Question: Has anyone experienced increased output with protein shakes after ostomy surgery, and how did you manage it?

Answer: Based on discussions from the MeetAnOstoMate Discussion Forum, several members have shared experiences and advice regarding high ostomy output related to protein shakes. Here are the key insights:

### Possible Causes of Increased Output from Protein Shakes
1. Body Adjustment Period
- Some individuals with an ostomy have reported that their body needed time to adjust to protein shakes. If you recently introduced them into your diet, your digestive system may still be adapting.

2. Protein Shake Ingredients
- Certain protein powders contain artificial sweeteners, sugar alcohols, or high fiber content, which can contribute to increased output.
- Whey protein, even if lactose-free, can sometimes cause digestive issues.
- Plant-based protein powders may be easier to digest for some, but they can also lead to looser stools in others.

3. Liquid-Based Diet Impact
- Consuming protein shakes, especially with water, can lead to more liquid output. Some members have found that mixing protein powder with thicker liquids (such as almond milk or yogurt) helps slow down digestion.

### Ways to Manage High Output
1. Adjusting Protein Shake Consumption
- Try reducing the frequency or portion size of the shakes to see if it helps regulate output.
- Experiment with different brands of protein powder, as some may be better tolerated than others.
- Consider adding a banana or peanut butter to your shake, as these can help thicken output.

2. Dietary Adjustments
- Incorporate starchy foods like potatoes, rice, pasta, or oatmeal to help bulk up the stool.
- Eating solid foods alongside the shakes may help slow down digestion and reduce liquid output.
- Avoid high-fiber foods immediately after consuming a protein shake, as they may contribute to rapid transit.

3. Hydration and Electrolyte Balance
- Drinking electrolyte-rich fluids instead of plain water can help maintain hydration without increasing output.
- Sipping fluids throughout the day rather than drinking large amounts at once may help regulate output.

4. Medication and Supplements
- Some members have used Metamucil (psyllium husk) or Imodium to slow down output. However, consult your doctor before using these.
- If the high output persists, a dietitian or ostomy nurse may provide personalized recommendations.

### Managing Ostomy Appliance Issues
- Frequent Bag Changes: If your bag is filling too quickly, consider using a larger capacity pouch, especially at night.
- Flange Loosening: High liquid output can weaken the adhesive. Using barrier rings, stoma powder, or extended-wear wafers (such as those from Hollister) may help improve wear time.
- Emptying More Frequently: If output is very liquid, using absorbent products like gelling sachets inside the pouch can help manage consistency.

### Final Thoughts
Your body may still be adjusting to the protein shakes, and it may take some trial and error to find the right balance. If the high output continues or worsens, consulting a dietitian or ostomy nurse could provide more tailored advice. You may also consider posting your question in the MeetAnOstoMate Discussion Forum to get additional insights from others with similar experiences.

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