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Feb 19, 2023

Managing Fluid Intake on Long Hikes with an Ileostomy

This topic is about managing hydration and bathroom breaks during long hikes for someone with an ileostomy. The person enjoys hiking for several hours in the countryside but is not fond of urinating outdoors. They are curious if it's safe to limit fluid intake during the hike and then rehydrate afterward. Here are some helpful insights and advice shared by others:

1. Avoid Dehydration
- It's important not to intentionally dehydrate yourself. Doing so can lead to serious health issues like fainting, muscle tears, organ injury, and long-term kidney damage.
- Consulting a nephrologist or gastroenterologist is recommended to understand the necessary daily fluid intake to maintain kidney health. For example, one person mentioned a prescription of 60 ounces per day for a 98-pound female.
- Remember, if you feel thirsty, you're already dehydrated, which is a common issue seen by outdoor leaders.

2. Stay Hydrated During the Hike
- Always carry water and take small, frequent sips throughout your hike. You can drink more towards the end if you prefer.
- Consider mixing half water and half Gatorade to maintain electrolyte balance.
- Be aware that hot weather, steep climbs, and dry alpine climates can increase fluid loss.
- An extreme suggestion was to carry an IV bag for severe dehydration emergencies.

3. Discreet Urination Tips
- Find a tree or bush for privacy; most hikers do this, and others typically don't mind.
- Female hikers might find devices like the GoGirl helpful, allowing them to urinate while standing without removing clothing.
- For added security, consider wearing a pad or bringing a leg bag, night bag, empty bottle, or zip-lock bag. You can also pour water over the spot if needed.

4. Bring Your Ostomy Backup Kit
- Always carry your regular ostomy backup kit on every hike to be prepared for any situation.

5. Emotional and Attitude Tips
- Don't let embarrassment keep you from enjoying your hikes. Remember, even wildlife relieves itself in the woods.
- Your friends will likely be glad to see you staying hydrated, as it means you're taking care of yourself.

6. Additional Resources
- The Facebook group "Ostomy Lifestyle Athletes" can be a great place to find practical advice from other active individuals with ostomies.

7. Medical Advice
- It's crucial to speak with a family physician, gastroenterologist, or kidney specialist before trying any fluid-restriction strategies.
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