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May 11, 2022

Alternative Options for Ileostomy Change?

This topic is about finding alternatives to marshmallows for slowing down ileostomy output during appliance changes. The person seeking advice dislikes marshmallows and is looking for other effective methods to manage their ileostomy output when changing their pouching system. Here are some suggestions and insights shared by others:

1. Salty or starchy snacks that might help thicken or slow output:
- Try plain potato chips or pretzels.
- Consider having peanut butter on toast the night before you plan to change your appliance.
- Jelly Belly jelly beans could be another option.

2. Foods that are commonly used to thicken ileostomy output (eat about 30 minutes before changing):
- Applesauce, boiled rice or noodles, creamy peanut butter, tapioca pudding, bananas, peeled potatoes, toast, and yogurt.

3. Medication option:
- Taking 1–2 tablets of Imodium A-D about 30–60 minutes before changing can help slow output. It's important to check with a healthcare professional first.

4. Timing and fasting strategies (no special food required):
- Stop eating after 6 pm (or 1 pm for very early morning changers). Empty the pouch first thing in the morning and change before breakfast or coffee.
- One person takes 4 tablespoons of Milk of Magnesia at 2 pm, follows with two servings of herbal tea, and stops liquids at 4 pm. By 4:30 am, their small bowel is empty for the change (this practice was approved by their GI specialist).

5. Cautionary notes on very thick output:
- Eating too many bananas or potatoes can over-thicken stool, leading to pancaking and possible barrier failure.
- Built-in filters on Coloplast pouches may clog when output is too thick. Some users switch to Hollister pouches or seek Coloplast models without the large filter.
- Thick output may require rinsing the pouch, and repeated rinsing can shorten adhesive wear time.

6. Product and accessory mentions:
- Coloplast filtered pouches and Hollister cut-to-fit pouches (though these may be prone to ballooning).
- Stealth Belt, a waist-belt support garment, is preferred by some users who also like opaque appliances and plan to purchase a genuine Stealth Belt.

7. Humor and coping suggestions:
- A light-hearted suggestion of having "a couple of shots of whiskey (or wine)" before changing as a way to relieve stress.

These suggestions offer a variety of non-marshmallow methods—dietary, medicinal, and scheduling—to help manage ileostomy output during appliance changes.
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