This topic is about how someone managed to improve their lactose intolerance after having a second ileostomy operation. Initially, they experienced severe symptoms, but by making some changes to their diet, they were able to enjoy lactose-containing foods again without discomfort. Here are some helpful insights and advice based on their experience:

1. If the part of the bowel that digests lactose has been removed, lactose intolerance might be permanent, and dietary changes alone may not help everyone.

2. If the bowel segment is still intact, gradually adjusting your diet and consistently including probiotic-rich foods like yogurt and cottage cheese might help reduce or even eliminate lactose intolerance after an ileostomy.