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Apr 26, 2024

LARS Symptoms Post-Ileostomy Reversal - Seeking Advice and Experiences

This topic is about someone who is six weeks into recovery after having their ileostomy reversed. They are dealing with some challenging symptoms and are concerned about returning to work as a teacher. Here are some insights and advice that might help:

- The person is experiencing urgency, frequent bathroom trips, and a feeling of not being completely empty after using the toilet. They also have occasional hemorrhoids and are worried about managing these symptoms when they return to work, especially since restrooms are not nearby.

- They are concerned about how much of their rectum is left and whether this affects the severity and duration of their symptoms. They are seeking advice and personal experiences from others.

- They have some workplace accommodations, like restroom access and classroom aides, but still worry about sudden urgency while teaching. They have decided to keep a large pack of incontinence products just in case.

Here are some helpful suggestions:

1. Healing takes time. At six weeks, you're still in the early stages of recovery. Many people notice gradual improvements over several months.

2. Consider a medical evaluation. Ask your surgeon about a rectal competence test to assess control. You might also benefit from seeing a pelvic-floor therapist or a certified continence nurse for exercises and strategies to manage your symptoms.

3. Use temporary protection. Wearing disposable absorbent underwear, like Depends, can provide peace of mind, especially when bathrooms are far away.

4. Take workplace measures. Get a note from your doctor stating that immediate restroom access is medically necessary. This can help justify extended leave or having an aide cover your class if needed.

5. For hemorrhoid relief, try over-the-counter products like Tucks (witch-hazel pads), Preparation H, or Desitin. Sitz baths can also help, but check with your doctor before using suppositories so soon after surgery.

6. Be mindful of your diet. Gradually reintroduce fiber, as a sudden increase can worsen hemorrhoids or urgency.

7. Take care of your mental well-being. Limit time in online groups that increase anxiety and rely on your healthcare team for personalized advice and realistic expectations.
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