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Jan 21, 2024

Regulating Bowel Movements with a Colostomy

This topic is about managing bowel movements and stool consistency for someone who has recently received a colostomy. Here are some helpful tips and insights to consider:

1. Keep a food diary to observe how different foods and the timing of your meals affect your output.

2. Colostomy irrigation might be an option for those who want predictable, once-daily or every-other-day emptying. This is typically suitable for permanent colostomies located in the descending or sigmoid colon, and when the stoma output is already semi-formed or formed.

3. Your diet is the main way to influence stool consistency. The types of food you eat and when you eat them can change the thickness and frequency of your output.

4. To thicken your output, consider incorporating foods like potatoes, rice, peanut butter, bananas, or psyllium fiber supplements such as Metamucil into your diet.

5. Medications like loperamide (Imodium) can help slow down transit and thicken the output. The dosage can vary, but some find that taking 2 mg each morning is effective.

6. Some people find that iron supplements can be beneficial.

7. Over time, your body will adapt, and you may notice improvements. Initially, it’s common to experience liquid output in the morning, mushy output after meals, and liquid again in the evening.

8. Unlike a rectum, a stoma cannot hold output, so it’s important to empty your pouch whenever necessary.

9. For more dietary advice, online resources such as OstoAI can be helpful.
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