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Nov 19, 2023

Imodium, Dairy, and Taste Changes Post-Ileostomy Reversal

This topic is about dealing with some common issues after an ileostomy reversal, such as using Imodium, experiencing dairy intolerance, and noticing changes in taste. Here are some helpful insights and advice for navigating these challenges:

1. Imodium Usage
- The dosage instructions on the package are meant for people with a fully intact colon. However, specialists often prescribe higher doses for those who have had an ileostomy or reversal.
- Many people in similar situations take between 8 to 16 tablets daily without side effects, and healthcare providers often confirm this is safe.
- Some doctors may even allow up to 32 tablets in a day if necessary.
- It's a good idea to keep Imodium handy when traveling, even after reducing your regular dose, as it can be useful occasionally.

2. Bowel Adaptation
- It can take 12 to 24 months for your bowel movements to stabilize after a reversal. During this time, you might find you need less medication to manage diarrhea.

3. Dairy Intolerance and Food Testing
- Developing lactose intolerance is common after bowel surgery and often occurs after age 30.
- Foods like ice cream and milk can cause diarrhea, but hard cheeses might be easier to digest.
- Try new foods in small amounts to see how your body reacts, and keep a log of what you eat and any symptoms.
- Be mindful of sugar intake, as it can worsen gastrointestinal issues.
- Consider lactose-free options like almond milk, which is often well-tolerated and high in calcium.

4. Changes in Taste and Smell
- Loss of taste or smell can be due to anesthesia or pain medications used during surgery, but these senses usually return to normal over a few months.
- Some people find that eating spicier foods helps while their taste and smell recover. If cooking smells are too strong, take breaks for fresh air.

5. Brain-Gut Connection and Cravings
- Cravings for certain foods might indicate your body needs specific nutrients or electrolytes. Paying attention to these cravings can help guide your food choices during recovery.

6. Practical Eating Tips
- Focus on getting enough calories and protein. Some people rely on dairy for protein but choose to eat it when a bathroom is nearby.
- Ease back into cooking by starting with baking or recipes that don't produce strong odors.
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