This topic is all about understanding how Oral Rehydration Solutions (ORS) can help people who have had parts of their bowel removed, especially the colon, to stay hydrated. The colon plays a big role in absorbing water, so when it's missing, hydration becomes a challenge. Here's a simple breakdown of the key points and advice:

- Different parts of the bowel absorb different nutrients. The colon mainly absorbs water, while the small bowel handles vitamins and minerals. Losing these sections can lead to specific absorption issues.

- The bowel wall acts like a filter, absorbing only certain molecules. When parts are removed, these filters are lost, affecting absorption.

- The World Health Organization's ORS uses a specific mix of glucose and sodium to help the body absorb water more effectively, even without a colon. This mix helps water get absorbed earlier in the digestive process.

- It's important for liquids to be isotonic. Drinks that are too sugary or salty can worsen dehydration, while plain water can rush through the system too quickly.

- WHO provides two ORS formulas. The "Reduced Osmolarity" version is recommended for better taste. You can also make your own ORS at home with about 20-25 grams of glucose and 3.5 grams of sodium chloride per liter of water.

Additional tips and insights:

1. Some commercial ORS products include St Mark’s Solution, Drip-Drop, and Gatorade with added salt. You can prepare these at home or on the go.

2. The exact ratio of glucose to salt isn't critical; being slightly off only reduces efficiency. Adjust your intake if you consume very sugary foods.

3. Check your hydration by ensuring your urine is clear or pale and using the skin-pinch test on your hand.

4. If you notice whole capsules in your ostomy pouch, talk to your pharmacist about different coatings or break non-delayed-release capsules before swallowing.

5. For colostomates experiencing slow stool, a morning sip of high-polyphenol olive oil followed by another liquid can help.

6. It's important to have a gastroenterologist experienced with ostomies and a dietitian who understands your specific needs.

Advice on ORS and hydration:

- Ready-made ORS options include WHO sachets, St Mark’s Solution, and Drip-Drop powder sticks.

- DIY ORS can be made by mixing sugared Lemonade Gatorade with water and salt or using a cola/seltzer mix.

- Alternative electrolyte sources include low-sodium V8 juice and various Gatorade options.

- Be mindful of sugar intake, as too much can lead to health issues. Adjust the ORS recipe to fit your dietary needs.

- If pills pass through your system too quickly, consider switching to powders or gel-caps, or ask your pharmacist for an immediate-release form.

- Regularly check your hydration status and keep extra salt packets handy for emergency ORS mixing.

- If you're on medications like Lexapro, be aware it can lower sodium levels. Adjust your fluid intake accordingly.

- Adding lemon juice to your ORS can help prevent kidney stones.