I'm not saying for sure that your doc will not agree to an ileostomy BUT I think surgeons, in general, prefer not to do ileostomies on young people because there is a trick to managing them. Not impossible, but at best it can take a while to get used to changing the appliance. Then also if you are young, I think docs worry that you might be overwhelmed with the body image issue. That IS tricky to get past, but certainly CAN be accepted as time goes on especially if you feel so much better. I think also for some reason docs might equate ostomy with failure on their part that they did an ostomy to someone so young and could offer nothing else. THOUGH, in your case, and in Tracy and Hodaya's case and MANY others on here who needed ileostomies for slow transit and colonic inertia as you seem to need, they find having an ileostomy a blessing as they are no longer having to battle with a colon that does not work. These are only my guesses as to why your surgeon MIGHT not be wild about
doing this to you. BUt talk with him and find out direct from him.
I will link to your colon picture and take a look. BUT regarding this, if I were you, PRIOR to going back to your surgeon or to any other surgeon, I would make an appointment with the radiology doc and get radiology information about
what is and is not redundant in your colon. In my experience, radiology docs have been VERY
open and very interested in educating patients. WISH I had made appts with my ORIGINAL radiology docs as my whole disaster could have been averted if they'd taken a second look and seen my sigmoid wasn't redundant, but at any rate the radiology docs I talked to enroute to finding out what needed to be done to save my life from damages I incurred in 2006 surgery, were all very nice and very willing to speak.
Then take the info you have from the radiologist, get your pudental nerve tested to be sure that would not hinder your rectum from working fully, then see what your surgeon has to offer. Then go on other surgical consults.
Do keep in mind that as you have normal small bowel function, it will take between 6 and 9 months for it to slow down and start acting more like a colon. I had massive output for about
3 months, then it gradually slowed down. Your body adapts so that your small gradually takes over the function of your colon the best it can. Once it slows, it will then absorb more liquid and electrolytes back into your body. Never as well as the colon can, but it does the best it can. Also know that ileostomates are prone to dehydration and we have to drink lots of water. Also know that if you ever get the stomach flu with vomiting and diarrhea you will need an IV stat because ileostomates will dehydrate extremely fast with this type of stomach flu.
So, Boat, that is the route I would take. AND do remember my advice is only based on my own experience. BUT I can sure see why you want to get this dealt with before the riggors of med school. YOU WILL MAKE AN EXCELLENT DOCTOR!