The topic at hand is about the experiences and challenges faced by someone who has recently undergone ileostomy reversal surgery. This person is dealing with significant rectal pain and issues with bowel control, such as accidents, one month after the procedure. They are curious about how long these symptoms might last, as they feel similar to those experienced with ulcerative colitis. Despite these difficulties, they are happy to no longer have the ostomy.

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

1. Healing Expectations
- Some people notice improvements in pain and bowel control around two months after surgery, while others may take six months or more, especially if there are additional factors like radiation, low anastomosis, infection, or nerve damage.
- Mild rectal irritation or pressure is common, but if severe pain continues or there is no improvement after a month, it is important to discuss this with your surgeon during follow-up appointments.

2. Bowel-Control Aids
- Taking psyllium husk, such as Metamucil, can help thicken stool and reduce accidents. A recommended dose is 1 teaspoon in 2 ounces of water twice daily, but be cautious as too much can cause abdominal pain.
- Natural psyllium products can be found in most health-food stores.
- Digestive enzymes and probiotics might help slow down transit time and improve stool consistency.

3. Diet Adjustments
- Focus on eating cooked vegetables and fruits, and limit raw vegetables until bowel control improves.
- Reduce sugar intake and avoid carbonated drinks to prevent gas and bloating.
- Drink plenty of water to aid in the healing process.

4. General Guidance
- Be prepared to "re-learn" your eating and bowel habits after the reversal. Gradual improvement is a normal part of the process.
- Regular follow-up with your surgical team is crucial to monitor your progress and address any ongoing pain or incontinence issues.