This topic is about someone who recently had emergency surgery for a ruptured colon due to diverticulitis and is now dealing with a new colostomy. After being discharged from the hospital, they noticed a lack of output from the colostomy for three days, except for some gas. They are experiencing a full abdomen, poor appetite, cramps, and post-operative pain, and are concerned about whether this is normal or a sign of trouble.

Here are some helpful insights and advice:

1. It's common for the digestive system to slow down after surgery. You left the hospital with an "empty tank," and now food needs to travel through the remaining large intestine before reaching the stoma. The intestines need time to "restart" after surgery and being empty for a while.

2. If there is no output for three days, it's important to contact your surgical or ostomy team. While everyone has their own "normal," it's advised to call your surgeon, ostomy nurse, or dietitian to rule out any obstruction or stoma malfunction.

3. Stick to a soft diet and stay well-hydrated. Avoid normal or heavy foods for at least the first month. Opt for liquids, broths, purées, and warm prune juice. Make sure to drink enough fluids to prevent thick stool and blockages.

4. If approved by your healthcare provider, consider using stool-softening aids like Colace (docusate) to help keep things moving.

5. Gentle physical activity can stimulate the bowel. Short, frequent walks and light movements can encourage peristalsis. Some people find that massaging their abdomen while seated helps promote output.

6. Expect your appetite and energy to return gradually. It can take months for a full appetite to come back, but staying as active as you can tolerate will help.

7. Be on the lookout for signs of obstruction. If you experience increasing pain, bloating, nausea, or a total stop in gas/output, seek urgent medical attention.

8. Remember that everyone's experience is different. Some people may need additional surgery, while others have slow but uncomplicated recoveries.