This topic revolves around the challenges faced by someone with an ileostomy who is dealing with persistent intestinal yeast infections. Despite multiple treatments, the issue remains unresolved, leading to significant discomfort and frustration. Here are some insights and advice shared by others who have faced similar situations:

1. Combination antibiotic course: Some people have found relief from similar symptoms by taking a 10-day course of oral Flagyl (metronidazole) and Cipro (ciprofloxacin). While there are potential side effects, many reported that their symptoms did not return after this treatment.

2. Request targeted diagnostics: It might be helpful to ask your GI team to perform a stool or effluent culture to identify the specific fungal or bacterial organism causing the infection. This can help in prescribing the right medication.

3. Alternative/stronger antifungal therapy: An ostomy nurse suggested considering IV Amphotericin B for severe GI fungal infections. However, it is important to monitor kidney function due to potential nephrotoxicity.

4. Dietary and over-the-counter measures:
- Some have found short-term relief with plain yogurt and antacids.
- Regular consumption of fermented or pickled foods, such as pickled beets, kimchi, and pickled herring, along with prebiotics, can help restore gut flora, especially after antibiotic use.
- Proteolytic enzyme supplements like bromelain from pineapple, papain from papaya, turmeric, and Beano are suggested as natural digestive aids.

5. Screening for other conditions: It may be beneficial to have your physicians check for Small Intestinal Bacterial Overgrowth (SIBO), as it can mimic or worsen fungal issues.

6. Practical step with current doctor: Clearly request that the same ineffective antifungal not be prescribed again to avoid unnecessary costs and delays in finding a more effective treatment.