The topic at hand is about a common concern for new ostomates: whether needing to empty their stoma pouch 10-11 times a day is normal. Here are some helpful insights and advice on this matter:
1. Identify your stoma type:
- If you have a colostomy, initially experiencing a high frequency of emptying can be managed by considering colostomy irrigation.
- For an ileostomy, emptying your pouch 10-11 times a day shortly after surgery is quite common. Over time, as your bowel adjusts, this frequency often decreases to around 5-7 times a day.
2. Give it time and allow for healing. Many people notice a decrease in output after 2-6 months as their small bowel adapts. This pattern is typical and confirmed by stoma nurses.
3. Diet plays a significant role in controlling ileostomy output:
- Incorporate more starchy, thickening foods like potatoes and rice, and other low-residue items into your diet.
- Try to reduce your intake of sugar, caffeine, and antibiotics when possible, as these can increase liquid output.
- Some people find that taking psyllium husk, such as three tablets an hour before meals on days with very liquid output, helps to thicken it.
4. Medication like Imodium (loperamide) can help reduce the frequency of emptying by about half for some individuals. However, it may cause pancaking, so it's important to experiment carefully.
5. Consider your equipment:
- High-volume or larger drainable bags can be very useful immediately after surgery when output is more liquid and frequent.
- As output slows, many people switch to standard-size drainable pouches.
6. Stay hydrated and maintain good nutrition, especially when emptying frequently. Keep an eye on your fluid and electrolyte intake.
7. Be prepared for day-to-day variations. Output can fluctuate based on your food choices, activity levels, and daily schedule, so having occasional "busy" days is normal.
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