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Jan 17, 2012

Countdown to Ileostomy Reversal - What to Expect Post-Op?

The topic is about preparing for and recovering from an ileostomy reversal surgery. This is a procedure where a temporary ileostomy is closed, allowing the bowel to function normally again. Here are some helpful insights and advice for those going through this process:

1. Concerns and Preparations:
- Be prepared for immediate post-op pain and a recovery period. It's normal to feel nervous about this.
- Expect changes in bowel function, such as alternating diarrhea and constipation.
- Consider the logistics of moving around, especially if you have stairs at home, and the urgency of bathroom trips after surgery.
- It's common to hear about complications, but many people successfully undergo this surgery.

2. Living Arrangements and Supplies:
- Stay close to a bathroom if possible. Stock up on adult diapers, Sudocrem, and wipes for convenience.
- Understand the surgical approach. Sometimes, a midline incision is necessary, which may affect recovery.

3. Diet and Nutrition:
- In the hospital, you'll start with clear liquids and gradually move to a low-residue, soft diet. Foods like broths, bananas, and well-cooked vegetables are recommended.
- Stay hydrated with water, weak tea, juice, or Gatorade.
- Protein is important for healing, so consider drinks like Ensure High-Protein or adding milk powder to meals.

4. Medications:
- You might need stool softeners like Colace or Dulcolax initially.
- Anti-diarrheal medications such as Imodium or Lomotil can help manage bowel movements.
- Pain management may include morphine initially, followed by oral pain relievers.
- Blood clot prevention measures like Lovenox injections and leg boots are routine.

5. Wound Care:
- Staples from the midline incision are usually removed within 8-10 days. The stoma site may need daily packing and will heal over several weeks.
- Request saline to soak old packing before removal to reduce pain.

6. Activity and Bowel Training:
- Walking frequently helps with recovery and bowel function.
- Use an incentive spirometer to prevent pneumonia and practice Kegel exercises to improve continence.
- Keep a bathroom diary to track bowel movement frequency, which should decrease over time.

7. At Home:
- Prepare small portions of soft meals to have on hand.
- Keep supplies on each floor of your home and consider sleeping near a bathroom initially.
- Continue with short walks and avoid heavy lifting to prevent hernias.

8. Emotional and Practical Tips:
- Be prepared for accidents and carry spare underwear and wipes.
- Consider a "bye-bye bag" ritual to lift your spirits before surgery.
- Patience, humor, and support from family, friends, or support groups can make the transition easier.
- Many people who undergo reversal surgery are glad they did, as success stories are common.
See full discusison
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