This topic is about managing stoma noises and thick output, particularly for someone who has had an ileostomy for many years. The person is considering whether a narrowed stoma might be causing loud noises and is exploring options like stoma dilation or dietary changes to address the issue.

Here are some helpful insights and advice:

1. **Consider the Need for Dilation**
- Dilation is usually not recommended for noise issues unless there is a true narrowing or obstruction. It's best to consult with a stoma nurse or colorectal specialist before attempting any form of dilation. The general advice is to avoid inserting anything into your stoma unless directed by a healthcare professional.

2. **Focus on Diet and Hydration**
- Keep track of foods that might trigger gas or noise. Common triggers include salad greens, bananas, high-carb foods, and sugars.
- Reduce or eliminate carbonated drinks, beer, and soda from your diet.
- If your output is thick, it might be a sign of dehydration, so increasing your fluid intake could help.

3. **Use Sound-Dampening Products**
- Consider using stoma plugs, which are porous inserts worn under the pouch to allow gas to escape quietly.
- Commercial stoma mufflers are also available to help reduce noise.

4. **Probiotics and Gut Balance**
- Taking daily probiotic supplements may help reduce gas and rumbling by addressing bacterial imbalances in the gut.

5. **Explore Alternative Nutritional Strategies**
- V8 juice can provide fluids without carbonation.
- Carnation Instant Breakfast might help thin the output, though it could increase the risk of leakage for some.
- The poster is trying Muscle Milk protein drink in small, frequent amounts to maintain a steadier output consistency.

6. **DIY Dilation Products**
- If dilation is considered necessary, the Dilastom kit is mentioned, but it's crucial to seek professional guidance rather than self-treating.