Topic Explanation:
The forum topic is about a person with an ileostomy who is taking Mesalazine for IBD and has noticed that the modified-release tablets appear intact in their stoma bag, raising concerns about the medication's effectiveness. They are seeking advice and insights from others who may have experienced a similar issue.

Advice and Insights:
1. Crushing the tablets and taking them with water may help the medication to be absorbed.
2. Time-release medications may not work effectively for individuals with a stoma, and it's recommended to discuss alternative forms of the medication with a doctor.
3. Taking one tablet in the morning and one in the evening may improve absorption.
4. Check if the pills are coated, and if capsules, consider using gel capsules for better absorption.
5. Consider taking Loperamide (Imodium) to slow down digestion and aid in tablet absorption.
6. Extended-release tablets may appear intact in the stoma bag, but it's important to confirm with a doctor if the medication is still effective.
7. For individuals with an ileostomy, it's suggested to avoid time-release medications and consider alternative forms such as liquid or powder.
8. Consult with a pharmacist or stoma care team for advice on medication forms suitable for individuals with a stoma.
9. In some cases, it may be necessary to switch to liquid forms of medication for better absorption.

Conclusion:
The forum discussion provided valuable insights and advice for individuals with an ileostomy who are experiencing issues with medication absorption, offering alternative solutions and highlighting the importance of consulting healthcare professionals for personalized recommendations.