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Feb 26, 2025

One Week Post-Op: Seeking Advice on Recovery Challenges

This topic is about the experiences and concerns of someone who is one week into recovery after having a colostomy through robotic surgery. They are dealing with several issues and are seeking advice on how to manage them effectively. Here are some helpful insights and advice:

- Abdominal swelling and healing:
- It's normal for the abdomen and stoma to swell, and this can last from 4 to 8 weeks. Full adaptation might take up to 6 months.
- Everyone heals at their own pace, so it's important not to compare your recovery to others. Avoid rushing into activities to prevent complications like hernias.
- It's common to feel nausea, fatigue, and weakness for several weeks. Give your body the time it needs to heal.

- Clothing comfort:
- Opt for very loose, soft clothing with elastic waists, like pants a size larger or a loose house dress, especially in the first couple of months.
- Consider buying inexpensive temporary garments since they are only needed for a short period.

- Driving:
- People have resumed driving anywhere from 3 weeks to 2 months post-surgery, once they can sit, twist, and brake without discomfort.
- Use this time to learn about stoma care and gradually build your strength.

- Odor control in the pouch:
- If there's a persistent odor when the pouch is closed, it might indicate a leak or poor seal. Consult an ostomy nurse and try different wafers or rings to improve the seal.
- Clean the tail of a drainable pouch thoroughly after each emptying to prevent lingering smells.
- Avoid using too many lubricant deodorant drops, as excess liquid can affect the wafer's seal.
- Recommended products for managing odor include Hollister M9 Odor Eliminator Drops, Coloplast Brava Lubricating Deodorant, Safe n Simple Odor Eliminator, Na’scent Odor Eliminator, and Convatec products. You can request free samples from manufacturers' websites or customer service.

- Diet while the stoma is swollen:
- Stick to soft, mushy foods in the early weeks to reduce the risk of blockages until the stoma size stabilizes.

- General tips:
- If you only notice a stool odor while emptying the pouch, wearing a mask is okay. Otherwise, focus on preventing leaks.
- Use this time to learn about different pouching techniques, systems (1-piece vs. 2-piece), and accessory products to be prepared as your activity levels increase.
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