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Sep 20, 2024

Reversal Surgery Today - A New Chapter Begins

This topic is about someone who is just a few hours away from undergoing ileostomy reversal surgery. They are feeling a sense of freedom as they change and empty their last ostomy bag. Over the past seven months with a stoma, they have gained about 20 pounds due to limited exercise caused by peristomal and umbilical hernias. Their goal is to get back to the gym and regain their fitness. They express gratitude to the MeetAnOstomate community for their support and plan to continue helping others.

Here are some insights and advice shared in the discussion:

- Immediately after surgery, the reconnection was completed, and both hernias were repaired. The person is wearing an abdominal support belt. A precancerous rectal-stump polyp was removed without affecting the reversal.

- On the first and second days post-op, there is hope for an early discharge. The abdomen is closed with about 60 staples, and the previous scar and navel were removed, leading to a humorous comment about looking like an alien.

- One week after surgery, they are still waiting for a significant bowel movement. Initially, there was only diarrhea, but now there is almost no output after adding fiber. They are passing gas daily and plan to call the surgeon. They are also due to start a new job soon and are curious about how long it takes for normal bowel function to return.

Advice and insights from others include:

1. The timing for the first substantial bowel movement after reversal can vary:
- Some experienced it 6 days post-surgery after eating normal food like a breakfast sandwich, chocolate milk, or a bean and cheese burrito.
- For others, soft-formed stool began around day 7 or 8.

2. Expect increased pain and higher output in the afternoons and evenings during the first few weeks.

3. Stick to a low-fiber diet until the surgeon gives the all-clear, as fiber can slow output too much early on.

4. Passing gas is a good sign of returning bowel function. If there is no stool beyond a week, it's important to contact the surgeon.

5. Avoid rushing back to work. Major abdominal surgery often requires more than a week of recovery, and even part-time hours can be exhausting.

6. Rest, enjoy naps, and take care of yourself to support healing.
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