Managing a high-output stoma can be quite a challenge, especially when it means needing to empty your ostomy pouch more than ten times a day. This often happens when the small intestine is shorter, causing food and liquids to pass through quickly. For some, this means adjusting their eating habits to smaller, more frequent meals and managing hydration carefully. Here are some strategies and tips that might help:

1. **Medication Options**
- Acid-reducing medications like Omeprazole can help reduce the volume of output for some people.
- Anti-motility or anti-diarrheal drugs such as Imodium (loperamide) and Lomotil (diphenoxylate-atropine) can thicken the output when taken after meals. Many find them effective when combined with proper hydration.

2. **Bile-Acid Sequestrant**
- PREVALITE (cholestyramine) powder is suggested as a way to slow down or nearly stop excessive flow. It’s important to discuss this option with a doctor to ensure it’s suitable for you.

3. **Hydration Management**
- Drinking at least eight 8-ounce cups of water or fluids daily is crucial to prevent dehydration, especially when using medications that slow output.
- Oral rehydration solutions (ORS) can be beneficial, and experimenting with the timing of these drinks in relation to meals might improve effectiveness.

4. **Dietary Tactics**
- Eating small or mini-meals throughout the day, rather than large meals, can help maintain energy levels and reduce fatigue after eating.
- Chewing food thoroughly aids in absorption and reduces the risk of blockages.
- Identifying and avoiding foods that trigger increased output later in the day can be helpful. Some examples include Stove Top stuffing and colored popsicles or jello.

5. **Practical Living Tips**
- Accepting the need for more frequent bathroom trips can make life easier. Many find this manageable and even preferable compared to pre-surgery conditions. Over time, adapting to this new routine becomes part of daily life.

These insights and strategies are shared by others who manage high-output stomas, and they might offer some relief and practical solutions for everyday situations.