This topic is about getting back to the gym and managing diet after having ileostomy surgery. If you're in a similar situation, here are some helpful insights and advice from others who have been through it:
1. **Returning to Exercise:**
- Most people recommend taking it very slow and gradually increasing activity levels. One month post-surgery is generally considered too early to return to the gym.
- It's important to get clearance from your surgeon or physical therapist, usually around 6-8 weeks post-op. Many waited 2-3 months or more before resuming activities like weightlifting or martial arts.
- Start with gentle activities like walking, using a stationary bike, or low-impact exercises.
- Consider finding a physical therapist who understands pelvic floor and ostomy issues.
2. **Hernia Prevention and Support:**
- While belts like the Stealth Belt, MoviBrace, or NuHope can offer support, they can't guarantee hernia prevention. They help keep the pouch secure and may reduce pain or strain.
- Some prefer more rigid belts for heavy lifting, while others find the Stealth Belt suitable for everyday activities and sports.
- When coughing or sneezing, press on or brace the stoma to help prevent prolapse or hernia.
3. **Choosing and Fitting a Belt:**
- Wait until your stoma size stabilizes before ordering custom-cut belts, as the wafer opening may shrink in the first 2-3 months.
- The horizontal Stealth Belt might feel bulky and could clog pouch filters. A vertical style or ostomy wrap might be slimmer.
- Many people wear a Stealth Belt or ostomy wrap almost all the time initially, then remove it for sleeping once they feel comfortable.
4. **Diet and Hydration:**
- Reintroduce foods slowly, chew thoroughly, and drink plenty of fluids.
- Everyone's tolerance is different; what causes a blockage for one person might not affect another.
- While blockages from diet are uncommon, it's important to stay vigilant and consult a dietician for personalized advice.
5. **General Living Tips:**
- A Stealth Belt can help flatten and conceal the pouch under clothing and support the wafer seal when the bag is heavy.
- Empty your pouch frequently, as full bags are harder to hide.
- Be prepared to adjust to a "new normal" rather than expecting to return to your exact previous routine. Patience and self-observation are essential.
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