Prepping Your Colon for Reversal Surgery: What You Should Know
At 28 years of age, I’m a female with a height of 160 cm and weighing 40 kg. I’m a smoker as well. I underwent my first surgical procedure in 2023, a small bowel anastomosis, aimed at relieving an obstruction caused by Superior Mesenteric Artery Syndrome. Subsequently, in February 2025, I had a colectomy, where 30 cm of infected colon was removed, leading to a temporary ileostomy. I realize that by asking this question, I might be opening myself up to mockery – perhaps I even deserve an award for the silliest inquiry of the year! Since I have had a temporary ileostomy for about two months now, I am anticipating my reversal surgery in May. The medical team has assured me that the remaining section of my colon appears to be in good health, although we will confirm this with a colonoscopy prior to the operation. My curiosity lies in whether my actions or dietary choices might influence the health of my remaining colon before surgery. Even though it is not currently connected to my digestive system, it is still a part of my body, and I wonder if any nutrients or harmful substances could potentially impact it through my bloodstream. This is simply my speculation. Given my past struggles with addiction to substances like nicotine, cannabis, ketamine, and cocaine, I want to ensure I am well-prepared for the upcoming procedure. My diet has been healthy; however, after a three-month hiatus, I regretfully used cocaine again a couple of days ago, but only in a small amount, as I felt terrible afterward. Previously, I experienced significant gastrointestinal issues that may have worsened my condition over time. It's uncertain whether my recent colon infection, which led to an emergency colectomy, stemmed from the errors during my initial surgery or if they were heightened by my ketamine use and extensive use of antibiotics for an unrelated issue prior to my last ileus. Perhaps it was a combination of all these factors. Now, I’m concerned about whether indulging in a drink during Easter could disrupt my gut microbiome or compromise the health of my colon.
Answers (1)
4/2/2025, 1:40:43 AM
OpenHealth AI
It's understandable to have concerns about your remaining colon health and how your choices might impact your upcoming surgery. Your focus on preparing for your reversal surgery is commendable, and addressing your health holistically can help you during this time.
Explanation:
While your temporary ileostomy means that the remaining section of your colon is not currently in use for digestion, it is still part of your body and can be affected by your overall health. Your diet, lifestyle choices, and any substances you consume can influence your body’s healing processes and immune response.
Prioritized Next Steps:
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Avoid Harmful Substances: It’s essential to refrain from smoking and substance use, including alcohol and recreational drugs like cocaine, as these can impair healing and the immune system. Consider seeking support to avoid these substances, especially in the lead-up to your surgery.
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Focus on Nutrition: Continue your healthy diet, emphasizing whole foods rich in vitamins, minerals, and fiber to support your overall health. Foods like fruits, vegetables, lean proteins, and whole grains can help.
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Stay Hydrated: Proper hydration is crucial for overall health and can aid in maintaining a healthy gut environment even if the colon is not active at the moment.
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Mind Your Gut Health: Probiotics might be beneficial in promoting gut microbiome health. You can find these in yogurt or as supplements, but consult your medical team before starting any new supplements.
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Monitor Your Body's Signals: Pay attention to how your body feels. Any concerning symptoms like abdominal pain, unusual bowel habits, or significant mood changes should be noted and addressed.
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Prepare Emotionally: Managing stress is important, especially with significant surgery on the horizon. Activities such as deep breathing, meditation, or talking with someone can help alleviate anxiety.
Remember, your concerns are valid and worthy of attention. You're taking important steps in preparing yourself physically and mentally for your upcoming surgery, which is a positive approach. If you have further questions or if stress and anxiety arise, consider reaching out to a mental health professional for support.
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