This topic is about someone who is five months past their colostomy reversal and is feeling nervous about their first colonoscopy since the procedure. They are experiencing some discomfort and have concerns about the upcoming exam. Here are some of the issues they are facing and the advice shared by others:

- They feel occasional pain at the site where the stoma used to be, especially when pressure is applied.
- They experience rectal pain after sitting for long periods, which improves when they stand or walk.
- They have developed new pelvic-area pain, which they suspect might be related to the pelvic floor, and plan to discuss this with their doctor.
- Their bowel movements have changed, with sensations of abdominal pressure or nausea before a movement, spending more time on the toilet, and needing to wipe more than before the ostomy.
- They are hesitant to return to a full vegetarian diet and are sticking to foods they consider "safe."
- They are working with a therapist to manage anxiety but still feel very anxious about the colonoscopy and potential complications. Their doctor has prescribed an anxiety pill for the morning of the exam.

Advice and insights from others include:

1. Procedure Experience:
- Many people find that a colonoscopy after a reversal feels similar to one before having an ostomy. You are sedated, wake up about 15 minutes later, and then go home.
- Some have regular scopes and describe them as "no big deal," with one person having had a successful scope three months post-reversal.

2. Bowel-Prep Equipment Tips:
- It's helpful to have high-output ostomy pouches for the prep night to handle the large volume of liquid.
- Using a bedside urine-style drainage bag can prevent frequent trips to empty the pouch. These can be prescribed by a doctor or purchased online.
- Bring a full change of ostomy equipment to the appointment in case the staff needs to remove your current pouch, though this is not always necessary.

3. Managing Anxiety:
- It's common to imagine the worst, but scopes usually go smoothly. Many people offer thoughts, prayers, and encouragement to focus on a positive outcome.

4. Medical-Team Coordination:
- Some find it reassuring to have a colorectal specialist perform the procedure, as it can add confidence in the process.