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Jan 12, 2024

Returning to the Gym and Diet Tips After Ileostomy Surgery

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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