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Apr 25, 2024

Watery Output in the Morning - Normal??

The topic at hand is about experiencing watery ileostomy output in the morning and whether this is a normal occurrence. Here are some insights and advice shared by others who have faced similar situations:

1. It's quite common for people with an ileostomy to have liquid output in the morning, which tends to thicken as the day progresses. This is often due to fluid build-up overnight. If you're concerned, it's always a good idea to check in with your ostomy nurse or surgeon for reassurance.

2. At six weeks post-surgery, your stoma is still in the early stages of healing. It's normal for its size and function to change over the coming months. Experimenting with different foods in small amounts is part of the process.

3. To help thicken the output, consider trying foods like oatmeal, Cheerios, bananas, white potatoes, homemade Rice Krispies treats, animal crackers, plain bread, peanut butter, and applesauce. Everyone's dietary tolerance is different, so working with a registered dietitian can be beneficial, especially if you have issues with high-fiber foods.

4. Some people find fiber or psyllium supplements helpful. For example, Metamucil (psyllium) is preferred by some over Benefiber. One dosing suggestion is 2 heaping teaspoons four times daily to achieve a consistency similar to oatmeal, as recommended by the Mayo Clinic.

5. Taking Imodium (loperamide) at bedtime can help reduce morning liquidity, but it's important to use it judiciously and under medical guidance.

6. To manage pouch output, single-use gelling sachets can be added to the pouch to turn the liquid into a gel, reducing the risk of leaks. You can ask your supplier for samples.

7. Some people find liquid output easier to empty than thicker output. However, high-volume liquid can increase the likelihood of leaks, so ensure a secure seal and consider using pouch-side gelling agents.

8. When introducing new foods, do so slowly. Remember, everyone's experience is unique, and what works for one person may not work for another. Continual adaptation is part of the journey, and seeking professional help when in doubt is always a good approach.
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