This topic is about recovering from an ileostomy with proctectomy, which involves the removal of the rectum and anus. The person sharing their experience is five weeks post-surgery and is finding certain activities like standing, sitting, and getting into a car still painful. They are looking for advice on typical healing times and ways to speed up the healing process. Here are some helpful insights and advice:

1. Healing Timeline
- At five weeks, it's still early in the recovery process. Full healing, both internally and on the skin, can take many months, sometimes even 1–2 years. It's normal to feel soreness when sitting or getting into cars.
- Avoid pushing yourself too quickly, as this can reopen the wound and delay recovery.

2. Bathing and Cleansing
- Avoid full baths until the wound is closed. Surgeons often recommend quick sitz baths or shower rinses.
- Gentle daily showers are fine once approved by your doctor. Rinse thoroughly, avoid strong sprays, remove all soap, and pat dry instead of rubbing.
- Use folded paper towels or a hair dryer on a cool setting to finish drying.
- Some surgeons suggest short sitz baths with Epsom salt several times a day, but only if you can sit without straining.

3. Sitting and Positioning
- Avoid sitting for long periods during the first 6–8 weeks; try reclining instead.
- An inflatable donut or gel cushion can help relieve pressure when sitting in cars or on hard chairs. Fill it only halfway with air for better weight distribution.
- In a vehicle, recline the seat and distribute your weight on your mid-back and thighs to keep pressure off the wound.

4. Mobility and Activity
- Short, frequent walks, like 1 km walks, are encouraged.
- Avoid squatting, heavy stairs, or any movement that stretches the pelvic floor until you feel stronger.

5. Wound Care Products
- Apply a heavy-duty, unscented lotion or a physician-recommended ointment after showering if your skin is dry, especially if you've had radiation.
- There is no specific prescription medication that routinely speeds healing; focus on protection, cleanliness, nutrition, and time.

6. Monitoring and Follow-Up
- Be alert for increased pain, drainage, foul odor, or the wound reopening. Seek medical attention promptly if these occur.
- Ensure all external stitches are removed, as an overlooked one can delay healing.

7. Mental Note
- Patience is essential. The procedure is lifesaving, but recovery is slow and varies for each individual.