This topic is about someone who recently had their ileostomy reversed after undergoing treatment for stage-3 rectal/colon cancer. Now, a month after the reversal, they are experiencing frequent and urgent bowel movements, which often turn into diarrhea by the evening. This situation is causing them distress and they are seeking advice on how to manage these symptoms, as well as guidance on exercise and nutrition after losing weight due to illness.

Here are some helpful insights and advice:

1. Learn about Lower Anterior Resection Syndrome (LARS) and discuss it with your surgeon. It might be beneficial to get a referral to a specialist who can help manage LARS symptoms.

2. Advocate for yourself by persistently seeking answers and support from your medical team.

3. Consider resuming pelvic-floor physiotherapy sessions. Although it might feel embarrassing, therapists are used to handling such situations. Wearing a diaper to appointments can help you feel more comfortable.

4. When speaking with healthcare providers, ask about:
- The extent of colon removal and how it might affect bowel control.
- Whether the function of your rectum, anus, and sphincter muscles has been tested, and if further evaluation is necessary.

5. If your symptoms continue to be unmanageable, discuss the possibility of returning to an ileostomy with your doctor. Some people find that a permanent ileostomy significantly improves their quality of life.

6. Remember that accidents and public mishaps are common among patients in similar situations. Sharing your experiences with others can help reduce feelings of shame and encourage you to continue seeking treatment.