This topic is about dealing with dehydration or ongoing nutritional imbalance after having an end ileostomy. The person who shared their experience has been feeling generally well since their surgery in February 2022, but recently they've been struggling with painful muscles, fatigue, shortness of breath, and extreme dizziness. They currently drink 80 ounces of water daily, with 32 ounces containing an electrolyte powder, and consume 30 grams of protein powder each day. They're wondering if they need more electrolytes or something else, especially since they feel better in the mornings and are concerned about their budget.

Here are some helpful suggestions and insights:

1. Consider trying a low-cost, clinically tested oral rehydration solution (ORS) like St. Mark’s Electrolyte Mix. You can find the recipe in the "High-Output Stoma" PDF from St Mark’s Hospital. Many people have found it effective during dehydration episodes or after surgery.

2. Mix up your fluid intake instead of relying mainly on water. Drinks like V-8 juice and milk can provide additional vitamins, minerals, calories, and sodium, which might be beneficial.

3. Be cautious with large volumes of plain water, as it can flush out electrolytes. Balance your water intake with drinks that contain salts and nutrients.

4. Commercial sports drinks, such as Gatorade, can help replenish electrolytes. Adding lemon to water can improve its taste and encourage you to drink more.

5. Increase your dietary salt intake. People with an ileostomy tend to lose more sodium than average, so adding more salt to your food can help with hydration and muscle function.

6. Incorporate moisture-rich foods into your diet. This can contribute to overall hydration and nutrient intake, potentially reducing your reliance on expensive packaged electrolyte products.