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Feb 19, 2018

Advice for Ostomy Reversal at 27?

This topic is about a 27-year-old who is preparing for a colostomy reversal after having emergency surgery due to a diverticulitis rupture with peritonitis. The person is facing some challenges and concerns, especially since their original surgeon is moving away, leaving them to find a new surgeon on short notice. Here are some helpful insights and advice for navigating this situation:

- Recovery after reversal:
- It's natural to feel anxious about recovery. Remember that your young age can be an advantage, as younger people often heal faster.

- Choosing a new surgeon:
- Consider a colorectal specialist, as they have more experience with reversals.
- Ask your current surgeon to communicate with the new one and be available for consultations.
- If you're not satisfied with the communication, it's okay to express your concerns.
- Don't hesitate to look for surgeons outside your local area if needed, but check with your insurance first.
- If you're uncomfortable with a surgeon, it's perfectly fine to find another one.

- Timing for the reversal:
- While six months is a common minimum wait time, it's safe to wait longer if needed for better healing.
- The reversal should happen when you and your surgical team feel it's the right time.

- Tips for hospital recovery:
- Walk around the hospital corridors frequently to help your gut function and speed up healing.
- Gentle bed-based yoga can help if you experience an ileus.
- Be prepared for temporary issues like ileus or narrowing at the reconnection site, which can often be managed.

- Diet and bowel management after reversal:
- Reintroduce foods slowly and learn which foods are safe for you.
- Avoid large meals to prevent overwhelming your shortened colon.
- Keep plenty of toilet paper on hand for days with frequent bowel movements.
- Protect your skin with plain Zinc Oxide cream to prevent rashes.
- Discuss with your doctor if you need medications like Imodium to manage bowel movements.

- Perspective and encouragement:
- Many people have successful reversals even at older ages and with additional health issues. At 27, you have a good chance of healing well.
- Remember that online stories often highlight negative experiences, but many positive outcomes go unreported. Stay positive—you've already overcome a significant challenge.
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