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Sep 08, 2024

Questions to Ask Before My Colostomy Reversal

The topic is about preparing for a meeting with a gastrointestinal surgeon to discuss the reversal of a temporary colostomy. This is an exciting step, but it can also be a bit overwhelming if you're not sure what to ask or expect. Here are some helpful points to consider:

1. Preparing Questions for the Surgeon
- Write down all your questions beforehand. Consider asking about the recovery timeline, diet progression, risk of incontinence, expected length of surgery and hospital stay, bowel-prep requirements, and how to manage any scar tissue.
- Request that the surgeon tests the strength of your anal sphincter.

2. Anal Sphincter and Incontinence
- It's normal to experience some loss of tone, which might lead to short-term leakage or urgency, especially if stools are loose.
- Long-term incontinence is less likely if much of your colon, particularly the sigmoid, is still intact.
- Start doing pelvic-floor and buttock-clenching exercises now, but be gentle. Walking is also beneficial.

3. Post-Operative Bowel Management and Skin Care
- Be prepared for a sore backside. Stock up on baby wipes and a barrier ointment like Desitin to protect your skin.
- Use adult protective underwear, such as Depends, until your bowel patterns stabilize.
- Gradually reintroduce fiber into your diet. Start with low-residue foods and increase slowly to avoid urgency.

4. Bowel-Prep Tips for Ostomates
- On prep night, use an extra-large-capacity ostomy pouch with a drain tap. You can attach tubing to a larger bedside collection bag, allowing you to sleep without frequent emptying.

5. Hospital Logistics and Recovery Expectations
- While reversals are usually straightforward, unforeseen issues like dense internal scar tissue can extend surgery time and hospitalization.
- Be prepared for possible delays in your "gut wake-up" and be patient with your body.
- Consider booking accommodation near the hospital to avoid stressful travel on the day of surgery.

6. General Encouragement
- Many people have reported a full recovery and a return to normal bowel habits within weeks to months.
- Keep realistic expectations, stay active by walking, and be kind to yourself throughout the process.
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