Returning to university after having an emergency surgery for ulcerative colitis and now living with a permanent ileostomy can be quite a journey. It’s understandable to feel anxious about various aspects of university life, from managing your health to making new friends. Here are some helpful insights and advice to ease your transition:

- Concerns about leaks or unexpected changes are common. It might help to establish a morning routine where you change your pouch, ensuring it’s secure for the day. Avoid heavy meals that might affect the seal.

- Gas build-up can be noticeable, especially in colder weather. This often improves over time as your body adjusts. Eating smaller, easily digestible meals more frequently can help, and try to identify any foods that might be causing excess gas.

- Missing classes due to health issues like dehydration or fatigue is a valid concern. It’s important to monitor your hydration levels and rest when needed, but try to attend classes as much as possible. Your determination can actually become a strength in your academic journey.

- Making new friends while managing an ostomy is possible. Many students feel nervous starting university, and you can still form meaningful connections. Remember, you are healthier now than before your surgery, and you have overcome a lot.

- Revisiting places where you experienced severe symptoms before surgery can be mentally challenging. It’s okay to feel this way, but try to focus on the progress you’ve made and the routine you’re establishing.

- Carrying a discreet emergency kit with essentials like a pre-cut pouch, tissues, wet wipes, and a zip-lock bag can be very helpful. This way, you’re prepared for any unexpected situations without them disrupting your day.

- If you suspect any complications, like an incisional hernia, it’s important to seek medical advice promptly. Starting antibiotics for any infections or inflammation is a good step.

- Experiencing a night-time blow-out can be unsettling, but assembling a “survival kit” can provide peace of mind and help you handle such situations more smoothly in the future.

Remember, feeling anxious is normal, and you’re not alone in this. Many have successfully navigated similar paths and found that their experiences, while challenging, have also made them stronger and more resilient.