Topic Explanation:
The discussion revolves around seeking alternatives to Loperamide (commonly known as Imodium) for managing bowel function in individuals with an ostomy. The original poster, Mike, has been using Loperamide for several years alongside Omeprazole for stomach acid but is experiencing unwanted side effects. Mike has tried Codeine but found it caused drowsiness. He is looking for advice on other medications or methods to regulate his bowel movements effectively without the side effects he's currently experiencing.

Extracted Advice and Helpful Insights:
1. Alternative Medications:
- Docusate (100mg twice a day) was suggested as an effective alternative to Loperamide for controlling bowel movements.
- Tincture of opium in liquid form was mentioned, though it may cause drowsiness similar to Codeine.
- Prevalite powder was recommended in combination with other medications to help thicken the output.

2. Dietary Adjustments:
- Metamucil, a fiber supplement, was recommended to help control loose output. It can be taken once or twice daily, depending on the individual's needs.
- Incorporating bananas into the diet was suggested to help regulate bowel movements.

3. Medication Management:
- It was advised to continue using Metamucil alongside Imodium, adjusting the dosage of Imodium based on stool consistency and output.
- The importance of titrating medication based on personal response and output consistency was highlighted.

4. Personal Experiences:
- One user shared that switching from Loperamide in tablet form to liquid form allowed for better control over dosage and personalization of intake according to current needs.