This topic is about someone who has been living with an ileostomy for 18 months and is experiencing an unusual issue: their breath and body odor resemble that of stool. Despite having no leaks from their pouch and maintaining good dental hygiene, they are seeking advice on how to address this concern.

Here are some helpful suggestions:

1. Consult a qualified physician, such as a gastroenterologist, internist, or ostomy clinician. Persistent odors like this can sometimes indicate underlying health issues, such as kidney or liver problems, or might be related to certain medications.

2. Understand that odors are often caused by bacteria on the skin and in the mouth interacting with sweat or food. It's important to rule out any infections or metabolic causes.

3. To extend the wear time of a liquid-output ileostomy pouch, consider using Convatec two-piece Flexible flanges. Many users have found they can go 5–6 days between changes under normal conditions.

4. If you have irritated skin around the stoma, Luxiq Foam or Betamethasone Valerate Foam (a prescription topical steroid) can help reduce inflammation and protect the skin. However, use it sparingly, as prolonged or excessive use can lead to skin thinning.

5. Avoid using soap on the skin around the stoma, as soap residue can interfere with the adhesive seal of the ostomy appliance.