Topic Explanation:
The discussion revolves around the decision of whether to undergo a surgical reconnection after having an ileostomy. The original poster, Tiffany, is considering the potential side effects of reconnection, such as frequent and uncontrollable runny stools, and is seeking advice from others who may have faced similar decisions. Tiffany is also wheelchair-bound, which adds complexity to her decision-making process.
Advice and Insights:
1. Consideration of Physical Limitations:
- Being wheelchair-bound may complicate managing frequent bowel movements and urgency, making an ileostomy potentially more manageable.
2. Impact of Not Having a Colon:
- Without a colon, frequent bowel movements and skin irritation from caustic output are common concerns post-reconnection.
3. Importance of Medical Consultation:
- It is crucial to have detailed discussions with a gastroenterologist and possibly seek a second opinion. Understanding the specifics of your condition, such as the amount of small bowel left and whether the ileocecal valve is intact, is important.
4. Personal Experiences and Outcomes:
- Some individuals have experienced severe issues with reconnection, such as chronic pouchitis and skin irritation, leading them to prefer an ileostomy.
- Others have managed the side effects of reconnection and adjusted to the changes without regrets.
5. Lifestyle Considerations:
- The decision should factor in lifestyle and personal circumstances, such as the ability to manage increased bathroom visits and the impact on daily activities.
6. Emotional and Practical Considerations:
- While many dislike having an ostomy bag, it may be the more practical choice compared to the potential complications of reconnection.
- The decision is highly personal and should weigh the pros and cons of each option.
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