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Nov 05, 2024

Opioid Effects on Ileostomy After Knee Surgery

This topic is about managing pain after a knee replacement surgery when you have an ileostomy. The person is scheduled for surgery in January 2025 and is concerned about using oxycodone for pain relief, as opioids can cause constipation. They are worried about how this might affect their ileostomy, where only the small bowel is involved. Here are some insights and advice shared by others who have been in a similar situation:

1. Many people with an ileostomy have used oxycodone after joint-replacement surgery without experiencing any issues with their stoma output. They reported no constipation, diarrhea, or blockages.

2. Although stool softeners like docusate are usually avoided by ileostomates, some were prescribed a stool softener but either used it sparingly or not at all, and still did not encounter any problems.

3. Oxycodone tablets dissolve easily and are unlikely to pass through the small bowel intact, reducing the risk of contributing to a blockage.

4. It is important to follow the prescribed dosage of oxycodone carefully. Avoid taking more than recommended to minimize side effects and the risk of developing a dependency.

5. Oxycodone provides strong pain relief, but it is also potentially addictive. It is crucial to stop using it as advised by your healthcare team.

The person also mentioned they will have help at home and are usually very active, which is reassuring as they prepare for their recovery.
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