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Oct 24, 2024

Ileostomy Reversal Scheduled for Next Monday - Tips?

The topic is about someone who is about to undergo an ileostomy reversal surgery and is seeking advice on how to prepare for the procedure and what to expect during recovery. They are feeling a mix of excitement and nervousness and are looking for practical tips to help them through this process.

Here are some helpful insights and advice shared by others who have been through similar experiences:

1. **Bowel-prep and immediate post-op supplies**
- Consider using an extra-large-capacity ostomy bag during the bowel prep before surgery.
- It's a good idea to have adult diapers on hand and start using a barrier cream like Desitin Maximum Strength early to manage leaks and protect your skin when your bowels start working again.

2. **Skin protection**
- Many people recommend starting with a thick zinc-oxide cream, such as Desitin, as soon as your output resumes to prevent or soothe any skin irritation.

3. **Expect early bowel activity and noises**
- Be prepared for stomach gurgling and a quick return of bowel movements. Accidents can happen, so plan for easy access to a bathroom and consider wearing protective clothing.

4. **Initial diet progression**
- Some people start with a low-fiber diet for the first 10 days and then gradually return to eating all foods, including vegetables, fruits, popcorn, and nuts, without issues by around 5 weeks.
- The first couple of weeks might be challenging, but things tend to improve steadily, with normal eating resuming around week 5.

5. **Healing timeline and comfort**
- Pain after the reversal is usually much less than after the original ostomy surgery.
- Swelling, cramping, and gas are common in the first 1–2 weeks but tend to decrease over time.
- Walking early and often can aid recovery, and many people are discharged as soon as their bowels start moving.

6. **General encouragement**
- People who have had reversals at various times, including after chemotherapy, report steady improvement and no regrets. They emphasize the importance of patience and maintaining a positive outlook.

7. **Professional help**
- If you encounter any issues, a stoma or ostomy nurse can provide valuable advice on appliance choices and skin care during the transition period.
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