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Feb 24, 2018

Adjusting Diet Post-Ostomy Surgery: Seeking Advice and Support

This topic is about managing diet, bowel function, and feelings of depression after having an ostomy reversal. The person sharing their experience is about seven weeks post-surgery and is hopeful that this will be their last time needing an ostomy bag. While their bowel movements are generally okay, they notice that eating Mexican food causes issues. They feel their current diet might be contributing to these problems and are seeking advice on what to eat. Additionally, they are experiencing a return of depressive feelings and are looking for support and advice from others who have faced similar challenges after surgery.

Here are some helpful insights and advice:

1. Emotional-control skills
- Depression and other strong emotions can come from the same source of emotional energy. Learning techniques to manage this energy can help prevent one emotion, like anger, from turning into another, such as depression.
- A program called "Constructive Conversations" teaches people to pause and think before reacting emotionally, which can improve emotional balance. This program is detailed in a series of books and a blog post titled "11/02/16 GRATITUDE."
- Regular practice of these techniques is important, and they can be learned by anyone, similar to anger-management skills.

2. Seek professional or peer support beyond ostomy-specific groups
- If online forums are not enough, consider in-person counseling or therapy. Many places offer free or low-cost options.
- Don't limit yourself to ostomy support groups. General mental-health professionals can help address depression more directly while you continue to manage your physical recovery.
- Addressing depression should be a priority, and having support for both physical and mental health is ideal.

3. Combat isolation and rebuild confidence
- Persistent loneliness and loss of self-worth might need structured counseling or support groups that focus on social skills and self-esteem, not just medical issues.
- Real-world companionship, such as local groups, therapy, or community activities, can be a valuable addition or alternative to online interaction for those who need face-to-face connection.

4. Diet observations
- Mexican food is causing bowel problems for the person sharing their experience. It's important to continue identifying and limiting foods that worsen bowel movement consistency or frequency.
- Keeping a food and symptom journal can help identify other dietary triggers and patterns.
See full discusison
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