This topic is about someone who has been living with a colostomy since November 2021 due to a tumor resection. They recently experienced an acne flare-up in February 2023 and were prescribed antibiotics by a dermatologist. While the acne improved, they began having persistent loose stools. A second course of antibiotics from an internal medicine doctor did not help, and they are planning to consult their surgeon. They are reaching out to see if others with ostomies have had similar experiences and are looking for advice.

Here are some helpful insights and advice:

1. When discussing digestive issues, it's important to mention whether you have a colostomy or an ileostomy. This helps others provide more specific advice.

2. Antibiotics can disrupt the balance of bacteria in your intestines, often leading to diarrhea. This is a common issue for both colostomy and ileostomy patients.

3. Probiotics might help restore the natural balance of gut bacteria after finishing an antibiotic course. However, taking them at the same time as antibiotics might reduce their effectiveness, as the antibiotics can kill the probiotic organisms.

4. If you experience recurring skin issues, like acne or shingles, or joint pain, it might be related to underlying bowel inflammation rather than just a skin condition. It's a good idea to discuss this with your healthcare team if these symptoms continue.