep instructions to suit an ileostomy, rather than a colostomy or an intact colon.

4. If the office staff, such as a physician assistant, is unable to change the prep instructions, it is advisable to contact the surgeon directly. It's important to advocate for yourself and ensure your needs are met.

5. Emotional support is crucial. Many people encourage standing firm and advocating strongly for oneself, especially when dealing with staff who may not be familiar with the specific needs of ileostomy care.