Constipation after Ileostomy Reversal

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Regular Member

Date Joined May 2006
Total Posts : 35
   Posted 1/18/2007 7:54 PM (GMT -7)   
My colon perforated last May. I had 28 inches of it removed and had a temporary ileostomy that was reversed in July.  I was told to expect frequent bowel movements and diarrhea. I have had quite the opposite. I take the maximum dose of Zelnorm daily plus daily stool softeners, however I remain constipated. I will go several days without bowel movements and then have one day when I pass a fairly amount of stool. Has anyone else experienced this? I'm afraid the chronic constipation will lead to more problems and more surgery. My original perforation was due to diverticulitit.

Angel Baby
Regular Member

Date Joined Mar 2006
Total Posts : 50
   Posted 1/24/2007 10:23 AM (GMT -7)   
Chertuc tongue  Hello There!
I hope you are feeling better after your reversal with the exception of your question regarding constipation.  I had a ilestomy/colostomy 09/19/05 and reversal 12/20/05 due to a slow transit colon.  After my reversal up to almost the one year mark, I had frequent bowel movements some small stool formation and some diarrhea depending on what I ate such as chinese food (mai fun noodles, hot and sour soup), a cup of cappiccuno, butter, just to name a few. I was losing weight like no tomorrow.  I was down from 130 lbs to 112 lbs. Then all of a sudden, the small intestine started to take over the responsibility of the missing large intestine.  Then I started putting on weight and also I noticed that my bowel movements decreased.  I got nervous when I didn't go to the bathroom all day.  Thinking here we go again.  So my surgeon told me to drink milk of magnesia and prune juice like a cocktail within an hour your in the bathroom.  At first it didn't work, told me to take a fleet and he the ordered a flexisigmoid and barium esphogus, abdominal area, and small bowel.  After those tests, no problem.   It has been a year since my reversal and I can't say I feel great all the time, but it is much better than how I felt before as far as the bowel movements.  I gained some weight, but feel sluggish all the time.  Whenever, I don't have a bowel movement, I increase my water intake and take a shot of milk of magnesia.  If you are in doubt about how you feel, don't hesitate to call your surgeon and like him or her run some tests.  But remember, everyone's body is different.  Keep the faith!

New Member

Date Joined Sep 2013
Total Posts : 1
   Posted 9/13/2013 7:18 AM (GMT -7)   
Hello, my ilestomy surgery was 1/7/2013 and reversal 4/8/2013. My recovery has been a little rough. At first I was in and out of the doctors office because I was so constipated, but now I've learned to deal with it myself. I am still constipated but not as much as early on. I'm trying to get into the habit of increasing my water and fiber intake and that helps, but if I cut back on either one I'm back to the drawling board with constipation. Also, I noticed that some stated that they have diarrhea, but I have never had it, I've just had problems passing bowl. I also, have a swallon belly and have gained almost all my weight back. I lost about 40 lbs when I had the surgery, but slow I gained the weight back. I'm tired all the time and feel sluggish as well.
I would just like to know if anyone else has had this happen to them and if so for how long?

New Member

Date Joined Oct 2012
Total Posts : 8
   Posted 9/14/2013 10:45 AM (GMT -7)   
Hi there,
We appear to be in the minority, for sure, in having constipation post-reversal. I had Colectomy for indeterminate colitis 09 and ileostomy reversal, 2010. Since late 2011 I have had intermittent constipation. After years of colitis I am certainly not complaining, but I do regret the sluggishness it brings and the general discomfort. I cannot offer any quick solutions. When my constipation gets very bad I take a Senekot (mild laxative) lots of water. As much walking as possible for exercise seems to help.
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