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Oct 16, 2023

Confusion regarding dehydration

This topic is about managing dehydration after having an ileostomy, especially when plain water isn't appealing. The person sharing their experience has found it challenging to stay hydrated and is exploring alternatives like milk. Here are some helpful tips and insights for staying hydrated:

1. Milk can be a good option for hydration. Consider trying skim, 1%, or even chocolate milk. However, if you're lactose intolerant, milk might not be suitable as it could worsen dehydration.

2. Drinking too much plain water can dilute your electrolytes. It's important to balance your fluid intake with sodium and potassium.

3. Consider using electrolyte products such as:
- Gatorade Zero and Gatorade FIT
- Powerade Zero
- Pedialyte
- Liquid IV packets (available at Costco)
- SaltStick chews

4. A homemade oral rehydration solution (ORS) can be effective. You can find a recipe from Alberta Health Services that includes water, sugar, table salt, baking soda, and a potassium salt substitute. You can also modify low-sugar Gatorade G2 in a similar way.

5. Broths and vegetable juices, like V-8 Juice or organic sipping broth, can provide sodium and potassium without added sweeteners.

6. Flavoring your water can make it more enjoyable to drink. Try using orange squash/cordial or flavored waters that don't contain artificial sweeteners.

7. "Eat your water" by consuming high-water fruits and fiber-rich foods, which hydrate more slowly and can supplement your fluid intake.

8. The way you drink matters. Take frequent medium sips instead of chugging, as this allows your gut to absorb more and your kidneys to excrete less.

9. Monitor your hydration by checking the color of your urine, aiming for a light wheat color, and by tracking your stoma output. Many people with an ileostomy urinate less because fluid exits through the pouch.

10. If you have a high-output ileostomy or engage in excessive exercise, you may need additional salt, such as SaltStick chews, or ORS. Not replacing enough salt can lead to fainting spells.
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