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Apr 26, 2024

Stoma Output - Slow Movement and Undigested Food Concerns

This topic is about a new colostomy patient who is experiencing slow stoma output and noticing undigested food in their output. They are seeking reassurance and advice on whether these experiences are normal.

Here are some helpful insights and advice:

1. It's common to see undigested food pieces like mushrooms, meat, or vegetables in your output. This is a good reminder to chew your food thoroughly and eat slowly.

2. Colostomy output is typically thicker and slower compared to ileostomy output. The patterns can vary based on your diet and hydration levels, but they usually stabilize over time, especially in the first few months after surgery.

3. To help prevent blockages:
- Make sure to chew your food well. Try putting down your fork between bites to slow down.
- Stay well-hydrated to keep your output softer and thinner.

4. Be aware of warning signs. If you experience several days of minimal output along with pain or increasing abdominal distension, it's important to contact your surgeon or stoma nurse.

5. For managing sluggish output, some products like polyethylene glycol or osmotic softeners (such as Miralax in the USA or Movicol, Macrogol, Laxadol in the UK) can help. These products retain water in the bowel to soften stool and are not stimulant laxatives. Always follow medical guidance when using them.

6. Remember that being only 5 weeks post-surgery, your body is still adjusting. Over time, most people find a personal rhythm for their output volume and consistency.

7. Increasing your hydration can generally help thin your output. If you suspect a blockage, reducing your food intake for a short period might help, but it's important to return to normal eating once the flow resumes.
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