This topic is about a young person who recently had an ileostomy reversal surgery and is experiencing some post-operative challenges, specifically with gas and nausea. Here’s a breakdown of the situation and some helpful advice:

- The patient had their ileostomy reversed five days ago after initially having it due to a perforated appendix. They still have their entire small and large intestines.
- They had their first bowel movement and some gas about 24 hours after the surgery.
- On the third day after surgery, they started experiencing persistent nausea and frequent vomiting, leading the surgeons to stop all oral intake and provide IV fluids instead.
- Two days later, they are feeling much better, with minimal pain and are able to walk around, but they haven’t passed gas for the past three days.
- The parent is curious about how long it usually takes to start passing gas regularly after such a surgery and if others have experienced similar symptoms.

Additional context includes:
- The patient is in a pediatric hospital, even though they are 19 years old.
- They are currently allowed to chew gum and have hard candy.
- The surgeon has reassured them that delayed bowel activity is common.

Here are some insights and advice:

1. It is quite common for bowel function to return slowly after abdominal surgery. Not passing gas for several days is normal, especially so soon after a reversal.
2. Chewing gum or sucking on candy is often allowed as it can gently stimulate gut movement. Being permitted these items suggests that recovery is progressing well.
3. Younger patients generally heal faster, which is a positive factor in this situation.
4. Nausea and vomiting during the first week can be due to surgical trauma, slowed gut movement, and pain medications. These symptoms typically improve within about a week.
5. It’s important to follow the surgical team’s instructions and allow time for the intestines to recover. The hospital is the best place to monitor and address any issues.
6. Emotional support can be beneficial. When the patient feels ready, connecting with other young people who have had similar surgeries can be comforting. There are others on the forum who are willing to share their experiences.