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Apr 23, 2023

Ileostomy Output: Color and Consistency Variations

This topic is about the changes in color and consistency of ileostomy output, which can be quite varied and sometimes puzzling. Here are some insights and advice that might help:

1. It's common for ileostomy output to change in color and thickness. The poster notes that their output can be brown-orange most days, but sometimes it turns bright green, dark green, or even clear with particles. The consistency can range from very watery to as thick as toothpaste, and these changes can happen several times a day.

2. The type of ileostomy in question is a loop ileostomy, which was created 2½ years ago and was initially expected to be temporary. The poster takes 9–12 loperamide tablets daily to manage output.

3. Even when two people with ileostomies eat the same foods and take the same medications, their outputs can still differ. This highlights the individual nature of digestion and output.

4. It's important to note that wide variations in output color and thickness are common. The main factor influencing these changes is usually food intake.

5. The presence of flakes or small particles in the output often reflects what was eaten. It's more useful to monitor your diet and overall wellbeing rather than focusing solely on the color of the output.

6. Key warning signs to watch for include a complete lack of output or the presence of blood. These could indicate a problem and should be addressed with a healthcare professional.

7. Changes in output color and consistency can provide clues about the function of the bowel, liver, or gallbladder. If you notice persistent unexplained changes, it's a good idea to discuss them with your doctor.

8. Dark-green output often suggests a high bile content, which is usually normal.

9. Achieving a consistent "applesauce" texture can be challenging for some people. Appetite and digestion can vary widely, even when eating the same meals and following the same medication regimen.

10. The general consensus is that if you feel well, stay hydrated, and your output is not bloody, then day-to-day color shifts are usually nothing to worry about.
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