This topic is about dealing with exhaustion and hydration issues after having an ileostomy reversal, which is a surgery to reconnect the bowel. The person is six weeks post-surgery and is experiencing a significant drop in energy levels. They are trying to manage their recovery by drinking plenty of water, eating small meals, and taking vitamins, but they are still struggling to regain their strength. Here are some helpful insights and advice for managing these challenges:

- It's normal to feel fatigued after major abdominal surgery. This kind of surgery can leave you feeling very tired for several weeks. It's important to rest, be patient, and listen to your body as it heals.

- Review your hydration strategy. Drinking plain water alone might not be enough, especially without a colon. Large amounts of water can actually flush out important electrolytes. It's recommended to replace most of your fluid intake with Oral Rehydration Solutions (ORS).

- Aim for a minimum total fluid intake of 30 mL per kilogram of body weight each day.
- At least 66% of your fluid intake should be ORS, with plain water limited to about 1 liter per day. You can also include about 0.5 liters of juices or tea if you like.
- Some suggested ORS products include CeraLyte, Drip Drop, EquaLyte, Hydralyte, Liquid IV, Parent’s Choice Pediatric Electrolyte, Pedialyte, Rehydralyte, Trioral, and WHO packets.

- Increase your dietary protein. Eating high-protein foods like steak or other lean meats can help with tissue repair and boost your energy levels.

- Keep an eye out for complications. If you experience a sudden drop in energy after feeling better, it could be a sign of dehydration, infection, or even Covid-19. It's a good idea to see a doctor for an evaluation and possibly some blood work.

- Avoid over-exertion. It's tempting to do a lot on days when you feel good, but pushing yourself too hard can lead to days of exhaustion. Try to gradually and steadily return to your normal activities.