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Aug 06, 2024

Managing High Volume Ileostomy with Innovative Techniques

Topic Explanation:
The discussion revolves around managing a high-volume ileostomy using innovative techniques. The original poster shares their experience with a new ileostomy that requires frequent pouch changes due to its high output. They have found some relief by rinsing the pouch with water, which has made the management of their ileostomy more bearable. They use a Hollister lock and roll pouch and convex wafer, and they wear a support belt to help manage the weight of the pouch. They are seeking additional tips and tricks from others with similar experiences to improve their ileostomy management.

Advice and Helpful Insights:
1. Dietary Adjustments:
- Consider modifying your diet to manage the volume and consistency of the output. Eating smaller, more frequent meals and reducing intake in the evening can help manage high output. Specific foods like marshmallows might help thicken the output.

2. Understanding Digestive Changes:
- Gain a better understanding of how your digestive system has been altered by surgery. This knowledge can help you adjust your diet and lifestyle to reduce and manage the output volume more effectively.

3. Pouch Management Techniques:
- Rinsing the pouch with water is a common practice among many ileostomy patients. It can help manage odor and maintain cleanliness without frequent complete changes.
- Be cautious with water rinsing as it can potentially degrade the hydrocolloid material of the barrier. To test the effect of water on your specific products, you can experiment by soaking a piece of the barrier material in water to observe how quickly it breaks down.
- When rinsing, ensure the water does not reach the stoma area to avoid compromising the seal.

4. Use of Support Belts:
- Wearing a support belt can help manage the weight of a full pouch and reduce the strain on the seal, which might prevent leaks and provide a sense of security, especially while sleeping or during physical activity.

5. Regular Changing Schedule:
- Maintain a regular schedule for changing the pouch and barrier. Even if the system seems to be holding up well, changing the pouch every 3-4 days is recommended to prevent potential issues like leaks or skin irritation.

6. Personal Experimentation:
- Each individual's experience can vary significantly. It is beneficial to try different products and techniques to find what works best for your specific situation. This includes experimenting with different types of pouch systems (e
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