This topic is about managing salt intake and dealing with ankle and foot swelling after having an ileostomy, which is a surgical procedure that creates an opening in the abdomen to allow waste to exit the body. This can be a big adjustment, especially when it comes to diet and hydration.
Here are some helpful insights and advice:
1. **Fluid and Electrolyte Loss with Ileostomy**
- Normally, the large intestines reabsorb fluids, but without them, you need to replace extra sodium, potassium, and magnesium.
- Signs that you need more salt include dizziness and muscle cramps, while too much salt can cause ankle and foot swelling and high blood pressure.
2. **Amount and Sources of Sodium**
- Consuming 2 teaspoons of salt daily is quite high, especially if you eat salty processed foods. Try reducing the amount and see if the swelling decreases.
- Instead of snacking, generously salt your regular meals if you find it hard to graze.
- Bone broth, whether homemade or store-bought, can be a tasty, low-sugar source of sodium.
- Natural salty foods like olives, pickles, and mustard can help satisfy cravings and provide sodium.
3. **Electrolyte Replacement Products**
- Sports drinks like Gatorade can be diluted with water to reduce sugar content.
- Products like Pedialyte and Drip Drop are recommended for quick electrolyte replacement during illness.
- Consider using oral rehydration sachets like Dioralyte or sugar-free electrolyte tablets like Hydro.
- Electrolyte powders with potassium, such as Dr. Berg’s Electrolyte Powder, can be beneficial.
- Bottled waters with added electrolytes, like SmartWater, are praised for taste.
4. **Monitoring and Medical Checks**
- Consider buying a home blood-pressure monitor to track your blood pressure if swelling occurs.
- Request a full blood panel, including sodium and potassium levels, from your doctor.
- If swelling persists, explore other potential causes like lymphedema or kidney issues, and consider using compression socks or wraps.
5. **Sugar Considerations**
- Many sports drinks are high in sugar, which can raise glucose and liver enzyme levels.
- Opt for sugar-free or low-sugar drinks, or make your own salted water to taste.
6. **Practical Hydration Tips**
- Mix half-strength Gatorade or flavor plain water with sugar-free drink mixes that also provide potassium citrate, which helps prevent kidney stones.
- Carry electrolyte tablets or powders when outside drinks are restricted, and use venue water fountains.
- Listen to your body: increase salt if you experience leg cramps or dizziness, and reduce it if swelling returns.
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