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Dec 17, 2013

Adjusting to Life After Ileostomy Reversal

This topic is about managing your diet, dealing with diarrhea, and handling medications after having an ileostomy reversal. If you've recently undergone this procedure, you might be navigating some changes and challenges. Here are some helpful tips and insights to guide you through this period:

- After your ileostomy reversal, you might experience diarrhea. Initially, try to reduce your intake of high-fiber foods and fruits. Instead, focus on low-residue, bulk-forming foods like mashed potatoes, white rice, white pasta, white bread, and ripe bananas. These can help thicken your bowel movements without adding extra fat, which is beneficial if you're following a heart-healthy, low-fat diet.

- Introduce new foods gradually and see how your body reacts. Everyone's tolerance is different, so keep portions small and pay attention to how you feel after eating.

- Over time, many people find they can return to eating a wide variety of foods, including popcorn, nuts, and raw fruits and vegetables. It's a process of trial and error to see what works for you.

- If you're experiencing gas and discomfort, products like Gas X, which contain simethicone, can be helpful. Keep track of how effective they are for you.

- Fiber supplements such as Metamucil (psyllium) can help firm up your bowel movements, but they might increase urgency for some people. Start with small doses and adjust as needed.

- If you suspect a blockage, characterized by pain, swelling, and no bowel output, switch to clear liquids, try gentle abdominal massage, and light movement. Seek medical attention if the issue doesn't resolve.

- For more information on diet and recovery, check out reliable websites like the Crohn’s & Colitis Foundation, United Ostomy Associations of America, NHS post-ileostomy dietary guidance pages, and specific hospital patient guides.

- It's important to stay hydrated and maintain your electrolyte levels, especially if diarrhea is ongoing.

- Abdominal swelling is common for several weeks after surgery. However, if the swelling increases, becomes painful, or is accompanied by a fever, consult your surgeon.
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