Topic Explanation:
The discussion revolves around managing high output variability in individuals with an ileostomy. The original poster describes experiencing fluctuating outputs ranging from watery to mixed viscosity, and seeks advice from others on how to manage or stabilize this condition.
Extracted Advice and Helpful Insights:
1. Dietary Adjustments:
- Consume foods known to thicken output such as noodles, bread, potatoes, bananas, Cheerios, and potato chips.
- Incorporate specific foods like bananas, applesauce, oatmeal, and marshmallows which have been noted to help.
- Utilize the BART diet (bananas, applesauce, rice, toast) to help thicken the output.
- Avoid foods that contribute to high output and bloating.
2. Fiber Supplements:
- Consider using fiber supplements like Psyllium Husk powder or Metamucil to help regulate output consistency.
- Be cautious with fiber as it can increase output volume, especially if you have less remaining small bowel.
3. Medication and Over-the-Counter Solutions:
- Some individuals find relief using loperamide (Imodium), though it should be used with caution as it can cause bowel obstruction in some cases.
- Medications like Lamotil and Imodium have been prescribed to help manage watery output.
4. Monitoring and Experimentation:
- Keep a close watch on the relationship between diet (input) and stoma output to identify patterns and effective adjustments.
- Experiment with different foods and supplements to find what uniquely works for your body.
- Consider keeping a food diary to track intake and correlate it with output types and gas formation.
5. Understanding Individual Differences:
- Recognize that each person with an ileostomy may have different experiences and needs based on the amount of small bowel remaining and individual body responses.
- Personal experimentation and adaptation over time are crucial as what works for one person may not work for another.
6. General Management Tips:
- Stay hydrated to compensate for fluid loss, especially when output is high.
- Engage with healthcare providers to discuss any concerns and get personalized advice based on your medical history and current condition.
- Utilize resources like forums and discussions to share experiences and learn from others who face similar challenges.
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