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Mar 15, 2025

Experiences After Colostomy Reversal Surgery

Recovering from a Hartmann’s colostomy reversal and hernia repair can be quite a journey. If you've recently had this surgery, you might be feeling incredibly tired and struggling with low energy as the day goes on. You might also find the prescribed low-fiber diet challenging. Here are some insights and advice that might help you navigate this recovery period:

1. Fatigue and Healing Time
- It's completely normal to feel extremely tired after such a major surgery. Many people find they need daily naps for the first three weeks and only start feeling about 80% recovered after 7 to 8 months.
- If you experienced significant blood loss during surgery, it might lead to postoperative anemia. It's a good idea to ask your doctor for blood tests to check and manage this.

2. Medical Follow-Up
- Keep in touch with your healthcare team, including your surgeon, stoma or colorectal nurse, and general practitioner, to review your progress, nutrition, and blood counts.

3. Diet Management
- Stick to a low-fiber diet for at least six weeks or as advised by your healthcare team. Gradually reintroduce higher-fiber foods one at a time, and see how your body tolerates them.
- Spread your fiber intake throughout the day to minimize gas, and initially limit your total daily fiber.
- If you're using probiotics and experiencing gas, try reducing the dose.
- Focus on high-protein foods to help with healing and counteract anemia.

4. Bowel Function Expectations
- In the early weeks, you might have several small, narrow stools each day. Over time, this usually settles into one larger bowel movement.

5. Hernia Precautions and Activity
- Follow any lifting and movement restrictions to prevent a new hernia from forming.
- Gentle walking is encouraged, but be mindful that hip movement can irritate internal sutures. Take breaks if you feel sore.
- Once cleared by your healthcare team, you can start core-strength physical therapy. Regaining full abdominal strength may take up to six months.

6. Emotional Support
- It's common to feel isolated during recovery. Online forums can connect you with others who understand what you're going through and help ease the emotional burden.
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