This topic is about what to expect when undergoing an ileostomy reversal, particularly concerning bowel function, output consistency, and control. The person sharing their experience had colon cancer surgery in 2011, which resulted in an ileostomy. Due to a heart operation, the reversal was delayed, but a new date is anticipated soon. They are seeking practical advice on several aspects of the reversal process.

Here are some insights and advice shared by others who have gone through similar experiences:

1. **Output Consistency After Reconnection:**
- Initially, expect the stool to range from watery to constipated. It may take a few weeks for the colon to adjust and for the stool to become more controllable.
- Be prepared for fluctuations between diarrhea and constipation as the colon regains its fluid-absorbing function.

2. **Bowel Control:**
- Most people experience few or no accidents. Urgent feelings may arise quickly, but there is usually enough time to reach a toilet.
- Control tends to improve with the use of medication and dietary fiber when necessary.

3. **Helpful Medications and Products:**
- Imodium (loperamide) can help slow output, especially when taken with meals.
- Lomotil and Tincture of Opium may be used to slow transit for those with little or no colon.
- Metamucil fiber pills can bulk up the stool, helping to thicken output.
- Calmoseptine ointment or Sudocrem, along with baby wipes, can protect irritated skin after frequent bowel movements.
- Sports or electrolyte drinks are useful to prevent dehydration while the ileostomy is in place.

4. **Surgical Approach and Hospital Stay:**
- Be prepared for an open incision, as laparoscopic reversals are less common when adhesions need to be cleared.
- Hospital stays typically last about 7 to 10 days, with discharge occurring only after passing gas or stool.
- Keeping a journal of your recovery can help track progress and set expectations.

5. **Pre- and Post-Operative Diet:**
- Follow your surgeon's advice to "eat whatever you want, but ease in." Start with several small meals a day, as large meals can cause nausea early on.
- Gradually return to normal portion sizes, but be aware that heavy meals may still feel uncomfortable months later.
- Some foods, like salads and fruit, can be eaten between meals, but it's important to monitor for any personal triggers.

6. **"Phantom" Bowel Urges and Mucus:**
- These sensations are normal and can be encouraging, as the rectum continues to produce mucus and the defecation reflex remains active.
- People with permanent ostomies can experience similar sensations.

7. **Distinguishing Gas from Stool After Reversal:**
- This ability improves over time. Initially, it's wise to err on the side of caution and stay near a toilet until you become familiar with your body's new patterns.

8. **Warfarin Pause Before Surgery:**
- It's common to be admitted to the hospital several days before surgery to switch from Warfarin to short-acting Heparin injections and to undergo pre-operative tests and coagulation monitoring.