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Apr 18, 2024

Concerned About Colostomy Blockage - Seeking Advice

This topic is about someone who has a colostomy and is concerned about a possible blockage after experiencing dehydration due to chemotherapy. They have been dealing with nausea and vomiting, which led to mild dehydration, and now they are worried because they haven't had any stool output for five days, only some gas. They have tried several methods to resolve this issue but haven't had much success. Here are some helpful tips and advice for anyone in a similar situation:

1. Hydration tactics:
- Keep a steady intake of fluids by sipping slowly rather than drinking large amounts at once, allowing your body to absorb the fluids better.
- Include electrolytes in your hydration routine, not just water. You can use electrolyte powders, Gatorade Fit, or Pedialyte.

2. When to seek medical help:
- It's normal for some colostomy patients to have occasional 2-3-day gaps in output.
- However, if you go five days without output and experience pain, fever, or a continued absence of stool, it's important to contact a doctor immediately.

3. Laxatives & stimulants:
- Miralax can be effective in moving stool but may cause diarrhea for some people.
- Some individuals find that drinking a Coca-Cola can help stimulate output.

4. Diet & chewing:
- Make sure to chew high-fiber or hard foods like popcorn, tomatoes, and nuts thoroughly, and drink plenty of water to minimize the risk of blockages.
- Be aware that popcorn can create a thick, paste-like stool that might be difficult to empty, so be prepared to change your pouch if needed.

5. Appliance tip:
- Consider using a two-piece Hollister system, as it can make bag changes easier when dealing with thick output that clogs the pouch.
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