This topic is about a person who recently underwent a significant surgery called an ileostomy, where the colon and rectum were removed due to colorectal cancer, and the anus was closed, often referred to as "Ken/Barbie Butt" surgery. Four weeks after the operation, the patient is experiencing ongoing bleeding from the incision and requires strong pain medication every four hours. The concern is whether this level of pain and bleeding is normal and how long the recovery process should typically take.

Here are some insights and advice shared by others:

1. Although two doctors have examined the wound and stated that the bleeding is normal, persistent bleeding at four weeks is generally not considered typical. It is recommended to seek another medical opinion, possibly from a different surgeon or a gastroenterologist, and to consider further investigation, such as a CT scan.

2. Continuous bleeding can increase the risk of infection, as it allows bacteria to enter the wound. It is important to address this issue promptly.

3. Pain levels can vary from person to person, but if severe pain and bleeding continue, it is crucial to have the situation re-evaluated by a healthcare professional.

4. It is important to determine whether the bleeding is coming from the surface wound or deeper inside. Internal bleeding or the presence of an abscess would require immediate medical attention.

5. Once initial healing has occurred, salt-water or Epsom-salt sitz baths are often recommended. These can help reduce tension on stitches and promote faster and cleaner healing.

6. Surgeries that involve closing the buttocks require special care when performing daily activities such as sitting, standing, showering, or using the toilet. Reading about other people's recovery experiences from "Ken/Barbie Butt" surgeries on ostomy forums can provide helpful insights and set realistic expectations.