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Jan 15, 2014

Living with Diversion Colitis After Surgery

Living with diversion colitis after ileostomy surgery can be quite challenging. This condition involves inflammation of the bypassed colon or rectum, which can cause discomfort and other symptoms. Here are some helpful insights and advice for managing this condition:

1. Be prepared for occasional rectal discharge, which might include mucus, watery fluid, or even blood. This can create sudden pressure that is difficult to control, so it's a good idea to carry or wear protection like DEPENDS adult diapers. Keeping a sense of humor can also help you cope with these situations.

2. Diversion colitis happens because the unused intestine no longer receives stool, which deprives it of short-chain fatty acids. Consider discussing these management options with your doctor:
- Prescription rectal therapies such as Canasa (mesalamine) suppositories.
- Medicated enemas specifically formulated for diversion colitis.

3. Educate yourself by researching "diversion colitis" in medical literature. Understanding the causes and treatments can help you have more informed discussions with your healthcare provider.

4. Here are some practical tips for coping with the symptoms:
- Respond quickly to any urge to go to the toilet; over time, you may learn to anticipate these attacks.
- Use an unscented odor-neutralizer spray in the bathroom to manage any unpleasant smells.
- Protect your bedding with a removable "draw sheet" to handle any leaks that might occur at night from either the ostomy bag or rectal discharge.
- When going out, consider tying off pant legs or wearing dark clothing to prepare for any unexpected releases.
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