This topic is about dealing with challenges after an ileostomy reversal, specifically focusing on persistent fecal incontinence. The original poster had surgery for rectal cancer, which involved removing the rectum and part of the anal sphincter. Since the reversal, they have been experiencing constant stool leakage and severe constipation, which even led to a slipped spinal disc from straining. They are exploring options like a "pacemaker-type" device to help control the incontinence and are seeking advice and experiences from others.

Here are some insights and advice shared by others:

1. The original poster has tried a temporary electric pacemaker in the anal area, but it hasn't helped so far. Despite this, their surgeon is recommending a permanent implant. They are observing the situation longer but remain skeptical about its long-term benefits.

2. Dietary advice from someone with similar experiences:
- Certain foods and drinks, like chocolate and milk, can trigger issues. Eating meat on consecutive days can worsen the situation.
- Keeping a detailed food diary can help identify personal triggers. Without a diary or avoidance strategy, almost everything can cause problems.

3. Medication management:
- Taking an anti-diarrheal medication, such as loperamide, daily can help reduce urgency but might lead to constipation. It may be necessary to adjust the dosage or alternate its use to find a balance.