This topic is about the use of Sodium Bicarbonate 650 mg tablets for people with Chronic Kidney Disease (CKD) who also have an ileostomy. A person was advised by their kidney specialist to take these tablets, but they are unsure about following this advice. Here are some key points and advice related to this situation:

- The person has been diagnosed with CKD stage 3B. The doctor mentioned "salt tablets," but the prescription is for sodium bicarbonate, which is different from regular table salt. The cost for 360 tablets is $12.07.

- The person does not experience heartburn and is mainly concerned about frequent doctor visits, becoming dependent on medication, and the cost involved.

- Swallowing whole pills is difficult for them. Sometimes the tablets pass through undissolved, which could cause a blockage. Dissolving the tablet in hot water resulted in gritty chunks that were hard to swallow due to severe dry mouth.

- They have a follow-up appointment with their kidney specialist and plan to ask about the necessity of the medication, as they generally avoid taking most prescriptions.

- The main symptoms that led them to seek medical help were extreme dry mouth and itchy eyes, which they suspect are due to dehydration related to their ileostomy.

Here are some insights and advice from others:

- Sodium bicarbonate tablets are not the same as regular table salt. They contain sodium and bicarbonate, which help neutralize excess acid that the kidneys can no longer excrete effectively in CKD stages 3A–3B.

- Some people with an ileostomy and CKD take sodium bicarbonate, with a typical dose being 1 tablet per day. One person reported improvement from stage 3B to 3A while using it.

- The purpose of sodium bicarbonate is to lower systemic and gastric acidity, which can help protect remaining kidney function, not just to relieve heartburn.

- It's important to clarify the dosage and purpose with your nephrologist. Ask why the specific quantity of 2 tablets, twice daily, is recommended for you.

- Staying hydrated is crucial for people with an ileostomy. Many report drinking at least 64 ounces of fluids per day, preferably with electrolytes, to prevent dehydration, dry mouth, and exercise intolerance.

- Some people with Stage 2 CKD have never been prescribed sodium bicarbonate, which shows that medical practices can vary. It's important to get personalized medical advice.

- If swallowing large tablets is an issue, discuss with your pharmacist or doctor about alternative forms, such as powder or smaller doses, or different ways to take the medication.

- Related products mentioned include Morton Salt (as a cost comparison) and Alka-Seltzer, an over-the-counter antacid that contains sodium bicarbonate.