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Jan 05, 2024

Struggling with Dehydration and Calorie Intake - Need Advice

Topic Explanation
The forum discussion is about managing dehydration and calorie intake for individuals who are new to living with an ostomy. The original poster is seeking advice on how to handle these issues effectively.

Advice and Insights

- General Tips for Hydration and Calorie Intake:
- Eat and drink more frequently, focusing on small meals and a variety of fluids.
- Consider adding nutritional drinks like Boost or Ensure to your daily routine.
- Use powder-type fiber in smoothies to help thicken output and manage dehydration.

- Specific Hydration Strategies:
- For ileostomates, drinking large amounts of water may not be effective and can lower sodium levels. Instead, focus on oral rehydration solutions (ORS) and electrolyte drinks.
- Products like Liquid IV, DripDrop, and Kinderlyte can be beneficial. Avoid drinks with high sugar content like Gatorade, as they can cause liquid stools.
- Imodium can be used to slow output, but consult with a healthcare provider before starting any medication.
- Hydrate strategically by drinking ORS when your bowels are clear of food to maximize absorption.

- Understanding Your Ostomy:
- The type of ostomy and remaining bowel function significantly impact hydration strategies. The colon is primarily responsible for water absorption, so its absence requires different hydration methods.
- If you have a colostomy, even a partial colon can help with water reabsorption. For ileostomates, especially those missing the terminal ileum, hydration must be managed carefully to avoid overworking the liver.

- Managing Chronic Dehydration:
- Chronic dehydration may require regular IV hydration. Some individuals use home infusion services for convenience.
- Consider using products like Ketochow drops for daily hydration without added sugars.

- Calorie Intake:
- Nutritional drinks like Kate Farms organic plant-based nutrition drink can help with calorie intake.
- Force yourself to eat more frequently if necessary, and consider high-calorie, nutrient-dense foods.

- Additional Resources:
- Books like Carol Reese Parrish's "Management of Short Bowel Syndrome" can provide valuable insights and strategies for managing hydration and nutrition.
- Utilize forums and online resources to find more detailed information and personal experiences from others with similar conditions.
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