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Mar 20, 2018

Post-Ileostomy Pain: Normal Healing or Something More?

This topic is about someone who is six weeks into their recovery after having an ileostomy surgery. They are experiencing some abdominal pain that comes and goes, lasting for several hours at a time. While the pain from the surgical wound is getting better, this new pain is causing concern. They are unsure if it might be due to a blockage, gas, or just part of the normal healing process. This uncertainty is making it hard for them to eat and gain the weight they need. They are seeking advice on whether this pain is a normal part of healing and how common blockages or issues with scar tissue might be.

Here are some helpful insights and advice:

1. At six weeks post-surgery, it is still relatively early in the recovery process. Some ongoing abdominal discomfort can be normal as your intestines are still adjusting.

2. Make sure to chew all your food thoroughly. Swallowing large pieces can increase the risk of obstruction for those with an ileostomy.

3. Be mindful of certain foods that might cause blockages or excessive gas. You can find an "Ostomy Food Chart" online, which can help you learn which foods might thicken or loosen your output or create gas.

4. If the pain becomes more intense, lasts longer, or if you notice a reduction or absence of stoma output, it is important to contact your surgeon or visit the emergency department to rule out any obstruction.

5. To help with weight gain and increase your caloric intake, consider adding oral nutrition supplements like Ensure or Boost to your meals.
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