Hi Odd Dodd,
I too had an ileo-rectal anamastosis back in August 2008. I had major problems with bowel incontinenc and major acidic diareah. What helps me is the metamucil powdered fiber, because the fibers bind up the bowel and helps not only firm it up to at least a soft firm, but it decrease the output because the bowel is sitting there getting firmer, so you would go as much. The incontinence part is because, for me anyway, the colon was no longer present so that I could not feel any pressure in my stomach to know I would have to go and also because the diareah was so watery(I could not even feel it coming out until I went to sit on my bum, and feel something not right) that it is difficult for the rectum to even try to hold it. But with the help from the powdered fiber, the bowel was more firmer and I was at least feel the pressure of it trying to push out of my rectum and butthole. Even to this day, I only know when I have to go when I feel pressure at the bottom of my rectum and anus, like it is about to come out, I do make it to the bathroom, but I have to literally go within a matter of 20-40 seconds, so I can make it. I do have incontinence when my bowels are extremely watery, due to circumstances like illness or accidently eating something I can not tolerate.
As for the foods, with me I have separate food intolerances because of other issues, not the actually surgery. But there are foods like acid foods, fresh fruits, anything with skins and nuts, will cause either more watery, increased output, and especially with nuts, I find with me, they come out like glass, and also with acidic foods because I don't have a colon to suck up the acid out of the food before I pass it, so it makes the anal skin on the outside of the anus very painful. The other foods, like fresh veggies, salads, and some other of the non-acid foods and even very high fibered food will cause increase output and even with the metamucil, since these foods would cause high output anyway because of the fiber content, I would wait a while, but eventually you are able to eat these again without issues. Also everyones body is different in how they react with foods, so keeping a food diary is the best way. Foods that make you uncomforatble or even give out too much out put, but my surgeon told me that everyone is different, so what make work for one person may not work for another. Remember, or small intestines are still finding there niche in the digestive system, and on top of that now it has a lot more room to move around, so foods will natural go out alot faster and in some instances may not even be digested where it will literally come out the way it came in, but agin with in a few months all this will settle down as the small intestine finds a permanent place to rest and not move around that much, but will still move around more than the average digestive system for a long time making foods in general go out faster than a person without a colon.
Well, Good luck with everything. I hope this helps alot. Even with it's inconviences, it will eventually settle down and trust me you will feel alot better that you ahd the surgery. I had slow transit constipation and my colon died when they took it out. At least since I got the surgery, I am not longer sick and I know in the beggining it is a pain, but after you recover, you will feel better and even alot better than you probably did before the surgery. I hope this helps alot. Welcome again to the board. We are all here to help answer your question, so ask away. Everyone here is here to help and they are very helpful. You are at the ebst place for support and help with your surgery. Good luck and I hope all is well.
Rectal Prolapse Surgery: December 2006
diagnosed with slow transit constipation: June 2008
total colectomy with ileo-rectal anamastosis: Aug 7, 2008
Numerous food intolerances (gluten,lactose,msg,etc)