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May 02, 2010

Why Does Water Affect My Ileostomy Differently Than Tea?

This topic is about understanding why plain water seems to pass through the system so quickly for someone with an ileostomy, often leading to leaks, and exploring ways to manage hydration better. The person in question mostly drinks hot or iced tea and ginger ale, and they notice that even small amounts of plain water cause immediate and forceful emptying of their pouch. They are concerned about staying hydrated, as indicated by dark gold urine, and are curious if there is a way to make water more tolerable.

Here are some helpful insights and advice:

1. Consider adding electrolytes to your water. A pinch of salt or a splash of lemon juice can help with intestinal absorption. It's best to avoid refined sugars.

2. Aim to consume between 2 to 4 liters of total fluids daily. This is important to prevent dehydration and avoid painful blockages. Be cautious with sodas, as they can add gas and excess sugar.

3. For those with short-bowel syndrome, like having only about 1 foot of small bowel remaining, plain water might pass through quickly. Drinks like milk or oral rehydration solutions, such as Dioralyte, might stay in your system longer and hydrate you better. It's a good idea to consult with your doctor or stoma nurse for personalized advice.

4. Even if you are receiving Total Parenteral Nutrition (TPN) at night, it's still crucial to take in significant oral fluids. Discuss your exact fluid intake targets with your medical team to ensure you're meeting your hydration needs.
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