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Oct 23, 2013

How to prepare for a successful ileostomy reversal and defecating proctogram?

Topic Explanation:
The forum topic is about preparing for a successful ileostomy reversal and defecating proctogram. The original poster is seeking advice from others who have undergone ileostomy reversal and had to complete a defecating proctogram, as they have been told they need to successfully complete this test before undergoing the reversal.

Advice and Insights:
- It's important to consider age, surgery stress, and potential future complications when deciding on ileostomy reversal.
- In preparation for the reversal, it's advisable to inquire about exercises or therapy to increase muscle tone in the rectum.
- Some individuals may need follow-up therapy to prepare for a reversal, especially if they have failed the defecating proctogram test.
- Regular exercise, such as Pilates, can help strengthen the inner abdomen muscles and aid in retraining the rectal muscles for better bowel function.
- It's crucial to be patient with the process of retraining the rectal muscles, as it takes time and regular effort to build up inner strength.
- Biofeedback therapy can be beneficial in retraining the rectum muscles for easier and normal stool passage.
- Having a skilled doctor who can explain the importance of good sphincter strength before reversal is crucial to avoid potential post-op complications.
- The decision for reversal may depend on meeting specific criteria, such as being off pain medication, improved eating, and passing the defecating proctogram test.
- Access to medical equipment and the expertise of doctors are essential factors to consider when preparing for the reversal.

Conclusion:
The forum discussion provided valuable insights and advice on preparing for a successful ileostomy reversal and completing a defecating proctogram, including the importance of muscle retraining, the role of biofeedback therapy, and the criteria for considering reversal.
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