This topic is about finding ways to stay hydrated when living with an ileostomy. The person who started the discussion has had an ileostomy for many years and feels like they are losing more fluids than they are taking in. They are looking for advice on how to maintain proper hydration.

Here are some helpful tips and insights shared by others:

1. Consider using drinks that are balanced with electrolytes instead of just plain water. Some options include:
- World Health Organization Oral Rehydration Solution (ORS) recipes, which can be found on the WHO website.
- Commercial drinks like Pedialyte, G Fit (which is low in calories and sugar and contains B-vitamins), and H2Ors, which is often available online.
- Avoid drinks that are hypertonic, like regular sodas, fruit juices, and standard Gatorade, as well as hypotonic drinks like plain water and diet soda, because they can increase output and dehydration when the colon is absent.

2. Make sure to balance sugar (glucose) and salt (sodium) with water for better absorption. The right ratios help the small bowel absorb fluids effectively, while incorrect ratios can either pass through too quickly or draw water from the body into the gut.

3. Drink in small, frequent sips rather than large gulps. Drinking large amounts at once can increase stoma output, while sipping helps with absorption.

4. To slow fluid loss and preserve nutrients, try to thicken the output. Foods that can help include regular or sweet potatoes, oatmeal, applesauce, toast with peanut butter, and bread (though be mindful of gas). Keeping a food diary can help identify foods that increase output. Medications can also be prescribed to slow output if needed.

5. Include sodium, potassium, and magnesium in your diet. Some people find it helpful to supplement potassium and magnesium, and sodium intake often needs to be higher, but should be monitored if there is any kidney disease. Adding coconut milk or flavored "squashes" (dilute cordials) to water can boost electrolyte content.

6. Keep an eye on your hydration status. Aim for 1–1.5 liters of urine in 24 hours; less than this could indicate a risk to the kidneys. Those with chronic kidney disease or who have had small-bowel resections need to be extra careful.

7. For more detailed advice on dehydration, refer to the UOAA guide "Eating with an Ostomy," which is available online.

8. Be mindful of environmental factors. Hot climates, like in Florida, can increase the risk of dehydration, so adjust your fluid and electrolyte intake accordingly.