Topic Explanation
The forum discussion revolves around a user, Amy, who is experiencing Low Anterior Resection Syndrome (LARS) symptoms following an ileostomy reversal surgery. Amy is six weeks post-operation and is dealing with urgency, frequent trips to the toilet, and long sits without complete evacuation. She is concerned about managing these symptoms when she returns to work as a teacher in two weeks, especially since she does not have a nearby restroom. Amy is seeking advice and experiences from others who have gone through similar situations to understand if these symptoms are permanent and how to manage them effectively.

Advice and Insights

- Healing Time and Adjustment:
- It takes time for the body to adjust and recover from surgery. At six weeks post-op, Amy is still in the healing stage.
- Symptoms can last for some months but can get better over time.

- Rectal Competence Test:
- Consider having a rectal competence test to assess the functionality of the remaining rectum.

- Managing Urgency at Work:
- Obtain a note from the surgeon stating the necessity of immediate restroom access.
- Consider extending leave until more comfortable or having a classroom assistant to manage urgent restroom needs.

- Hemorrhoid Management:
- Use products like Tucks, Prep H, Desitin, and sitz baths to manage hemorrhoids.
- Check with a doctor before using suppositories, especially soon after surgery.

- Professional Help:
- Seek help from pelvic floor therapists or certified continence nurses for retraining the body and managing LARS symptoms.

- Avoiding Online Horror Stories:
- Avoid online groups that may increase fear and anxiety. Instead, rely on the care team for answers and support.

- Personal Experiences:
- Some users have found that symptoms improve over time and with proper management.
- It's common to experience similar issues post-reversal, and many have found ways to cope and improve their quality of life.