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Jun 18, 2019

Successful Reversal - 6 Months Post-Surgery Update

This topic is about a personal experience with a colostomy reversal surgery and the recovery process six months after the procedure. The person sharing their story wants to provide a positive perspective and offer encouragement to others who might be considering a similar surgery. Here are some key points and advice from their experience:

- The individual experienced no loss of bowel control at any time during recovery.
- Their bowel movement pattern improved significantly, going from 3-4 trips in the early morning to just 1-2 before work, with no issues for the rest of the day.
- A high-fiber diet has been beneficial in keeping bowel movements regular and easier.
- The only ongoing issue is a small internal hemorrhoid that existed before the reversal and still bleeds occasionally.
- The surgeon estimated a full recovery in 6-8 months, and the progress so far aligns with this timeline.
- The possibility of re-creating a colostomy in the future, if needed, provides peace of mind.

Additional advice and insights from others include:

1. Bowel-frequency expectations:
- Achieving 1-2 daily bowel movements after reversal is considered excellent by some surgeons.

2. Life without a colon after reversal:
- Many have found success even after a total or near-total colectomy.
- Initial bowel movement frequency can be 10-12 times a day, often settling to about 5.
- Stools remain soft, and avoiding rich or greasy foods can help reduce urgency.

3. Diet and routine:
- A high-fiber diet aids in maintaining regularity, unless otherwise advised.
- Limiting fatty or greasy foods can help control bowel movement frequency and prevent fat dumping.

4. Pain management and sleep in early recovery:
- Tylenol (acetaminophen) has been sufficient for pain relief for some.
- An adjustable bed set to a "zero-gravity" or semi-upright position can relieve abdominal pressure and prevent nighttime movements that might disturb incisions. Renting such a bed is an option.

5. Decision-making and emotional support:
- It's wise to seek second or third opinions if there is any doubt about the original surgeon.
- Knowing that a stoma can be re-created later can alleviate anxiety about choosing reversal.

6. Return to normal activities:
- People have resumed their everyday lives at different paces, with many reporting positive outcomes. Specific timelines were not provided, but the overall feedback is encouraging.
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