This topic is about someone who recently had colon surgery, resulting in a colostomy, and is experiencing abdominal bloating despite losing 20 pounds. They are curious if this is a normal part of the healing process, especially with another surgery planned in about five weeks.

Here are some helpful insights and advice:

1. It's common for post-operative swelling and inflammation to last several months. Keep in mind that the upcoming reversal surgery will restart the healing process.

2. Your body shape might change after surgery. You might notice bulges or a lopsided appearance due to the stoma, remaining bowel, or shifts in your body's contours. Wearing loose, long tops and stretchy pants or dresses can help you feel more comfortable with these changes.

3. If you notice large, uneven bumps, they could be parastomal or incisional hernias, especially if you've had multiple surgeries. It's a good idea to discuss any concerns with your surgeon.

4. To support your recovery, consider these self-care measures:
- Stay hydrated by drinking plenty of clean water.
- Engage in light walking to improve circulation and gut function.
- Alternate between cool and warm baths to reduce swelling and provide comfort.
- Choose easy-to-digest foods for your meals.
- Make sure to get quality sleep.

5. From an emotional standpoint, focus on your healing journey and the fact that you're alive. It's natural to have concerns about your appearance, but these often become less significant over time.

6. Review any medications you are taking, as some, like prednisone, can contribute to bloating. It's wise to discuss your current prescriptions with your GI doctor or surgeon.

7. Remember that full surgical recovery, including the resolution of swelling and scar maturation, can take up to a year for many patients. Patience is key during this time.