This topic is about someone who has recently started living with an ostomy and noticed black, watery output from their stoma after a doctor's appointment. They are unsure if this situation requires an immediate hospital visit. Here are some helpful pieces of advice and insights:

1. Share important details such as the type of stoma (colostomy or ileostomy), the reason for the doctor's visit, any underlying conditions like ulcerative colitis or Crohn’s disease, recent surgeries, diet over the past 24 hours, how often the black output occurs, and any symptoms like pain or weight loss. Providing more context can lead to better advice.

2. The black color might indicate old blood. If you suspect bleeding, especially after recent surgery, it’s important to seek medical attention or visit the emergency room.

3. If you’re worried, call the hospital and ask to speak with the on-call colorectal surgeon or stoma nurse. They can advise you on whether you need to come in.

4. Watery output is common with an ileostomy. If the consistency is the only concern, consider using bulking strategies.

5. Certain foods and medications can cause the output to turn black, such as blueberries, blackberries, Hydrox cookies, Pepto-Bismol, and iron supplements. Check your recent intake to see if these might be the cause.

6. Taking 2 mg of loperamide (Imodium) daily can help thicken the output. Consider using an anti-diarrheal if the liquid consistency continues, but only under medical guidance.

7. If the color change isn’t explained by your diet or medications, or if you experience symptoms like pain, weight loss, or ongoing bleeding, it’s important to see a doctor promptly.