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Jul 19, 2019

Adjusting to Life Without a Large Intestine

This topic is about managing hydration, output volume, and gas after having a total colectomy, which means the large intestine has been removed. The person sharing their experience is dealing with high output from their small intestine, making it hard to stay hydrated. They are also trying to manage excessive gas and improve their sleep. Here are some helpful tips and insights:

1. Consider using pouches with built-in vents or adding an overnight irrigation sleeve that can be folded to create a larger space for gas to expand. You can request free samples from different suppliers to find what works best for you.

2. Remember that the small intestine tends to draw water out of the body, so drinking plain water or most beverages might actually worsen dehydration. It's better to focus on Oral Rehydration Solutions (ORS) that have the right balance of sodium and glucose (isotonic).

3. Commercial ORS can taste very salty or sweet, but you can make your own version at home to suit your taste while keeping it isotonic. For example, you can mix a splash of regular Coca-Cola (for glucose), two packets of salt (for sodium), and fill the rest with Diet Coke or seltzer to reduce sweetness.

4. Be mindful that as ice melts in your drink, it will dilute the solution, making it less effective. It's still okay within a small range, but not as beneficial if it becomes too diluted.

5. Drink ORS when your gut is relatively empty, like during the night, to maximize absorption. Even with a shorter bowel, large volumes can still be absorbed.

6. Keep a close eye on your fluid intake. Drinking too much plain water or hypertonic drinks can increase stoma output and the risk of dehydration.
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