This topic is about someone who, at nearly 80 years old, had an ileostomy in February and is now facing challenges with depression, pain, and fatigue. They are seeking advice on how to cope with these issues and the significant life changes they are experiencing. Here are some helpful insights and advice shared by others:

1. Recovery takes time. It's important to remember that the first few months after major abdominal surgery are a period of adjustment. Physical healing, dietary changes, and building new routines can take longer than expected.

2. Pain management is crucial. If you are experiencing persistent stomach pain, it's important to report this to your surgeon, primary doctor, or a stoma nurse. They may need to reassess your situation or adjust your medication.

3. Seek professional support. In some places, like the UK, stoma nurses can be contacted directly and may even visit you at home. It's worth checking if similar services are available in your area.

4. Improving sleep can help ease mood. Lack of restorative sleep can worsen depression. Discuss with your doctor the possibility of using sleep aids or adjusting your medication to minimize night-time waking.

5. Stay engaged with activities. Spending time with family, attending church, or participating in familiar activities can lift your mood and provide a distraction from health concerns.

6. Allow yourself to feel low. It's common to experience depression following illness or surgery. Acknowledging these feelings as valid can help reduce self-blame.

7. Explore creative or spiritual outlets. Some find writing, like poetry, or engaging in spiritual practices helpful in processing depressive thoughts and maintaining a positive outlook.

8. Connect with peers for empathy. Others who have gone through similar experiences can offer support and understanding. They can reassure you that living with a pouch becomes easier over time and that issues like leaks tend to decrease.