This topic is about the use of Miralax, a laxative, after having a transverse colostomy. A person shared their experience of being advised to take Miralax daily, which led to watery output and frequent pouch leaks. They stopped taking it, and the leaks stopped. They are now seeking advice on when, if ever, Miralax is appropriate for someone with a transverse colostomy. Here are some insights and advice from others who have been in similar situations:

1. Avoid taking Miralax routinely unless it is medically necessary. Some people were advised to use it daily after surgery but found they didn't need it as they healed.

2. Consider using Miralax only as a rescue treatment if there has been no output for a few days. It's important to confirm this approach with a colorectal surgeon rather than relying solely on nursing advice.

3. If Miralax is prescribed, start with a small or half dose. Keep an eye on the consistency of the output and adjust or stop using it if it becomes watery or causes frequent leaks.

4. Taking a break from the laxative can help determine if it is still needed. Some people have stopped using it after a few months without any negative effects, noticing that their output remained thick yet soft.

5. Laxido, another product similar to Miralax, is used by some as an alternative. The same precautions regarding dosage and necessity apply.

6. In general, it's encouraged to minimize unnecessary medications once a normal and comfortable output is established.