Since you seem to be offline, ill leave a response here which we can discuss later on.
First off it is possible for your ileus to have returned IF you also have constipation alongwith abdominal distension. Ileus can develop due to a number of reasons which can include even simple things like electrolyte imbalance. Potassium deficiency is a common cause of ileus as well and it can be easily diagnosed in most cases. The treatment is potassium replacement.
Now another thing which has me concerned is the pain while urinating, that is not a normal symptom to experience during the recovery process for hysterectomy. That usually indicates that either you are severely dehydrated or you have developed an infection of the urinary tract and given your recent hospital stay it is very likely that you have developed a UTI. This can be diagnosed easily with the help of a simple urine analysis, urine culture and then treated with antibiotics. You can develop a UTI even if you are on antibiotics as in that case you can have a fungal infection.
The swelling of the stomach can be due to a condition known as autonomic neuropathy. This is a condition in which the autonomic nervous system of teh body can be damaged because of long standing diabetes. Sometimes it can be triggered by a stressful event like a surgery and you could experience the symptoms. The abdominal fullness or even swelling can occur because of this, dizziness on standing up and changing posture is common. This can be diagnosed on a clinical examination and then treated with various measures including drugs like midodrine in some cases.
But if you have constipation as well as abdominal distension then it would be wise to get another xray done to rule out ileus to start with. At the same time i would also like a thyroid disorder to be ruled out as again a surgery like this can unmask an underlying thyroid condition, a simple thyroid function test would be diagnostic.
Do you have any more questions?
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