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Mar 02, 2010

Is This Ileostomy Blockage Normal? Need Advice!

This topic is about dealing with some common concerns that can arise for someone with an ileostomy, such as possible blockages, changes in output, and skin irritation. Here are some helpful insights and advice:

1. It's not uncommon for ileostomy output to occasionally be watery or change color, especially after eating certain foods like broccoli. Many foods, drinks, or dyes can cause these changes.

2. If you experience persistent or severe symptoms like abdominal pain, fever, pronounced bloating, or prolonged vomiting, it's important to contact your doctor promptly.

3. Staying hydrated is crucial, especially if your output becomes watery. Drinking plenty of water can help prevent dehydration.

4. If you suspect a blockage, consider these tips:
- Avoid high-fiber foods temporarily, as they can worsen an obstruction. Foods like bananas and marshmallows might act as binders.
- Some people find that gentle heat, like a hot bath, can help ease cramping, though this varies from person to person.

5. High liquid output might be your body's way of trying to clear a partial blockage.

6. Marshmallows can be eaten 15–30 minutes before changing your appliance to slow output temporarily, but this is not recommended if you suspect a blockage.

7. For skin irritation or blisters under the flange:
- Change your appliance more frequently until your skin heals.
- Keep the skin around your stoma dry and protected, as stoma output is acidic and can cause damage.
- Consider using products like Hollister Premium Powder or a gum seal (barrier ring) before applying the wafer/flange.

8. From a psychological perspective, remember that leaks, blockages, and hernias can happen. It's important to address issues as they arise, involve supportive family members, and try to maintain a sense of humor.
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