DAY OF SURGERY, FRIDAY: The morning of the surgery, it took almost 1 1/2 hrs. When it is over, I went into the recovery room for 1 hour before my family could come in and see me.
I was still on heavy pain medication so I did not feel much pain afterwords. I stayed in bed all of the first day. Your bowels basically shut down, and normally cannot urinate or defecate the first day. I did not eat or drink on this day. It was 'nothing' until later in the evening, I was allowed ice chips. Have some chap stick nearby for your lips. Your mouth will get somewhat dried out as will your lips. This helps.
SATURDAY: I had to ask for pain medication (morphine or perkaset). I usually had them come in every 4 hours. This kept most of the pain at bay. I had ice chips most of this day, but later into the evening, I could have a liquid diet. I was urged by the RN that I needed to urinate or they would have to insert a catheter. I had her give me the urinal, and it took about 30-40 minutes, and I did urinate a little at a time over that time period. I filled it up about an inch in the hand urinal. I did not go too much, but I did not need a catheter. Take your time, and you will go. Don't worry, just relax. If you have to stand up to urinate in the urinal, then the RN will help you get out of bed. You need to ask them. I had to start walking on this day, and I did so with a walker and someone to walk with. Use a walker at first so you don't fall down. Remember, your on pain medication.
SUNDAY: I could not deficate yet so the RN gave me a supository. About 3 1/2 to 4 hrs later, I had to go but it was only mucas. This is normal. No normal stool yet. Urinating was normal amounts from this day on.
MONDAY: Had another supository which caused mucas again. Pain was about a 3 on a scale of 1 to 10 with 10 being the worst. I was actually rather comfortable and slept well. I was pretty wakeful during the day and watched TV. That day I had my first bowel movement and it was dark brown and totally runny like diareah. For men and women, being dainty and/or macho is out the window at this point and for the next couple of days or so, so overlook it and do what you have to do to make yourself comfortable...read on.... The bowel movement comes and you cannot control it at first. You feel it coming but I did not make it to the restroom on time and it was all over my bed clear to the toilet, and all over the toilet and bathroom floor and the floor in my room. Don't worry, this is normal. This happened 3 times that day. Your bowels are not used to going the normal way since they have been dormant for a while. Your body has to re-adjust. When you are done "going", you will need to get someone to help you clean up. I had a shower in my room, so I was able to clean myself off with a hand held shower head. My wife was with me the entire stay, so she did this for me. You "CANNOT" get the incision wet, so stay totally clear of that. DO NOT try to clean the bathroom up and your room. Call the nurse and they get housekeeping to do it. This will happen more than once probably. You may get low on iron, and get iron pills from your doctor. Your hemagloban may get on the low side and you may or maynot need a blood transfusion. My doctor thought I might need one, but I didn't, but I did take iron pills. This is normal when you go through this surgery, so don't be alarmed.
FOOD: on SUNDAY, I was given juices, then for dinner they started soft foods which was cream of mushroom soup, pudding, etc....
MONDAY EVENING, and TUESDAY: By Monday evening into Tuesday morning, I was more in control of going to the bathroom. I still had to 'rush in' but I made it each time to the toilet. It got better as the day went on. I didn't need the porta potty after Sunday. FOOD: I was on soft foods at each meal with some fiber like bread/dinner rolls, cereal, and did well. No throwing up at all, just very slight nausea at times but just very slight. I didn't need nausea medication. Normally at this point, I was given a "menu" and could choose what I wanted to eat. This was great!
WEDNESDAY: I got to go home that day. When you get home, you will need to be right by the bathroom still. I suggest if you can, move your recliner by the bathroom door leaving just enough space to get in there when the urge hits, if you have a recliner. Set your TV up in front of you and a table beside you with a light on it so you can just crash there for about 3 or 4 days. If you can't do this, then before you leave the hospital, find out where you can rent an adult porta potty that you can sit by your bed at night and during the day, just in case. You may still have trouble getting to the bathroom "on time" if it is further away from your sitting/bed area than in the hospital.
THURSDAY: my stool was nearly normal. No more rushing to the toilet. After Thursday, it was a normal stool. I still had to take pain pills though. By SATURDAY (8 days after surgery), I had my first hamburger, slowly adding more roughage. All went well. You will continue to be tired and taking naps in the daytime probably, but recovery is improving each day real well, unless you have complications. I never did.
I HOPE THIS INFO HAS HELPED YOU IN KNOWING WHAT TO EXPECT. EVERYONE IS DIFFERENT, BUT THIS WAS MY STORY. I AM A HEALTHY 6FT 2" GUY, AND THIS IS HOW IT WAS FOR ME. HERE IS THE PHOTO OF THE "ILEOSTOMY INCISION" BELOW ON MY STOMACH. THIS IS WHAT IT LOOKS LIKE.
VIDEO OF A COLOSTOMY TAKEDOWN