This topic is about managing high ileostomy output, staying hydrated, and considering how physical activity might play a role. A person who recently had an ileostomy is experiencing challenges with regulating their output, which has led to hospitalizations for dehydration and malnutrition. They noticed an increase in output after spending more time out in the car and are curious if normal daily activities could be affecting this.

Here are some helpful insights and advice:

1. Physical activity by itself usually doesn't increase ileostomy output significantly. However, being awake and experiencing stress can lead to more bowel activity.

2. Immediate priorities include:
- Collaborating with a knowledgeable stoma or ostomy dietitian to develop a personalized eating and drinking plan.
- Ensuring aggressive hydration to protect kidney function by using oral re-hydration solutions as directed by healthcare providers.

3. Strategies to control output:
- Continue or adjust anti-motility medications like loperamide and codeine under medical guidance.
- Incorporate bulking or thickening foods such as applesauce, oatmeal, bananas, and starchy carbohydrates. Consider having smaller meals more frequently.

4. For ongoing self-management:
- Educate yourself using reliable ostomy resources and maintain regular follow-ups with a stoma nurse.
- Keep an eye on urine volume and color as a quick check for dehydration. Seek medical attention if output increases or urine volume decreases again.
- Communicate with your healthcare team about how upcoming chemotherapy might impact hydration and nutrient absorption.