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Mar 06, 2024

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This topic is about someone who recently had a successful ileostomy reversal and is now navigating the early stages of recovery. Here are some key points and advice shared by others who have been through similar experiences:

- The surgical wound is left open to heal from the inside and is currently kept lightly covered.
- There was a painful incident when a doctor removed internal packing too abruptly, causing extreme pain and vomiting, though the doctor later apologized.
- Severe post-operative nausea was managed with a medicated patch placed behind the ear.
- The first gas was passed on the second day, and initial bowel movements involved blood and clots, but there has been no bleeding since.
- Hemoglobin levels dropped, so multivitamins with iron have been restarted.
- There are no alarming symptoms like distention, pain, or ongoing nausea, but bowel function is not yet back to normal.
- Energy levels are low, but there is a plan to return to work on the 15th, depending on continued progress.

Additional context includes a medical history of treatment at the Mayo Clinic in Jacksonville, with previous surgeries such as a total hysterectomy, partial sigmoidectomy, end colostomy, and later a loop ileostomy, which has now been reversed. The original issue was a perforated colon from diverticulitis, initially misdiagnosed as an ovarian cyst. There is a need to return to work on the 15th due to limited leave. A new concern is a small bulge near the former stoma site when standing, which could be an incisional hernia or just post-surgical swelling.

Advice and insights from others include:

1. Packing removal:
- Some have had similar painful experiences and suggest requesting a sedative or pain medication before any future packing removal.

2. General recovery tips:
- Take recovery slowly with "baby steps" and ensure plenty of rest.
- If possible, negotiate for light-duty work or a delayed return to work, as pushing too soon can hinder healing.
- Monitor bowel function, but understand it may take time to return to normal.

3. Hernia prevention and management:
- Wear an abdominal support or hernia belt and brace the abdomen when coughing or sneezing.
- Avoid heavy lifting and sudden strain to allow tissues time to strengthen.
- Stay away from contagious illnesses that cause coughing, which can trigger or worsen hernias.

4. Emotional and lifestyle support:
- Maintain a positive outlook; humor and daily moments of joy can aid recovery.
- Accept help and stay connected with supportive peers, as many share similar experiences.
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