This topic is about managing dehydration during a Norovirus infection for those who have an ostomy. The person sharing their experience had their ostomy for 10 years and faced a challenging situation when they contracted Norovirus. They experienced extremely watery and high-volume output from their stoma, along with frequent vomiting. This led to severe dehydration, requiring a visit to the emergency room for treatment. Here are some helpful tips and insights for others in similar situations:

1. Seek medical help early: Ostomates can become dehydrated much faster than those with colons. If you notice profuse or clear output, don't hesitate to go to the ER for IV fluids.

2. Consider antidiarrheal or antimotility medications: Doctors might prescribe Codeine or suggest over-the-counter options like Imodium (loperamide) to help slow down stoma output during severe episodes.

3. Use oral rehydration solutions: Keep Gatorade powder or Pedialyte handy and start using them at the first sign of high-volume output. However, be aware that these might not be enough during a Norovirus infection.

4. Manage barrier changes: If your output is continuous, you might need to briefly disconnect from an IV or use antidiarrheals to slow the flow enough to change your barrier.

5. Protect your kidneys and monitor long-term health:
- Chronic or repeated dehydration can harm your kidneys, so keep an eye on creatinine levels and consult a nephrologist if they increase.
- Symptoms like nighttime leg cramps or a persistent dry mouth can indicate ongoing dehydration.
- Some people benefit from scheduled outpatient hydration infusions to protect kidney function and avoid dialysis.

6. Be aware of electrolyte imbalances: Severe low sodium levels (hyponatremia) can lead to confusion, seizures, or falls, and potassium losses can also occur. IV replacement might be necessary.

7. Educate healthcare providers: ER staff might not fully understand the dehydration risks for those without a colon, so it's important to advocate for prompt IV fluids.