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Jun 06, 2014

Post-Ileostomy Reversal Diet Experiences

The topic is about dietary experiences and advice following an ileostomy reversal. This is a procedure where the ileostomy, a type of stoma, is closed, and the bowel is reconnected. After this surgery, people often wonder about what they can eat, how their body will react, and how to manage their diet during recovery. Here are some insights and advice shared by others who have gone through this experience:

1. General approach:
- Many surgeons do not impose strict dietary restrictions after the reversal. It's important to listen to your body and let it guide you.
- Introduce new or potentially problematic foods slowly and avoid overeating, as the J-pouch has a limited capacity.
- Keeping a detailed food diary can help you identify which foods might be causing any symptoms.

2. Problem foods and helpful adjustments:
- Dairy products, especially ice cream, and raw salads can often lead to diarrhea, so it's best to consume them cautiously or in small amounts.
- Vegetables are generally better tolerated when they are cooked or steamed.
- Spicy foods, like those from Thai or Indian cuisines, can be enjoyed in moderation.

3. Managing diarrhea:
- Over-the-counter anti-diarrheal medications like Imodium and prescription bile-acid binders such as Welchol are commonly used.
- If diarrhea occurs, it's helpful to take anti-diarrheal medications promptly.
- Herbal remedies, such as drinking 2–3 cups per day of a Chamomile and Fennel tea blend, may help soothe the gut.

4. Pelvic-floor and activity advice:
- Performing Kegel exercises can help strengthen the anal sphincter.
- It's advisable to avoid lifting heavy objects for about 90 days after surgery to protect the surgical repair.

5. Mind-set:
- Enjoy life and indulge in your favorite treats, like an occasional Häagen-Dazs ice cream or cannoli, once you understand your limits.
- Trust your surgeon's guidance if you have confidence in their expertise, but proceed with caution as you learn your new dietary tolerances.
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