Topic Explanation
The forum discussion centers around managing high stoma output following surgery. The original poster (OP) had a J pouch creation and rectum removal surgery, which also involved gallbladder removal. The new stoma produces significantly more output (2.5 liters or more) compared to the previous one (1 liter max). The OP has tried various methods to manage the output, including Imodium, codeine, salt in water, and fiber in water, but only Imodium has been somewhat effective, albeit with side effects. The OP is seeking additional advice on how to manage the high stoma output.

Advice and Insights

- Dietary Adjustments:
- Foods that can help slow down or reduce stoma output include:
- Pumpkin
- Butternut squash
- Marshmallows
- Potatoes

- Understanding Ileostomy:
- High output is a common characteristic of an ileostomy due to its nature.
- The ileostomy bypasses the colon, leading to faster and more frequent output.

- Hydration and Electrolytes:
- Stay hydrated with sports drinks that contain electrolytes rather than just pure water.

- Medical Management:
- Keep in close contact with your physician for ongoing management.
- Metamucil can be used sparingly to bulk up the stool.
- Cholestyramine might be an option to manage diarrhea, especially post-cholecystectomy, but requires a prescription.

- Avoid Certain Foods:
- Be cautious with milk products and extremely fibrous foods, particularly if you have lactose intolerance, as they can exacerbate the problem.

- Future Considerations:
- If the ileostomy is temporary and the colon is still present, transitioning to a colostomy might reduce the frequency of trips to the bathroom.