Topic Explanation:
The discussion is centered around a forum member who is scheduled for a Hartmann's reversal surgery on July 8, during which their surgeon will also attempt to repair a parastomal hernia. The member is seeking experiences from others who have undergone both procedures simultaneously and is also looking for tips on bowel preparation the day before surgery.
Advice and Insights:
1. Low Residue Diet:
- Start a low residue diet three days before surgery to reduce the amount that needs to be cleaned out during bowel prep. This diet includes foods low in fiber such as white bread, pasta, soft well-cooked meats like chicken and turkey, and clear liquids. Avoid fresh vegetables, fruits, and foods high in fiber.
- The low residue diet is recommended by some surgeons as part of the prep instructions and is considered helpful, though it may not be widely recommended by all doctors.
2. Diet Considerations:
- Low residue and low carb diets are not compatible due to the limited food options available. While low carb may help with stoma output, it is not suitable for bowel prep.
- It is advised not to follow a low residue diet for more than a few days unless directed by a doctor.
3. Hernia Management:
- Some individuals live with a parastomal hernia for many years without opting for reversal surgery. Managing the condition with lifestyle adjustments, such as drinking plenty of water and using laxatives like Marilax or Magnesium Citrate as needed, can be effective.
4. General Advice:
- Avoid heavy lifting to prevent worsening or recurrence of hernias. It is important to be cautious with physical activities, especially if the core is not strong enough to support such activities.
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