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Apr 16, 2010

Colostomy Diet Tips: Managing Liquid Output

This topic is about managing persistent liquid output for someone who recently had a colostomy. Eight weeks after the operation, the output is still mostly liquid, similar to what one might expect with an ileostomy. The person has tried increasing fiber, limiting fluids, and taking Imodium (loperamide) but is seeking more ways to thicken the output and reduce the frequency of emptying the pouch.

Here are some helpful suggestions and insights:

1. Foods that can help thicken the output:
- Bananas, peeled apples, and applesauce
- Foods with gelatin like jelly/Jell-O, custard, and marshmallows
- Peanut butter, cheese, and yogurt
- Bread, rice, pasta, and potatoes
- High-protein foods such as meat and eggs
- Broad beans were also mentioned by someone
- Remember to consume these in moderation to avoid cramping.

2. Medications that might be useful if diet changes aren't enough:
- Over-the-counter acetaminophen with codeine (like Tylenol® with Codeine) has been used by some to slow down bowel movements and thicken output, especially before work.
- Prescription medications for Crohn’s disease have helped some people with Crohn’s-related stomas by reducing liquid output, vomiting, and cramps.
- Continue using Imodium (loperamide) as already tried; sometimes the dosage can be adjusted with medical advice.

3. Managing fluid intake is important. Keeping it around 1.5 liters per day, if safe, can help with consistency. Too much or too little can make things worse.

4. Fiber tolerance can vary greatly:
- Some people cannot handle added fiber and experience severe cramps.
- Others can eat a variety of foods, including salads, fresh fruit, popcorn, and chili, without any issues.
- It's important to try different foods one at a time to see what works for you.

5. Time and adaptation are key. Many people find that their colostomy continues to change over several months, and some still experience variability years later. Patience is important, as 8 weeks is still early in the process.

6. Frequency of emptying and setting realistic expectations: For some, liquid output every 2 hours is normal. Achieving a perfect "paste" consistency might not be realistic. It may be necessary to manage life around this pattern, such as scheduling empties and carrying supplies.

7. General encouragement: Many long-term users eat normally and focus on enjoying their food rather than restricting it, accepting that some days the output will be thicker and other days more watery.
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