Topic Explanation
Adele is struggling with slow-release medication due to having had two small bowel resections and an ileostomy. She is seeking advice from others who have experience with medication and ileostomies.

Replies: Advice and Insights
- Medication release depends on the packaging and where it releases in the body.
- Discuss with the doctor the specific target area for each medication and understand the impact of altering the release.
- Consider consulting a stoma nurse for advice if the doctor is not receptive.
- Remind the doctor not to prescribe time-release medication for an ileostomy.
- Some individuals have found undissolved pills in their bag and have opted for liquid or chewable forms of medication.
- Compounding pharmacies may offer alternative forms of medication.
- Pharmacists can provide insights into medication absorption and potential alternatives.
- Be cautious about altering the form of medication without consulting the doctor or pharmacist, as it can be dangerous.
- Communicate with the doctor about the challenges of multiple daily doses and explore alternative options.
- Understand that some medication components may pass through the digestive tract and may be visible in the stool or ostomy bag.
- Be cautious about altering the form of medication without consulting the doctor or pharmacist, as it can be dangerous.