This topic is about managing bowel movements for someone with a colostomy, specifically using methods like Citrucel, Imodium, and irrigation. A new colostomate is seeking advice on how to achieve more predictable and limited output. Here are some insights and suggestions that might help:

1. Imodium (loperamide):
- Many people with colostomies take one tablet each morning, which often results in 2-3 predictable discharges per day, such as at 6 am, noon, and 6 pm.
- Those with Crohn’s disease might require higher doses, sometimes up to 12 tablets a day, but if bloating occurs, it's best to reduce the dose.
- Taking Imodium right before larger meals can help slow down the output even more.

2. Colostomy irrigation:
- This method is most effective if the stoma is located in the descending or sigmoid colon and there is no active inflammatory disease.
- It's recommended to have the first irrigation session guided by a WOCN/ET nurse, either in a clinic or at home.
- Suggested systems include the Coloplast irrigation bag, which has a built-in thermometer and a flow control feature to prevent nausea.
- Use irrigation sleeves that match your flange, such as Convatec or Hollister sleeves.
- Performing irrigation once daily after breakfast can clear the colon, potentially resulting in little to no output for the rest of the day.
- The schedule is flexible but requires uninterrupted time, and leaks might occur until a routine is established.

3. Contra-indications & precautions for irrigation:
- Irrigation is not recommended for ileostomies, Crohn’s disease, diverticulitis, or colitis due to the risk of bowel injury or uncontrolled leaks.
- Always check with your surgeon to confirm if irrigation is suitable for you.

4. Fiber products (e.g., Citrucel):
- Some people with colostomies find that taking fiber at night helps bulk and slow stool, while others notice little benefit.
- Those with Crohn’s disease often avoid added fiber as it can increase output.

5. Diet & meal timing:
- Eating smaller or fewer meals before social events can help reduce output during the outing.
- The regularity of output can depend on what and when you eat, so it might be helpful to track which foods speed up or slow down your gut.

6. Further resources:
- The UOAA forum has a thread on irrigation that provides step-by-step tips and user experiences, which could be a valuable resource.