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Dec 10, 2022

Managing Fast Transit Time and Watery Output

This topic is about finding ways to manage fast bowel transit and watery output for those with an ileostomy. Here are some practical tips and insights that might help:

1. Foods that can help thicken output:
- Peanut butter: Try starting with a peanut-butter-and-jelly sandwich on white bread or a generous layer on one piece of toast. You can adjust the amount based on your needs.
- Cheese and crackers: Consider having 5 to 10 small slices of extra-sharp cheddar with 10 to 20 Triscuits.
- Bananas: Eating one banana per serving is common, and some people eat up to three a day.
- Bread, especially white bread, can be helpful.
- Rice Krispy Treats are another option.
- Marshmallows are frequently recommended, though not everyone likes them.
- Milk works for some individuals.
- It's important to remember that everyone is different, so a bit of trial and error might be necessary to see what works best for you.

2. Medications and supplements:
- Loperamide (such as Imodium) can be taken, with some people using up to eight tablets per day.
- Psyllium husk powder: Mix 2 to 3 teaspoons in a few ounces of water before meals to add bulk.
- Digestive supports like HCL/pepsin with digestive enzymes can be helpful, but avoid bromelain as it can damage the stoma.

3. Fluid management:
- Try to limit water or other liquids during meals to help reduce the immediate dilution of food and slow down transit time.

4. General guidance:
- Keep experimenting with different quantities and combinations of foods and supplements to find the right balance for slowing transit without causing a blockage.
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