The topic at hand is about experiencing gas bubbles and gurgling noises around an established ileostomy, and whether these sensations are normal. The person who started the discussion has had an ileostomy for three years and is curious about these new sensations. They also wonder if taking Gas-X is safe or appropriate for someone with an ileostomy.

Here are some helpful insights and advice from others who have shared similar experiences:

1. Many people with an ileostomy report feeling bubbling and hearing gurgling sounds. For some, it happens all the time, while for others, it's occasional. Generally, this is considered normal digestive activity unless it comes with pain, symptoms of blockage, or changes in output.

2. Gas that moves around is usually a good sign. However, if you experience pain or can't pass gas, it might indicate a blockage.

3. Common causes of excess gas include swallowing air, consuming milk products, and eating gas-producing vegetables. Hunger or an empty stomach can also cause noises.

4. It's a good idea to review any new foods you've eaten in the last couple of months to see if they might be contributing to the gas.

5. Regarding Gas-X (simethicone) and similar products:
- Some people find that it helps break up gas bubbles effectively.
- Others feel it doesn't work after a colectomy because it was designed for gas in the colon. A few even say it makes gas worse.

6. Imodium (loperamide) and "anti-gas" combination versions are also reported as ineffective for gas relief after a colectomy. Plain loperamide is a cheaper option for slowing output only.

7. It's important to keep track of your own normal patterns. If you notice a significant change in the noise or gas pattern, or if you experience pain, reduced output, or other changes in motility, it's wise to seek medical advice.