This topic is about managing constipation in someone who has both an ostomy and Type II diabetes, particularly after starting a new medication called Rybelsus. Here's a bit of background and some helpful tips:

- A 66-year-old man has been living with an ostomy since his colorectal cancer surgery in 2010 and has been cancer-free since then.
- He also has Type II diabetes and began taking Rybelsus, a medication to help manage his diabetes, about six months ago.
- While his blood sugar levels have improved with Rybelsus, he has started experiencing constipation and thicker output from his stoma.

To address these issues, here are some suggestions:

1. The couple consulted a new doctor who adjusted his medications and recommended adding kiwi fruit to his diet, which successfully relieved the constipation.
2. Increasing fluid intake can help. Drinking more water or fruit juices can soften the output and make it easier to pass.
3. Incorporating high-fiber foods, like oatmeal raisin cookies, into the diet can also be beneficial. When combined with plenty of fluids, this can promote a smoother flow through the ostomy.