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May 08, 2025

Returning to Work After Surgery: Seeking Advice and Sharing Experiences

Returning to work after having a sigmoid colostomy can be a bit nerve-wracking, but with some preparation and patience, it can become a smooth transition. Here are some helpful tips and insights to consider:

- Concerns about pouch leaks or accidents at work are common. It's a good idea to have a plan for managing them on-site.
- Consider how you might handle prolonged sitting or standing, as this can be a concern for some.
- It's normal to wonder about the right timing for returning to work. People have varied experiences, with some going back as early as three weeks and others taking several months.

Additional considerations:

1. If you live close to your workplace, like 15 minutes away, it can be reassuring to know you can quickly return home if needed. Carrying a supply bag and planning for occasional extended breaks can be helpful.
2. Starting with a trial shift, such as working four hours with a mid-shift break, can help ease back into the routine. Gradually increasing to longer days while managing your schedule can be beneficial.
3. If you're new to the job, having a supportive employer and manager can make a big difference. It's okay to excuse yourself for urgent needs.

Advice and insights from others:

- Bring a comprehensive "just-in-case" kit to work. This might include extra pouching supplies, barrier wafers, disposal bags, paper towels, wet wipes, 3M Micropore tape for quick leak patches, a plastic bag for soiled clothes, and a complete change of clothing. Many people keep this kit in a backpack, desk drawer, or car.
- Practice changing your appliance in different settings, including at work after hours, to become comfortable and reduce stress if a leak occurs.
- Consider a gradual return to work. Start with shorter shifts, take breaks every two hours, avoid fatigue, and request flexible hours or longer rest periods if needed.
- Be mindful of physical restrictions, such as lifting limits, and don't hesitate to ask coworkers for help with heavy items.
- Pay attention to diet and hydration. Some have found it helpful to reduce fried foods, soda, candy, and sweets, while increasing fluids and monitoring output to maintain stable weight and pouch performance.
- Confidence tends to grow over time. Many report rare leaks and eventually find themselves forgetting about the bag.
- Humor and openness can make workplace interactions easier. Some have even used humor to discourage bothersome coworkers.
- Knowing you live close to work can help reduce anxiety, as serious leaks can be managed at home within minutes if necessary.
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