Topic Explanation:
The discussion revolves around Susan's recent ileostomy and her concerns about Short Bowel Syndrome (SBS) and maintaining a healthy weight. Susan has had Crohn's disease since childhood, which led to severe inflammation of her large intestine and subsequent surgery. Post-surgery, she is experiencing challenges with her eating habits and weight management, similar to her pre-surgery condition. She is seeking advice on how to adapt her diet to prevent further weight loss and manage potential SBS.

Advice and Helpful Insights:
1. Understanding Short Bowel Syndrome:
- It's important to confirm whether you actually have SBS, which typically involves significant removal of the small intestine. The symptoms you're experiencing might be part of the normal post-operative adjustment period where nutrient absorption is less efficient.

2. Nutritional Intake and Hydration:
- Increase your water intake significantly to avoid dehydration, a common issue for those with an ileostomy.
- Incorporate protein powders into your diet if possible, as they are generally well-tolerated by the small intestine and can help in maintaining protein levels without causing discomfort.

3. Long-term Dietary Adjustments:
- Over time, your small intestine will adapt and begin to absorb more nutrients. Continuous hydration is crucial during this period.
- Consult with nutritionists or dietitians who specialize in post-ostomy care or gastrointestinal disorders. They can provide personalized advice and recommend specific supplements or dietary adjustments.

4. Weight Management Strategies:
- Explore medical nutritional supplements like polycose for rapid weight gain, but ensure to consult with your healthcare provider before starting any new supplement.
- Consider discussing Total Parenteral Nutrition (TPN) with your doctor if your weight loss is severe and you're unable to absorb enough nutrients through your diet alone.

5. General Support and Encouragement:
- Stay connected with support groups and communities who understand your condition. Sharing experiences and tips can be incredibly helpful.
- Remember that recovery and adjustment to a new dietary routine post-surgery take time. Patience and persistence are key in managing your health during this period.