• How much metamucil to take in a day after ileostomy reversal surgery?

    Asked by Khoffart on Friday, March 29, 2013

    How much metamucil to take in a day after ileostomy reversal surgery?

    This question is for Laura Jo.

    3 Answers from the Community

    • carm's Avatar
    • LauraJo's Avatar

      Khoffart, how far from reversal are you? And do you have a j-pouch or a standard connection? :)

      I can only tell you from my own experience what worked for me. You should certainly talk to your surgeon & see what they recommend. My doctor had me take a probiotic daily for 30 days post surgery, but said the metumucil thing was going to be "try & see what works for you." Right after surgery, of course, everything is going to be loose, and you want to try to thicken things up so that is when you want the metamucil. Then, things tend to swing in the other direction, at least they did for me, and you get constipated, which is equally unpleasant.

      Initially, I started with a very plain diet, and then added new foods gradually, and did a metamucil caplet in the morning and at dinner. I also did (and still do) eat a fiber breakfast bar, and an apple every day. I quit taking the metamucil after about a year, maybe, had some issues, and just recently started back with the probiotic, which REALLY seems to have evened things out. I no longer use the metamucil at all, or the lotrimin,except on the very rare occasion. I guess, from different folks I have talked to, there are less problems with a standard connection when you still have a rectum. With the j-pouch however, there are no rectal muscles to signal you when it's time, or to help push things out, so you have to learn to work with the pouch. A year & a half out from re-connection, I think I am doing well...I go generally twice a day, and have control. but there are still foods that cause me problems...oddly enough, not really spicy stuff, more like greasy stuff. No more Fritos for me!

      Having said all of that, everyone is different. You will have to find out what works for you. Some people told me the metamucil bars worked better than the capsules, but the capsules worked fine for me. I would say, start with one for a day or two, add more if necessary. And remember, as your body heals, so will your colon....what you need at one month post-surgery is probably more than what you will need six months down the road.

      And if you aren't already doing then, butt-kegels! Got to keep that sphincter strong.

      Hope this helps, and isnt' too much information. As frustrating as the first few weeks are....it WILL get better. Good luck with your recovery!

      over 3 years ago
    • KarenN@StF's Avatar

      LauraJo shared a lot of great information! The bowels usually have to "coaxed gently" to get them where you want to be. It's a process that works best if you avoid introducing too many changes too quickly. As you modify your regimen, allow your body a couple of weeks to respond/adjust. Generally, taking 6 months or more to get your fiber up to 25grams per day is reasonable. Patience and process are key. Good luck!

      over 3 years ago

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