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Nov 21, 2010

Colostomy and Wine - Anyone Else Experience This?

This topic is about dealing with colostomy output issues after drinking wine. The person who started the discussion had a colostomy surgery on October 7 and has been recovering well. However, they experienced very watery output from their stoma after having a couple of glasses of wine for the first time since the surgery. This led to needing to change their pouch four times in two hours. With the holiday season coming up and wine being a favorite treat, they are wondering if they need to cut back on wine or avoid it altogether. They are also curious if others have had similar experiences. Here are some pieces of advice and insights shared by others:

1. Give it more time and try experimenting at home. Stoma behavior can be unpredictable, and sometimes what seems like intolerance might just be an "off day."

2. Remember that early post-op sensitivity is common. Less than two months after surgery, the gut is still adjusting. Many people find that things settle down after about six months.

3. Consider switching from a closed pouch to a drainable pouch when you plan to drink. This way, you can empty the pouch instead of changing it.

4. You might manage loose output with anti-diarrheal medication like Imodium. Some people find that one glass of wine plus one Imodium works well for them.

5. Think about using thickening additives in the pouch, such as Moreform sachets or Independence Absorbent Strips (order code P100AS).

6. The type of wine can make a difference. Some people find that red wine causes high-output episodes, while white wine does not.

7. If wine continues to be a problem, consider alternatives that others tolerate well, such as gin & tonic, wine coolers, German white wines, and light beers like Bud Light. However, some find that beer, especially Guinness Extra Stout, remains problematic.

8. Start with smaller amounts, like half a glass, and increase slowly as tolerated.

9. Eating thickening foods such as marshmallows before or during drinking can help firm up the output.
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