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Jan 13, 2016

Reversing a Colostomy After Cancer Surgery: Is It Possible?

The topic revolves around the experience of someone who, after undergoing extensive surgery for ovarian cancer, unexpectedly woke up with a colostomy. This person is now navigating the complexities of living with a colostomy and considering the possibility of a reversal. Here are some insights and advice that might be helpful:

1. **Understanding the Situation**
- The colostomy was described as "reversible," but the surgeon's explanations have varied, leaving uncertainty about the possibility of reversal. Initially, it was suggested that a reversal might be possible after healing, but later, the chances were described as small. The most recent advice was against reversal due to concerns about cancer recurrence and the extent of colon removal.

2. **Daily Challenges**
- Life with a colostomy involves frequent bag emptying, dealing with leaks, managing odors, and facing high costs for supplies, which are not covered by insurance. These challenges make it difficult to resume normal activities.

3. **Emotional and Physical Adjustment**
- It can take about a year to master the use of ostomy supplies and achieve reliable seals. The emotional adjustment might be more challenging than the physical one. Focusing on positive goals and accepting that life will be different but still fulfilling can be helpful.

4. **Diet and Output Management**
- To manage output consistency, increasing dietary fiber with foods like brown rice, oatmeal, and whole-grain bread can help soften firm output. If the output becomes too watery, eating pasta or noodles with pesto can help firm it up.

5. **Colostomy Irrigation**
- Discuss with the surgeon whether colostomy irrigation is an option. If suitable, it can reduce the need for routine bag wear and help restore a more normal routine.

6. **Managing Supply Costs**
- Retail prices for supplies can be high, but looking for online vendors or platforms like eBay for unused supplies can significantly reduce costs. If a reversal occurs, any excess supplies can be resold through these channels.

7. **Seeking Support**
- Access to reliable, hands-on advice or coaching is lacking, which adds to the difficulty of managing life with a colostomy. Seeking support from healthcare professionals or support groups might provide additional guidance and encouragement.
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