This topic is about a family helping a brother who has just returned home after major abdominal surgery. He now has a permanent ileostomy and is dealing with pain, withdrawal from narcotics, and other health challenges. The family is seeking advice on managing these issues at home.

Here are some helpful insights and advice shared by others:

1. Addiction and Withdrawal Support
- Caregivers need support too. Be patient and available, and try to help during moments when he is open to it.

2. General Pain Management
- Some people find that pain gradually decreases over time without heavy medication. Emotional support can be as crucial as medication.

3. Diet after Ileostomy
- Avoid foods with skins, membranes, or high insoluble fiber, such as raw vegetables, fruits with peel, nuts, seeds, and certain Chinese dishes. These can cause blockages and severe pain.

4. Medication Adjuncts
- Anti-anxiety medications like Xanax (alprazolam) might help reduce psychological distress and calm gut activity during painful episodes.