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Ileo-Pouch Anal Anastomosis Guide
Following your ileostomy closure surgery, you will be sent home with several types of medications to help you transition while your body adjusts to your new pouch.
Fiber Products
These products are taken to increase water absorption and to increase stool bulk, which can help to reduce skin irritation.
If you are using fiber to bulk up the stool and decrease loose stools, you should take the fiber with a small amount of liquid (e.g. 4-6 ounces).
We recommend that you use one of these products:
1. Metamucil - mix 2-3 teaspoons in 4-6 ounces of water or juice and drink once or twice a day, or as directed by your physician.
2. Citrucel - mix 2-3 teaspoons in 4-6 ounces of water.
3. Fibercon tablets - take 1-2 tablets by mouth followed by a 4-6 ounces of water once or twice a day or as directed by your physician.
Try one product for at least one week as a trial period before changing to another. The dosage of these medications may vary for each patient.
Avoid taking other medication within one hour before or two hours
after taking a fiber product.
Anti-Diarrheals
These medications reduce stools by decreasing bowel activity. Examples
of these medications include:
1. Imodium (non-prescription);
2. Lomotil (prescription); or
3. Tylenol #3 (prescription).
Be aware that these medications may cause
drowsiness.
Antibiotics
These oral medications may be prescribed by your doctor if you have signs of pouchitis-an inflammation or irritation of your new pouch. They include medications such as Cipro or Flagyl.
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