This topic is about managing colostomy output, staying hydrated, and reducing the risk of kidney stones, especially for those who have had a colostomy due to Crohn’s disease. Here are some helpful tips and insights:

1. **Hydration Tips**
- Aim to drink 3–4 liters of water daily. Staying well-hydrated is crucial to prevent dehydration and potential blockages.
- Your intestine can adapt over time. Initially, excess water might pass through quickly, but with consistent high fluid intake, your body can learn to absorb more. Be alert for early signs of dehydration like headaches or shakiness and increase your fluid intake if needed.

2. **Kidney Stone Considerations**
- Kidney stones might not always need immediate treatment; it depends on their size and the symptoms they cause.
- Factors that can contribute to stone formation include high calcium levels, elevated uric acid, excessive vitamin or mineral intake (especially if on medications like prednisone), and chronic watery output.
- Treatment options include:
- Extracorporeal ultrasound or laser lithotripsy, which is a minimally invasive procedure often done as day surgery.
- Surgical removal, which might involve placing a temporary ureteric stent. This can be uncomfortable but is usually short-term.

3. **Strategies for Thickening and Slowing Output**
- Consider using Imodium (loperamide) or a prescription antidiarrheal to slow down the transit time, allowing more fluids and electrolytes to be absorbed.
- Incorporate foods that help bulk up the stool, which can help thicken the output.

4. **General Reminders**
- Maintaining adequate fluid intake and controlling output can help protect against dehydration, electrolyte imbalances, and kidney stone formation.
- If you have a history of kidney stones or are at risk, regular monitoring with imaging is advisable.