This topic is about dealing with the morning "hangover" feeling that can come with having a high-output ileostomy. This feeling is often due to dehydration and fatigue, and the discussion focuses on ways to manage these symptoms.

Here are some helpful tips and insights:

1. Hydration and Electrolyte Replacement
- Drinking plain water can sometimes worsen dehydration by flushing out electrolytes. Try adding ¼–½ teaspoon of quality salt to each liter of water or use electrolyte tablets.
- Consider using commercial oral rehydration solutions like DripDrop, Liquid IV, Lucozade Sport, Gatorade, Powerade, or coconut water.
- You can make your own rehydration solution with 20 g glucose, 3.5 g salt, and 2.5 g sodium bicarbonate per liter of water.
- Sip fluids slowly throughout the day and aim for 2–4 liters of total fluid intake daily. Monitor your urine color and volume to ensure proper hydration.
- In hot weather or after exercise, add extra electrolytes or coconut water. Keep a sugary drink by your bed for nighttime sipping.

2. Medication and Medical Support
- Work with a stoma nurse or dietitian to manage medication like loperamide, which can be taken in high doses under medical supervision.
- Alternatives like Lomotil or codeine phosphate might be considered, and timing doses can help manage symptoms.
- If oral measures aren't enough, intravenous fluids or short-term total parenteral nutrition (TPN) might be necessary. Regular blood tests are important to monitor your health.

3. Thickening Output
- Use gelling sachets to turn liquid output into a gel, which can help reduce leaks.
- Foods that can help thicken output include metamucil, jelly babies, bananas, crisps, starchy foods, peanut butter, marmite, white rice, bread, and pasta.
- Limit foods and drinks that speed up output, like coffee, tea, orange juice, alcohol, and high-water fruits and vegetables.

4. Diet and Meal Timing
- Eat small, frequent meals and include a late-evening snack to keep your gut busy overnight.
- Carbohydrate-rich foods and soluble fiber can help slow down digestion.

5. Supplies and Accessories
- If you're sensitive to hydrocolloid rings, try silicone gel rings or Brava Strip Paste for a better seal.
- Output-absorbing rings or gels can help reduce leaks during the night.

6. Testing and Monitoring
- Regularly test your electrolyte, magnesium, potassium, renal function, and vitamin/mineral levels. This helps tailor your supplement intake.
- Keep track of your daily fluid intake to ensure you're drinking enough.

7. General Tips
- Keep Imodium handy but use it wisely with professional guidance.
- Consider switching to decaf coffee or tea to reduce the diuretic effect.
- If you still feel exhausted despite staying hydrated, explore other possible causes like nutritional gaps or medication side effects.