Topic Explanation
The forum discussion centers around a person who is one week post-operation and experiencing a lack of bowel control, leading to unexpected bowel movements. They are also concerned about a potential urinary tract infection (UTI) and are currently using Depends due to the unpredictability of their bowel movements. The individual is seeking advice on managing these issues.

Advice and Insights

- Time for Adjustment:
- It can take over a week for bowel functions to settle down post-operation. Rest and patience are important during this period.

- Understanding Bowel Control:
- Normally, the sphincter controls bowel movements, but with a stoma, the output is diverted before it reaches the sphincter. This means the autonomic system, which is automatic and not under conscious control, manages the output.

- Managing Output:
- Using a bag to catch the output is the most convenient method until a reversal can be performed.
- For those with permanent stomas, irrigation might be a better option as it can prevent output for longer periods.

- Reversal Considerations:
- Some individuals prefer to keep the stoma rather than deal with uncontrolled rectal leakage post-reversal.
- Viewing the current condition as a temporary injury that will heal over time can be helpful for mental adjustment.

- Medical Consultation:
- It is advisable to get in touch with a doctor to discuss the issues.
- Pelvic floor therapy may be beneficial in managing bowel control issues.

- Community Support:
- Sharing progress and experiences can be valuable for others in similar situations.