This topic is about someone who is preparing for their fourth surgery, which involves an ileostomy reversal, dealing with ureteral stents, and possibly removing a kidney stone. They are feeling nervous but hopeful about the outcome. Here are some key points and advice shared in the discussion:

1. The surgery involves:
- Reversing an ileostomy.
- Placing or removing ureteral stents.
- Possibly using a laser to remove a 5 mm kidney stone.

2. Concerns include:
- Whether the ileostomy reversal will be successful.
- If bowel function will return to normal.
- The risk of the surgeon deciding not to proceed with the reversal during the operation.
- Whether the kidney stone procedure will be completed.

3. The surgeon mentioned that if the ostomy needs to be kept, the stoma might be relocated.

4. The hospital is a two-hour drive away, and the arrival time is set for 5 a.m., adding to the anxiety.

5. After the surgery, the poster shared an update:
- The reversal was completed through the old stoma site, and an unexpected internal hernia was repaired.
- They experienced severe pain and side effects from medications, leading to dizziness and low blood pressure.
- They returned home on the fifth day, with the ostomy site left open and packed.
- Bowel function resumed, but stools varied from solid to sludgy diarrhea, causing intense anal burning.

6. A fifth surgery is planned in 4–6 weeks to remove the ureteral stents and laser the kidney stone.

7. The poster noticed a change in stool diameter and sensations in the colon, which the surgeon believes are normal spasms but will reassess later.

8. They are seeking recommendations for a topical, pain-relieving anal ointment and find ice packs to be very helpful.

9. They express gratitude for their husband's support, especially with wound care, as he is a retired paramedic.

10. Community members offered emotional support and practical advice:
- Stay hydrated to help flush out anesthetic drugs and support bowel function.
- Continue using ice packs for perianal pain relief.
- Move carefully and ask for help when standing to avoid straining the abdominal repair.