Making the decision for a stoma reversal
Choosing to have your stoma reversed is not always straightforward.
Your surgeon will evaluate:
- Whether stoma reversal surgery is possible
- The likelihood of a successful outcome
- Whether bowel function is expected to return to a manageable level
For many patients, reversal surgery has a positive outcome. However, some may experience ongoing challenges, and in certain cases, a stoma may need to be reformed.
Everyone’s experience differs. For some, living with a stoma has been life-saving and manageable, while others find daily care difficult and look forward to reversal surgery. Speaking with people who have undergone stoma reversal can provide valuable insight into both the benefits and challenges of recovery.
Changes in bowel function after reversal
In the early days following surgery, bowel habits are often unpredictable.
Common changes include:
- Loose stools or temporary constipation
- Urgency or strong need to open the bowels
- Discomfort or pain during bowel movements
- A feeling of incomplete emptying
- Mild incontinence
The skin around the anus may become sore, particularly with frequent bowel movements. These changes are normal and can last several weeks to months while your bowel adjusts.
When the bowel is slow to restart
Sometimes the bowel does not start functioning immediately after reversal. One reason is postoperative ileus, a temporary slowdown or cessation of bowel movement. This can occur due to the body’s response to surgery, medications, or changes in fluid and electrolyte balance.
During this time, your healthcare team may monitor your condition closely while allowing the bowel to recover naturally.
Understanding bowel blockages after surgery
At later stages, some patients may experience a bowel obstruction.
Causes can include:
- Scar tissue or adhesions from surgery
- Physical blockages affecting bowel movement
Symptoms such as abdominal pain, bloating, or vomiting should always be evaluated promptly by a healthcare professional.
Supporting the Anastomosis (Bowel Join)
During stoma reversal surgery, the bowel is reconnected in a procedure called an anastomosis.
Potential complications include:
- Anastomotic leak, which may require antibiotics or further surgery
- Abscess formation, sometimes requiring drainage alongside antibiotic therapy
Monitoring your condition and reporting any unusual symptoms is critical during recovery.
When the bowel join needs support
During reversal surgery, the bowel is reconnected. This connection is known as an anastomosis.
In some cases, an anastomotic leak may occur if this join does not heal as expected. Treatment may involve antibiotics, and in some situations further surgery.
An abscess may also develop and require drainage alongside antibiotic treatment.
Other effects you may notice
Some people experience additional effects following reversal surgery, including:
- ongoing pain or discomfort
- temporary changes in urinary or sexual function
- general post-surgical complications such as infection
In many cases, these effects improve over time, but it’s always important to seek advice if something doesn’t feel right.
Supporting your bowel through diet
After reversal, the bowel may be more sensitive.
Certain foods can irritate the digestive system:
- Acidic fruits such as citrus fruits and strawberries
- Vegetables that may increase gas, such as cabbage, beans or onions
- Spicy foods
- Fizzy drinks
Gradually reintroducing foods and observing how your body responds helps you identify a diet that works best during recovery.
Giving your body time to adapt
Recovery from stoma reversal is not immediate. Bowel function may fluctuate, and some days may feel more challenging than others. Over time, many of these changes improve as the bowel adapts to its new normal.
If you are unsure about any changes or symptoms, your stoma care nurse or healthcare team can provide guidance and reassurance.
Moving forward at your own pace
Adjusting after stoma reversal surgery requires patience. The changes you experience are part of your body restoring balance.
With time, proper guidance, and support, most patients find life becomes more predictable and manageable. Taking recovery step by step and allowing yourself the necessary time can help you regain confidence and comfort.