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Nov 05, 2019

Naan Bread and Ostomy - Does it affect output?

This topic is about exploring whether naan bread can help thicken the output for someone with an ileostomy, particularly in the context of Short Bowel Syndrome (SBS). The person who started the discussion noticed a thicker output after eating naan bread for the first time since their surgery and is curious if others have had similar experiences. Here are some insights and advice shared by others:

1. The person has high-volume Short Bowel Syndrome, which usually results in liquid or foamy output. They hoped that eating naan bread daily might help control this, but further tests showed no consistent benefit.

2. They receive 1 liter of Lactated Ringers daily through a PICC line and are looking for ways to reduce their dependence on IV fluids.

3. They are considering using a large night-drainage pouch from ConvaTec for uninterrupted sleep, but it is not compatible with smaller day pouches, which would increase wafer usage.

Advice and insights from others include:

- Bread and Carbohydrates: Many people find that bread-like foods, such as naan, pita, ordinary bread, pizza crust, and rice, can sometimes thicken output, but results can vary from day to day.

- Hydration and Drinking Technique: For those with SBS, the most effective way to thicken output is to limit fluid intake while eating and wait at least 20 minutes before drinking. Large drinks, especially sugary ones, can cause the bowel to release more fluid. Using Oral Rehydration Solutions (ORS) or homemade versions can help hydrate without increasing liquidity. It's best to avoid high-sugar drinks like regular Coke.

- Foods and Supplements: Some foods and supplements reported to help thicken output include heavy whipping cream or half-and-half (if taken without other liquids), marshmallows, bananas, applesauce, peanut butter, and high-fiber items like salad or oatmeal.

- Medications and Products: Omeprazole, a proton-pump inhibitor, can reduce liquid output for some people with an ileostomy. The probiotic FLORASTOR (Saccharomyces boulardii) has helped restore gut flora and thicken output for one person. Motility-reducing drugs might help but should be discussed with a doctor.

- Appliances: ConvaTec offers a sample wafer and large night-drainage pouch with an integral tube and cap, which is useful for continuous overnight drainage but requires a separate daytime wafer and pouch.

- Miscellaneous Tips: Output consistency can vary even with identical meals, so personal testing is necessary to determine what works. Bowel adaptation can continue for years after surgery, so patience and gradual changes in habits, like sipping instead of chugging, can improve control. Keeping a food-and-drink diary can help identify personal triggers and effective thickeners.
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