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Apr 24, 2025

1 Month After Reversal: Struggling with Frequent Bowel Movements

Topic Explanation

The forum discussion revolves around a person who recently underwent a reversal of a loop ileostomy, which was initially performed to divert a stage 3 cancerous tumor attached to the rectum and colon. A month after the reversal, the individual is experiencing frequent bowel movements, up to 20-30 times a day, with little warning time, often resulting in diarrhea. This has led to the use of diapers for leaving the house. The person is seeking reassurance that this situation is not unusual and is looking for advice on recovery, exercises, and nutrition, as they have lost significant weight due to their illness.

Advice and Insights

1. Lower Anterior Resection Syndrome (LARS):
- LARS is a condition that includes symptoms like incontinence and urgency, which can occur after surgeries similar to the one described. It is suggested to research LARS and discuss it with the surgeon for more information and potential referrals.

2. Consideration of Ileostomy:
- If the current situation becomes unmanageable, reverting to an ileostomy is an option. Some individuals have found long-term success and satisfaction with a permanent ileostomy.

3. Pelvic Floor Therapy:
- Pelvic floor therapy is recommended to help manage symptoms. Despite insecurities about attending sessions due to incontinence, it is important to continue with therapy as these professionals are accustomed to such situations.

4. Professional Support and Personal Stories:
- Sharing personal experiences of similar embarrassing situations can provide comfort and reassurance. Healthcare professionals are trained to handle such incidents, and it is important to remember that these situations are not uncommon.

5. Self-Advocacy:
- It is crucial to be proactive in seeking answers and advocating for oneself in medical situations. Continuing to push for solutions and support is important for recovery and management of symptoms.
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