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Dec 15, 2020

Ileostomy Transit Time - What's Normal?

This topic is about understanding what a typical transit time is for someone with an ileostomy and exploring ways to improve it. A new ileostomate is curious if their 24-hour transit time is slower than usual. They are cautious about eating high-fiber foods to avoid blockages and mainly consume easily digestible foods. They've also been drinking a lot of fruit juice on their nurse's advice, which helps but raises concerns about sugar intake. They sometimes feel discomfort and wonder what others with an ileostomy experience as "normal" transit time.

Here are some insights and advice shared by others:

1. "Normal" transit time can vary greatly. It depends on factors like the length of the remaining small bowel, any underlying health conditions, diet, meal size and speed, hydration, and the body's adaptation over time after surgery.

2. Hydration is key:
- Drink plenty of fluids, as not drinking enough can thicken the output and slow down transit time.
- Consider isotonic drinks or oral rehydration solutions, which can help maintain fluid and electrolyte balance better than water alone.

3. Chew your food thoroughly. If food isn't fully broken down, recognizable pieces might appear in the output within 6 to 12 hours.

4. Some people find that a cup of hot tea (not coffee) can help relieve feelings of fullness or discomfort.

5. Medical checks and options:
- Consult with a gastroenterologist about motility enhancers that are different from stimulant, osmotic, or bulking laxatives. These can increase contraction frequency without causing cramping.
- Discuss ways to stimulate bile production and secretion, which might help speed up small-bowel transit.
- Consider imaging tests like MRI or CT scans, or a direct small-bowel scope, to rule out adhesions or structural issues that could be slowing motility.

6. Over time, some people have noticed their transit times lengthening from minutes or hours right after surgery to 24 hours or more, suggesting that the body naturally adapts and slows output over time.

7. Pay attention to the consistency of your output as a hydration indicator. Very thick output or increasing discomfort can signal the need for more fluids.

8. Observe your dietary patterns. Foods that triggered rapid transit before surgery, like apples or spicy dishes, often continue to do so afterward. Understanding your personal patterns can help set realistic expectations rather than relying on a general definition of "normal.
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