Topic Explanation
The forum discussion revolves around managing high output ostomies, specifically focusing on tips for nutrient retention and hydration. The original poster is concerned about losing nutrients despite drinking electrolyte drinks and maintaining good urine color.

Advice and Insights

- Dietary Adjustments:
- Starchy Foods: Incorporate starchy foods like pasta and crumpets to help bulk up the output.
- Psyllium Powder: Use psyllium powder (e.g., Metamucil) to help manage both constipation and diarrhea, which can aid in nutrient retention.

- Medications:
- Loperamide (Imodium): Taking loperamide can significantly reduce the frequency of emptying the ostomy bag by slowing down the digestive process, allowing more water absorption. Dosage mentioned includes 2 mg twice a day.
- Generic Options: Consider purchasing generic loperamide to save costs. Generic brands like Equate at Walmart or options at Safeway and Costco are more affordable.

- Fluid Management:
- Balanced Fluid Intake: Maintain a balance of fluids, with a suggested intake of 1000 ml of electrolytes and another 1000 ml of other fluids daily.
- Avoid Overhydration: Be cautious of overhydration, which can lead to flushing out essential nutrients and sodium.

- Product Recommendations:
- Marathon Product: For those dealing with skin issues and leaks, the Marathon product was mentioned, though no specific trick for extending its use was provided.

- Personal Experiences:
- Individual Variability: The effectiveness of these tips can vary based on individual conditions, such as the amount of bowel remaining and overall health. Personalized adjustments may be necessary.
- Flavored Psyllium Powder: Some users noted that flavored psyllium powder from Costco can be mixed into smoothies without significantly altering the taste.

- Practical Tips:
- Shopping for Medications: Look for the best prices on medications like loperamide at stores like Walmart and Costco.
- Mixing Psyllium Powder: Mix psyllium powder with beverages like smoothies or almond milk to make it more palatable.

These insights provide a comprehensive approach to managing high output ostomies, focusing on dietary changes, medication use, fluid management, and practical tips for daily living.