This group provided so much help, advice and support on the long months that I relied on stomas - initially a colostomy and subsequently an ileostomy. Thank you.
I was fortunate to be able to have a reversal just before Christmas 2020, but haven’t yet found a way to stabilise my motions. I was diagnosed with Low Anterior Resection Syndrome, having had most of my rectum removed. Following the advice from my specialist nurses, I take a sachet of normacol after breakfast and lunch. Also 3-4 loperamide tablets through the day. And the dietician has encouraged me to avoid non-soluble fibre. I’ve certainly cut that back.
However, I still experience up to 8 motions a day and some are very urgent. On the other hand 24 or even 48 hours can pass with no urges at all. While at other times, they can come every few minutes - 5 times in 2.5 hours this morning, for instance. And with so many variables, it’s hard to find a link between input and output! And between having a degree of control, or having to run fast.
Macmillan are planning to establish a Stoma Reversal group presently, but any advice or relevant experiences would be welcomed. A previous contributor has alerted me to a podcast by Dr Ana Wilson from St Mark’s, a specialist in this field, on LARS. In the new group, it would be good to build a catalogue of helpful hints to help us establish new normal lifestyles that free us from the throne room.
Hi Wellspring. I think a Stoma Reversal group is a great idea. There is a Facebook page called Living with Low Anterior Resection which might be worth looking at? x
Hi Wellspring, Sorry to hear you are having problems trying to get to a 'new normal' after the reversal. I also had a LAR and an ileostomy for a year, reversed last September. Although the first months were erratic things have settled down and most days I may go 2 or 3 times. I had to look up normacol and see it is a form of laxative. Forgive my ignorance but why are you being told to take laxatives and loperamide? I used the latter on occasions always taking it half an hour before a meal. I also take probiotics. I took them originally to repopulate my bowel after twelve months of inactivity and have just carried on.
I also tried, when I felt a sense of urgency to literally try to hold on tight, sometimes the urgency would go away. A risky strategy though! Everyone seems different and I can never pin down what causes the odd blip.
I do hope you find some answers and sharing experiences is a great idea.
All the best, John
Thank you John I’m also on a low irritant, high fibre diet. The combination of a bulking agent plus loperamide seems a standard therapy although other interventions also seem to be used. Additionally, I’ve just become aware of two trials, UK and US, on the use of Ondansetron in LARS patients as I understand the drug has had some benefit for IBS patients with similar symptoms.
Once we have our new group up and running, I hope that we can expand on the options and our various experiences. And if anybody is on the UK trial, it would be great to hear from them. Although as it’s double blind, not sure what could be said as yet!
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