Monday, June 8, 2015

Day 2 Post Ileostomy Reversal

We want to be helpful to anyone who is pursuing an ostomy reversal or has undergone one recently!  Check out these links to see how our journey has been going...

The Tests Needed for an Ostomy Reversal
Ostomy Reversal Surgery Day
Day 1 Post Ileostomy Reversal

Day 2 Post Ileostomy Reversal

Day 2 was such an encouraging day!  Wow, Ryan has been a CHAMPION!  He is doing better than we could have hoped or expected.

Let me just say that prayer is real and so tangible.  And specific!

We prayed for no complications...and there has been none!  Actually on the surgery day, our surgeon came in right before the procedure and told us for a variety of reasons how he might have to make a large midline incision and Ryan might have to get an epidural and than meant a longer recovery...complication city basically.

But praise the Lord there were no issues with any of that! 

I prayed that people would think of Ryan often on the day of surgery and be moved to pray for him.  Friends who did not even know of the surgery sent me random texts and e-mails with the general theme of, "Just thinking about you two today and praying for you.  Love you both!"

How specific and cool is that?!


Sitting on the edge of the bed first and then progressing to steps

Finally we asked everyone on the blog and our friends and family to pray for minimal pain.  THIS has been the biggest prayer answer yet.  Ryan started out with pain, yes, but ever since Day 1 he has been consistently less than a 3/10 when on regular intervals of tylenol.

Um, yes, tylenol.  Not narcotics, not an epidural, nothing else.  That is pretty insane and has caused our nurses and surgeons to be puzzled but pleasantly surprised.

So let's talk Day 2 recovery...

The day started around 8:00 a.m.  He had just slept for several hours after switching from narcotics to tylenol.  This took away his itching and controlled his pain.  They pulled his catheter around 10:00 a.m. and he was able to pee within the hour.  They also stopped his IV fluids at our request so he wouldn't be tethered to that machine.  Having less tubes is always better.

We walked at 10:15 a.m. for about 15 minutes and that was really nice to get out of our room.  He sipped on gatorade until about 11:15 a.m. because he was still on clear liquids.  

At 11:15 a.m. he was allowed full liquids plus cookies, crackers, and toast.  He tried one saltine cracker at this time with sips of gatorade and water.


All of his full liquid options!  He didn't eat much but it's nice to have a choice

At 11:30 he had about 2 tablespoons of cream of wheat that had brown sugar mixed in.

Finally at 11:45 a.m. he tried one graham cracker with sips of milk.

Nothing hurt him or upset his digestion.  His bowel sounds were hyperactive and things were waking up!

We walked the halls at 11:45 p.m. for about 20 minutes.  Our surgeon caught us in the hall and commented on how well Ryan was doing!  We rested again and then walked again at 1:00 p.m.

(Did we mention you should walk post reversal?!)


It's so much easier to walk without a catheter and IV pole!

After a rest Ryan started eating again.  At 1:45 p.m. he had about 1/4 cup of chicken broth with 2 saltines.  We waited until 2:00 to try two small bites of vanilla yogurt.

Again, issues just a little tummy noises but no action out of his bum just yet.

We walked again at 2:30 and then took a longer rest.  For the rest of the afternoon he sipped apple juice, water, and decaffeinated black tea.  His bravery food was so amazing!  On this walk he had a "crampy" feeling in his pubic area and lower abdomen but it wasn't significant.  We think it was air and mucus just passing through his bowels.

Around 4:15 p.m. he started to feel some pressure in his anus and an urge to defecate.  So we got up to the toilet where he pooped a bit of mucus, maybe a teaspoon.  YAY!!!  We high fived and celebrated in that little hospital room bathroom.

That meant his bowels were waking up so we fed him some white toast with a little butter and strawberry jelly and then took a long walk at 4:30 that really wiped him out.  We rested until 7:30 p.m. because his pain had climbed to about a 4/10 due to sitting on the toilet and all the walks.  How brave is Ryan to eat when it's scary and walk when he has a big incision?!

Around 6:00 p.m. Ryan needed to poop again so we got him to the bathroom where he passed more mucus and farted several times.  More celebrations!!

Our surgeon was thrilled to see how he was progressing so he advanced Ryan to a soft diet.  Although we wasn't hungry at all we still ordered up french toast, a grilled cheese, canned peaches, and gatorade to see what he could tolerate.  He ate just a few bites of each but it was an important step to get something a little more substantial in his system.



We went for a walk right after he ate.  He started having gas pains, what Ryan described as feeling like a really tight balloon is his tummy and crampy.  He rated his pain as 5/10 :(  At one point on our walk he said it was time to get to the bathroom so we rushed back to the room and he farted and pooped mucus for a bit.  That made him feel better and while he had a little control of what came out, it was not much.  That's ok, a little is better than none!

We walked another 20 minutes even though his stomach was really hurting but it was all we knew to do to ease the gas pains.  We finally came back to the room to lay down.  Walking did relieve the pain down to a 3/10. 

Around 9:00 p.m. after walks and that gas pain, Ryan did poop a diarrhea like stool!  He told me he thought he had gas, but as soon as he stood up it was clear there was more coming.  The urgency was really unpredictable.  He was in pain during and after the movement, not from the pooping, but in his abdomen.  It was very water-y and dark in color.  He felt wiped out after that so we rinsed his bum with hot water from a squirt water bottle and patted dry. 

 He watched movies on and off through the rest of the evening to distract from the gas pain.  We got a small idea of what's ahead in the coming weeks when it comes to eating and  but we will learn as we go.

More updates to come!

And now we thank you, our God, and praise your glorious name.
1 Chronicles 29:13

7 comments:

  1. Prayer is awesome! So is Ryan! He is so inspiring, and so are you! Praying that his recovery goes smoothly (still) and quickly!!!

    And! Cute pregnancy update photo (from the other post!), and I cannot believe you're almost done with nursing school! I am waiting for the day that the R.N., BSN follows my name too! :) So much excitement for the Deckers!

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    Replies
    1. There is a lot happening and we are thankful for the smooth surgery recovery and for graduation!

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  2. Ryan!! Sending so many prayers your way! Carly! You rock, girl. All the experience and schooling is sure coming in handy! Baby Decker! Daddy is trying to get strong and ready for you. You keep him motivated along with mommy!

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    Replies
    1. This little one definitely motives Ryan to get better and stronger! Such sweet inspiration. Thank you for your prayers and encouragement!

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  3. Hi Carly & Ryan - Just wanted to say hi. I've followed your blog since before the Crohn's diagnosis. Glad Ryan's doing good after his surgery. Thank you for the updates. Stay strong. All the best!

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    Replies
    1. So glad you are still reading. He is so strong and doing well--we are grateful!

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