This topic is about understanding hydration concerns and reduced urine output after having an ileostomy. If you've had an ileostomy, you might notice changes in how much urine you pass, even if you're drinking plenty of fluids. Here are some insights and advice to help you manage this:
1. Electrolyte supplementation:
- Keep drinking at least 1 litre of oral rehydration solution (ORS) daily.
- Consider using Buoy Hydration Drops three times a day, or try generic electrolyte drops, Vitamin Water, or low-sugar hydration drinks.
2. Add salt to your diet to help your body absorb and retain fluids:
- Drink lightly salted water, about 1.89 litres a day.
- Add ½ teaspoon of salt per litre of drinking water.
- Use salts like Pink Himalayan, Mediterranean, or sea salt in your drinks or meals.
- Enjoy salty snacks or foods to maintain sodium levels.
3. Vary your fluid sources to avoid flushing out nutrients:
- Include milk, juices, smoothies, club soda with fresh lime, and limited amounts of soda, not just plain water.
4. Monitor your hydration status by:
- Checking urine colour and frequency; pale or straw-coloured urine is a good sign.
- Observing the consistency of your ileostomy output; watery output means more fluid is leaving through the stoma.
5. Understand that some reduction in urine output is normal for ileostomates:
- The colon's removal or bypass means less water is reabsorbed into the bloodstream, so more liquid exits through the pouch.
6. Adjust your fluid intake based on personal factors:
- Consider your activity level, climate, sweating, age, and any other health conditions. Carry electrolyte water when you're out and about.
7. Night-time considerations:
- The small intestine keeps working at night, so you might need to empty your pouch 1-2 times overnight.
- Limiting food and drink after 6-7 p.m. can help reduce night-time pouch emptying.
8. Be cautious with high-sugar sports drinks:
- They might pass through your system quickly and provide little benefit.
9. Include potassium-rich foods in your diet:
- Foods like tomatoes, avocados, and bananas can help balance electrolytes alongside sodium.
10. Be aware of dehydration risks:
- Ileostomates have a higher risk of kidney stones. One person needed emergency IV fluids after a gastrointestinal virus.
Remember, lower urine output isn't necessarily a problem if your urine is light in color and you feel well. Focus on smart hydration with electrolytes and salt, keep an eye on both urine and stoma output, and adjust your fluid types and timing to fit your lifestyle.
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