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Aug 19, 2024

Endurance Athletes with Ileostomy - Hydration Tips Needed

This topic is about finding effective hydration strategies for endurance cyclists who have undergone ileostomy surgery. The focus is on how to manage fluid intake during long rides, especially since the cyclist will have a stoma after surgery. Here are some helpful tips and insights shared by others who have experience in this area:

1. Fluid-carrying options:
- Consider using a hydration backpack or bladder system. Some popular brands include CamelBak and Osprey, with sizes ranging from 2 to 4 liters.
- You can also use handlebar or front-mounted baskets to carry extra bottles.
- For rides up to 150 miles, combine two frame bottles with additional bottles in waist packs.

2. Electrolyte management:
- Alternate between plain water and electrolyte solutions like sugar-free Gatorade or DripDrop ORS. This helps avoid kidney issues and replaces salts lost through an ileostomy.
- Sip fluids steadily rather than gulping, as large amounts at once can fill the pouch quickly.

3. Timing and frequency of pouch emptying:
- On a 12-hour ride, most cyclists find they need to empty their pouch only once or twice, which is often fewer stops than before surgery.
- Plan your stops in advance to ensure they are discreet and convenient.

4. Post-surgery recovery considerations:
- If you have a proctectomy (removal of the rectum), sitting on a bike saddle might be painful for some time. Allow yourself to fully heal before resuming long rides.
- Only return to intensive cycling activities once your surgeon gives you the all-clear and you feel completely healed.

5. Dehydration risks:
- People with an ileostomy can dehydrate more quickly. Drinking too much plain water without electrolytes can lead to kidney stones or other renal issues, so it's important to maintain a balanced intake.
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