Living with a new ileostomy can be a challenging journey, especially for someone who has recently undergone surgery. This young person, who had emergency surgery for severe ulcerative colitis, is navigating life with an ileostomy. Although they have learned the mechanics of daily life, such as changing and emptying the bag and managing diet restrictions, they still experience unexpected emotional struggles. Here are some insights and advice that might help:

- Emotional ups and downs are common. It's normal to feel anger, sadness, and to compare life now with how it was before surgery, especially during quiet moments like showering or cooking.

- Returning to familiar places, like university, can bring back memories of being unwell and create anxiety about managing classes, social life, and relationships.

- While short-term counseling was helpful, finding a therapist with specific experience in ostomy care might be more beneficial. If the current therapist isn't a good fit, consider looking for someone else.

- The hope of a future J-pouch procedure offers a sense of moving towards normalcy, even though it comes with its own risks.

- Small, everyday challenges, like finding seeds in bread or worrying about how a belt might affect the pouch, can feel disproportionately frustrating.

- It's important to keep communicating, both professionally and personally. Therapy can be a valuable tool, and universities often provide free counseling services. Having a support network of friends and family can also be crucial.

- Keeping the ostomy a secret can lead to feelings of isolation. Many people are more understanding than you might expect, so choose trusted confidants to share with.

- Acceptance takes time. Four months is still early in the adjustment process. As routines become more familiar, anger and frustration usually decrease.

- Instead of focusing solely on feelings of sadness, try to identify specific triggers and work on practical solutions.

- Life can still be fulfilling. With time, you can return to activities like studying, sports, and travel. Experimenting with clothing and activities can help build confidence.

- When it comes to disclosing your ostomy, share this information only with people you trust. Protect your privacy in environments where you feel vulnerable.

- Preparing for the J-pouch surgery involves trusting your medical team and focusing on staying healthy. Worrying won't change the risks but can drain your energy.

- Remember, you are not alone. Many people have gone through similar experiences and have found ways to adjust over time. Engaging with others who have been through this can provide support and shorten the learning curve.