This topic is about someone considering an ileostomy due to repeated bowel blockages and severe pain caused by adhesions from previous surgeries. The surgeon has suggested an ileostomy because re-attaching the bowel might not be possible. The person is seeking advice on whether to proceed with this option.

Here are some helpful insights and advice:

1. Decision-making
- Ultimately, the decision is personal and should be made by weighing the risks and benefits carefully.
- Create a detailed list of pros and cons and discuss it with medical professionals. Consider getting a second opinion from a different hospital.
- Ensure you have all the information needed for "informed consent," including any aspects that have not yet been discussed.

2. Medical consultation
- Ask the surgeon if an ileostomy will truly relieve the current pain or if it might lead to new issues, such as more adhesions.
- Clarify the chances of pain relief, the long-term outlook, and whether there are less drastic treatments that could be tried first.
- Explore all non-surgical or minimally invasive options for relieving blockages before deciding on an ileostomy.

3. Surgical scope options
- If reversal is not possible and the large intestine is severely diseased, some suggest removing the entire colon, rectum, and anus to prevent future complications.

4. Lifestyle impact of an ileostomy
- Be prepared for significant lifestyle changes. High-output ileostomies may require emptying a pouch 10–11 times a day, while lower output usually means 5–6 times daily.
- Sometimes, output can be slowed with dietary changes or supplements.

5. Self-advocacy
- Conduct thorough research using medical journals, patient forums, and manufacturer websites.
- Keep detailed notes, ask every question you have, and take your time with the decision.