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Mar 02, 2016

Ileostomy complications - Weird sensations and prolonged bloating after reversal

This topic is about someone who had emergency surgery due to a tubercular intestinal obstruction. During the surgery, about 3 feet of their small intestine was removed, and an ileostomy was created. While living with the stoma, they experienced sudden "shock" or pulling sensations around it, which doctors said were normal intestinal movements. After the ileostomy was reversed, these sensations continued inside their abdomen. They also suffer from severe bloating, making them appear several months pregnant, and are curious about how long this bloating might last.

Here are some helpful insights and advice:

1. Shock or pulling sensation:
- This might be due to adhesions, where the intestine sticks to surrounding tissue or skin. The intensity can vary; sometimes it resolves on its own, but in severe cases, surgery might be needed.
- During surgery, an anti-adhesion surgical wrap can be used to prevent or reduce future adhesions. This needs to be specifically requested as many surgeons may not be familiar with it.

2. Managing bloating and gas:
- Encourage gas movement through the colon by walking and engaging in gentle exercise as soon as it's medically safe.
- Avoid carbonated drinks, fizzy foods, chewing gum, and anything else that might increase swallowed air.
- With a permanent ileostomy, gas can be vented by "burping the bag," but after reversal, it must pass naturally.

3. Medical follow-up:
- Request imaging, such as an X-ray or MRI, and consider seeking a second opinion to explore possible mechanical causes of bloating.
- If bloating and gas persist or worsen, further investigation is recommended, as one person reported their symptoms never resolved and gradually worsened.
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