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Feb 01, 2025

Post-Surgery Bloating, Pain, and Showering Tips

This topic is about dealing with some common challenges after ileostomy surgery, such as bloating, rib-line pain, and showering with a chest port. Here are some helpful insights and advice shared by others who have been through similar experiences:

- After surgery, it's common to experience abdominal bloating and a tight, belt-like pain under the ribs. This can last for several weeks. Walking can help relieve this discomfort as it helps expel any surgical CO₂ or air trapped inside.

- If you haven't been able to evacuate your large intestine before surgery, your doctor might discuss the possibility of an enema at your follow-up appointment.

- When it comes to showering with a chest port and an ostomy, it can be tricky. Here are some tips:
1. The stoma itself doesn't need to stay dry. You can shower with the pouch on and then towel-dry or use a hair dryer on a cool, low setting afterward.
2. Some people prefer to shower without the pouch on change-day. You can use a hand-held container or a pill bottle to cover the stoma, or have a doggy poop bag ready to catch the removed pouch.
3. There are also DIY solutions, like a "catcher" made from a Hollister flange and a plastic cup, or commercial "cup" devices available online.

- To keep the adhesive wafer or tape dry:
1. Use waterproof tape, Stretch-&-Seal wrap, or Saran Wrap, though they might not be completely waterproof.
2. A hand-held showerhead can help direct water away from the wafer.
3. Many find that even if the tape gets wet, it dries and continues to hold well.

- For skin and adhesion care, use fragrance-free, dye-free soaps like Cetaphil to avoid weakening the adhesive. Be gentle around the new stoma to avoid bumping it.

- If you're experiencing persistent bloating without output, it could indicate an obstruction, and you should seek medical attention immediately.

- To prevent hernias with a new ileostomy, avoid lifting heavy objects for several months and brace the stoma area when coughing or sneezing. A Nu-Hope support belt is recommended for regular use, except while showering.

- Consider keeping a food diary and following a low-residue, low-fiber diet until your surgeon advises otherwise.

These insights and tips can help you manage the challenges you're facing and make your recovery a bit smoother.
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