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Nov 15, 2023

Nausea After Ileostomy - Seeking Advice and Experiences

This topic is about someone who is experiencing persistent mild nausea while waiting for an ileostomy reversal. They are feeling worn down by this constant nausea and are unsure of the cause, suspecting it might be due to dehydration or a vitamin deficiency. They are reaching out to see if others have had similar experiences and to gather advice. Here are some helpful insights and suggestions:

1. Visit your general practitioner to get basic lab tests and a urinalysis. This can help rule out any unrelated conditions, as nausea and fatigue can have many different causes.

2. Consider the possibility of gallbladder dysfunction or acid reflux, even if you don't have gallstones. Both conditions can cause nausea as a primary symptom.

3. Keep an eye on your electrolytes and sodium intake. Some people find that a quick boost of sodium, like eating salty foods, can help relieve nausea related to low sodium levels.

4. Dehydration is a common issue after an ileostomy. If drinking fluids isn't enough, talk to your healthcare team about the possibility of supplemental IV hydration. Some people have found that their nausea improved once they started receiving daily IV fluids.

5. Ask your doctor about prescription anti-nausea medications, such as Zofran (ondansetron). Many people have been prescribed this after surgery and have used it successfully for months.

6. Review any current medications you are taking. Sometimes, stopping or changing a medication can eliminate nausea.

7. Slow bowel motility or certain foods might be causing your nausea. Keeping a food diary can help you identify any foods that trigger your symptoms, allowing you to adjust your diet accordingly.

8. Pancreatitis and poor-quality meals in hospitals or rehab facilities have worsened nausea for some people. Returning to regular, nourishing food helped them feel better. Make sure you are getting adequate nutrition and monitor pancreatic enzymes if you experience pain or worsening symptoms.

9. If your nausea continues, regularly review your stoma function, hydration status, and any other health conditions you may have, such as heart disease or chronic kidney disease, during your 6-month check-ups.
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