This topic is about someone who has had an ileostomy for four years and suddenly experienced vomiting and a high volume of liquid output from their stoma. They were concerned and hesitant to eat, so they started sipping fluids slowly and wondered why this happened.

Here are some insights and advice shared by others:

1. Possible causes for the symptoms:
- A common stomach virus could be the culprit.
- A partial blockage or adhesions might have occurred, especially since a chicken bone was expelled, suggesting a temporary blockage.
- Gallstones can also cause sudden high-volume, watery output and vomiting.
- Increased gastric acid after small-bowel surgery might lead to higher stoma output.

2. Immediate self-care suggestions:
- It's important to keep fluid intake high to replace losses and prevent dehydration.
- Stick to a light diet, such as toast, crackers, and bland foods, for a day or two until the output normalizes.
- Keep an eye out for fever, pain, or symptoms that persist. If things don't improve within 1 to 3 days, seek medical attention.

3. Medication option for those with chronically high output and vomiting:
- Proton Pump Inhibitors (PPIs), like Omeprazole 40 mg taken twice daily, can help reduce gastric acid and lower ileostomy output. However, people with extensive small-bowel resection might not absorb PPIs as effectively.

4. Emphasis on hydration:
- Many people stress the importance of continuously sipping fluids, even when feeling nauseated, to make up for the frequent pouch emptying.