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Mar 25, 2024

Post-Colostomy Reversal Update - 2 Weeks Post-Op

This topic is about someone who is sharing their experience two weeks after having a colostomy reversal surgery. They talk about their progress, symptoms, and a concern about swelling in the pubic area. Here’s a summary of their update and some advice they received:

- Mobility: They are able to walk for 10–15 minutes, four times a day, and can do some cooking and dishwashing.

- Diet: They have been cleared to eat anything but are being cautious due to past issues with diverticulitis and fear of blockages. They are slowly adding more variety to their diet.

- Pain and Gastrointestinal Function:
1. They experience mild rectal pain when passing gas or stool and when sitting down, but they don’t need painkillers.
2. Occasionally, they feel bloating or "bubbles," but overall abdominal discomfort has greatly reduced.
3. Bowel movements are still irregular in timing, frequency, and consistency, ranging from loose to nearly formed. There is no diarrhea, and the urge to go causes mild rectal pain, so they don’t delay going to the toilet.

- Incision Area: There is localized soreness and slight swelling at the incision sites, but the generalized "crunched-abs" pain has resolved.

- Stoma Site: It is no longer painful, and they can sleep on either side, though the non-stoma side is more comfortable.

- Support Garment: They wear an abdominal binder all day, except for one hour at midday.

- Continence: They no longer need adult diapers for outings or at night.

- New Issue: There is noticeable, painless swelling in the pubic area, which was present during the 8 months with a stoma, subsided immediately after surgery, but has returned with increased activity. There is no discoloration, and they plan to discuss this with their primary doctor. They found that pubic swelling is common after surgeries similar to a tummy tuck.

- Additional Questions: They wonder if the pubic swelling could be a seroma and plan to consult their surgeon about this possibility.

Advice and Insights:
- The fluid in the pubic area might be a seroma, which often reabsorbs on its own over time, but it’s best to get confirmation from a doctor.
- Intermittent twinges or pain near the old stoma site could be due to a new hernia or phantom sensations. These usually pass quickly but should be monitored, especially when returning to work or normal activities.
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