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Jul 09, 2025

Gurgling and Low Appetite After Ileostomy

This topic is about someone who is eight weeks post-ileostomy and is dealing with some uncomfortable symptoms. They are experiencing gurgling noises in their pouch, a feeling of fullness, and a low appetite. They are understandably concerned and are looking for advice on whether these symptoms are common and when they might improve.

Here are some helpful insights and advice:

1. Feeling full and having a low appetite can be discouraging, especially when it persists. It's important to know that these feelings can be part of the recovery process.

2. The surgery was an emergency due to severe diverticulitis, and while the ileostomy was created, the colon, rectum, and anus remain intact. This can affect how the body adjusts post-surgery.

3. Changes in taste can occur, making food seem unappealing, which might reduce the desire to eat.

4. Consider asking your doctor for electrolyte bloodwork, especially if you find most oral electrolyte drinks unpalatable.

5. Eating less can lead to air accumulating in the stomach and small bowel, causing gurgling noises. Increasing food intake gradually can help reduce these sounds over time.

6. Try to eat a bit more than you feel like. Eating adequately can help speed up recovery and restore strength.

7. Opt for several small meals and snacks throughout the day instead of three large meals. Some easy-to-tolerate foods include:
- Scrambled eggs and toast
- Lasagna for a good mix of protein and carbs
- Crackers with cheese
- Peanut butter, bananas, and avocados
- Protein drinks, but use them sparingly to avoid overly liquid output

8. Focus on high-protein foods and maintaining a good electrolyte balance. Dehydration or imbalances can worsen nausea and suppress appetite.
- Increase oral electrolytes if you can tolerate them.
- If symptoms persist for more than a week or two, consider requesting blood tests to check levels of sodium, potassium, magnesium, etc.

9. Recovery varies for everyone. Some people can eat normally soon after surgery, while others may take 6-8 weeks for their appetite to return. Correcting electrolytes has helped some individuals.

10. Changes in taste after abdominal surgery are possible and can reduce appetite. Keep an eye on hydration and seek medical help if you notice signs of dehydration.
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